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Updated: Jun 9, 2025
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Multidimensional Sleep Health in Surrogate Decision-Makers of Critically Ill Patients
Grant A Pignatiello1, Stephanie Griggs2, Seth Alan Hoffer3
1Grant A. Pignatiello is an assistant professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Summary
Intensive care unit surrogate decision-makers experience inadequate sleep duration and suboptimal sleep efficiency, despite satisfactory sleep. Sleep health interventions are crucial for this population.
Area of Science:
- Critical Care Medicine
- Sleep Science
- Patient Support
Background:
- Sleep health for intensive care unit (ICU) surrogate decision-makers is a critical research area.
- Previous studies have often examined sleep health in isolation, neglecting its multidimensional nature.
Purpose of the Study:
- To comprehensively assess the sleep health of surrogate decision-makers for critically ill patients.
- Examined sleep satisfaction, timing, efficiency, and duration.
Main Methods:
- Secondary analysis of 19 surrogate decision-makers of ICU patients.
- Sleep satisfaction assessed via subjective scale; sleep timing, efficiency, and duration measured objectively using wrist-worn accelerometers (Actiwatch Spectrum Plus).
- Data collected over 3 consecutive days.
Main Results:
- 15% of surrogates reported poor sleep satisfaction.
- Average daily sleep duration was approximately 6 hours.
- Average sleep efficiency was 83.7%, with timing comparable to general adult populations.
Conclusions:
- ICU surrogate decision-makers exhibit insufficient sleep duration and suboptimal sleep efficiency.
- Sleep health interventions may be necessary for this vulnerable group.
- Further research should explore the link between surrogate sleep health and decision-making capacity.
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