PMID- 28668912
OWN - NLM
STAT- MEDLINE
DCOM- 20180419
LR  - 20180519
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 26
IP  - 4
DP  - 2017 Jul
TI  - Factors Influencing Patients' Sleep in the Intensive Care Unit: Perceptions of
      Patients and Clinical Staff.
PG  - 278-286
LID - 10.4037/ajcc2017333 [doi]
AB  - BACKGROUND: Multiple factors are believed to contribute to disruption of
      patients' sleep and negatively affect clinical outcomes in the intensive care
      unit. Achieving restorative sleep for critically ill patients remains a
      challenge. OBJECTIVES: To explore the perceptions and beliefs of staff, patients,
      and surrogates regarding the environmental and nonenvironmental factors in the
      medical intensive care unit that affect patients' sleep. METHODS: This
      qualitative study included 24 medical intensive care unit staff (7 physicians, 5 
      respiratory therapists, 10 nurses, and 2 patient-care assistants), 8 patients,
      and 6 patient surrogates. Semistructured interviews were conducted, and
      qualitative analysis of content was used to code, categorize, and identify
      interview themes. RESULTS: Interview responses revealed 4 themes with related
      subthemes: (1) The overnight medical intensive care unit environment does affect 
      sleep, (2) nonenvironmental factors such as difficult emotions and anxiety also
      affect sleep, (3) respondents' perceptions about sleep quality in the medical
      intensive care unit were highly variable, and (4) suggestions for sleep
      improvement included reassuring patients and care-clustering strategies.
      CONCLUSIONS: Results of this study suggest that environment is not the only
      factor influencing patients' sleep. Decreases in environmental sources of
      disturbance are necessary but not sufficient for sleep improvement.
      Guideline-recommended clustered care is needed to provide adequate sleep
      opportunity, but patients' emotions and anxiety also must be addressed.
CI  - (c)2017 American Association of Critical-Care Nurses.
FAU - Ding, Qinglan
AU  - Ding Q
AD  - Qinglan Ding is a doctoral student at the Yale School of Nursing, West Haven,
      Connecticut. Nancy S. Redeker is a professor at the Yale School of Nursing.
      Margaret A. Pisani and Henry K. Yaggi are associate professors and Melissa P.
      Knauert is an assistant professor, Section of Pulmonary, Critical Care and Sleep 
      Medicine, Department of Internal Medicine, Yale University School of Medicine,
      New Haven, Connecticut.
FAU - Redeker, Nancy S
AU  - Redeker NS
AD  - Qinglan Ding is a doctoral student at the Yale School of Nursing, West Haven,
      Connecticut. Nancy S. Redeker is a professor at the Yale School of Nursing.
      Margaret A. Pisani and Henry K. Yaggi are associate professors and Melissa P.
      Knauert is an assistant professor, Section of Pulmonary, Critical Care and Sleep 
      Medicine, Department of Internal Medicine, Yale University School of Medicine,
      New Haven, Connecticut.
FAU - Pisani, Margaret A
AU  - Pisani MA
AD  - Qinglan Ding is a doctoral student at the Yale School of Nursing, West Haven,
      Connecticut. Nancy S. Redeker is a professor at the Yale School of Nursing.
      Margaret A. Pisani and Henry K. Yaggi are associate professors and Melissa P.
      Knauert is an assistant professor, Section of Pulmonary, Critical Care and Sleep 
      Medicine, Department of Internal Medicine, Yale University School of Medicine,
      New Haven, Connecticut.
FAU - Yaggi, Henry K
AU  - Yaggi HK
AD  - Qinglan Ding is a doctoral student at the Yale School of Nursing, West Haven,
      Connecticut. Nancy S. Redeker is a professor at the Yale School of Nursing.
      Margaret A. Pisani and Henry K. Yaggi are associate professors and Melissa P.
      Knauert is an assistant professor, Section of Pulmonary, Critical Care and Sleep 
      Medicine, Department of Internal Medicine, Yale University School of Medicine,
      New Haven, Connecticut.
FAU - Knauert, Melissa P
AU  - Knauert MP
AD  - Qinglan Ding is a doctoral student at the Yale School of Nursing, West Haven,
      Connecticut. Nancy S. Redeker is a professor at the Yale School of Nursing.
      Margaret A. Pisani and Henry K. Yaggi are associate professors and Melissa P.
      Knauert is an assistant professor, Section of Pulmonary, Critical Care and Sleep 
      Medicine, Department of Internal Medicine, Yale University School of Medicine,
      New Haven, Connecticut. Melissa.Knauert@yale.edu.
LA  - eng
GR  - KL2 TR000140/TR/NCATS NIH HHS/United States
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
GR  - K24 HL132093/HL/NHLBI NIH HHS/United States
GR  - P30 AG021342/AG/NIA NIH HHS/United States
GR  - P20 NR014126/NR/NINR NIH HHS/United States
GR  - KL2 TR001862/TR/NCATS NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Adult
MH  - Anxiety/psychology
MH  - *Attitude of Health Personnel
MH  - Emotions
MH  - Female
MH  - Health Facility Environment
MH  - Humans
MH  - *Intensive Care Units/organization & administration
MH  - Interviews as Topic
MH  - Lighting
MH  - Male
MH  - Middle Aged
MH  - Noise
MH  - Nuclear Family/psychology
MH  - Patients/*psychology
MH  - Perception
MH  - Qualitative Research
MH  - *Sleep
MH  - Workflow
MH  - Young Adult
PMC - PMC5559223
MID - NIHMS890287
EDAT- 2017/07/03 06:00
MHDA- 2018/04/20 06:00
CRDT- 2017/07/03 06:00
PHST- 2017/07/03 06:00 [entrez]
PHST- 2017/07/03 06:00 [pubmed]
PHST- 2018/04/20 06:00 [medline]
AID - 26/4/278 [pii]
AID - 10.4037/ajcc2017333 [doi]
PST - ppublish
SO  - Am J Crit Care. 2017 Jul;26(4):278-286. doi: 10.4037/ajcc2017333.