Effectiveness of Clinical Practice Guidelines Implementation for Sleep Promotion Among Critically Ill Patients
Keywords:
sleep promotion, critically ill patients, CPG, sleep quality, sleep disturbancesAbstract
Sleep problems greatly effect critically ill patients. Health care provider teams should promote healthy sleep among these patients. The developmental and operation study aimed to develop clinical practice guidelines (CPGs) for sleep promotion in critically ill patients and to test the effectiveness of implementing CPGs. The framework of this study is based on the Australian National Health and Medical Research Council guidelines for development and implementation (NHMRC, 1999).The participants consisted of 1) 47 health care providers who implemented CPGs 2) patients who were admitted to the intensive care unit before and during implementation of CPGs (33 and 55 participants, respectively).Data collection instruments consisted of 1) The CPGs Implementation Opinion Survey Form and 2) The Outcome Evaluation Form. Data were analyzed by using descriptive statistics.
The results showed that:
- The CPGs for sleep promotion among critically ill patients, Sriphat Medical Center, Faculty of Medicine, Chiang Mai University consisted of six major components including 1) protection of patient rights and ethics 2) sleep assessment of critically ill patients 3) education on sleep and sleep promotion strategies among health care providers 4) management to promote sleep 5) continuity of sleep promotion and documentation, and 6) improvement quality of care.
- 82.4% to 94.1% of health care providers who implemented CPGs strongly agreed with the feasibility of the guidelines.
- Participants in the CPGs implementation group had average sleep quality scores higher than those before CPGs implementation group from the first night ( = 67.3, S.D. = 24.28 and = 57.2, S.D. = 23.53) and the second night ( = 71.43, S.D. = 21.88 and = 45.9, S.D. = 26.99)
References
Institute of Medical Research and Technology Assessment. (2009). Appraisal of Guideline for Research and Evaluation II; AGREE II. Retrieved from http://www.agreetrust.org/wp-content/uploads/2013/09/Thai-AGREE-II.pdf
Always, A., Halm, M. A., Shilhanek, M., & Pierre, J. (2013). Do earplugs and eye masks affect Sleep and delirium outcomes in the critically ill?. American Journal of Critical Care, 22(4), 357-360. doi:10.4037/ajcc2013545
Burn, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). Missouri: Saunders Elsevier.
Daneshmandi, M., Neiseh, F., SadeghiShermeh, M., & Ebadi, A. (2012). Effect of eye mask on sleep quality in patients with acute coronary syndrome. Journal of Caring Sciences, 1(3), 135-143. doi:10.5681/jcs.2012.020
DeKeyser, F. (2003). Psychoneuroimmunology in critically ill patients. Advance Practice in Acute and Critical Care, 14(1), 25-32.
Diekelmann, S., Wilhelm, I., & Born, J. (2009). The what and whens of sleep-dependent memory consolidation. Sleep Medicine Reviews, 13(5), 309-321. doi:10.1016/j.smrv.2008.08.002
Duong-Coburn, N. K. (2013). A Systematic Review of Sleep Quality and Sleep Promotion in The Intensive Care Unit. Retrieved from https://csusmdspace.calstate.edu/bitstream/handle/10211.8/535/DuongCoburnNhung_Fall2013.pdf?sequence=1
Drouot, X., Cabello, B., d’Ortho, M. P., & Brochard, L. (2008). Sleep in the intensive care Unit. Sleep Medicine Reviews, 12(5), 391-403. doi:10.1016/j.smrv.2007.11.004
Elliott, R., McKinley, S., & Cistulli, P. (2011). The quality and duration of sleep in the intensive care setting: An integrative review. International Journal of Nursing Studies, 48(3), 384-400. doi:10.1016/j.ijnurstu.2010.11.006
Friese, R. S. (2008). Sleep and recovery from critical illness and injury: A review of theory, current practice, and future directions. Critical Care Medicine, 36(3), 697-705. doi:10.1097/ CCM.0B013E3181643F29
Honkus, V. L. (2003). Sleep Deprivation in Critical Care Units. Critical Care Nursing Quarterly, 26(3), 179-191.
Joint Commision on Acreditation of Healthcare Organization. (2001). Pain management: A systems approach to improveing quality and safety. Retrieved from http://www.jcrinc.com/pain-management-a-systems-approach-to-improving-quality-and-safety/
Kamdar, B. B., Needham, D. M., & Collop, N. A. (2012). Sleep deprivation in critical illness: Its role in physical and psychological recovery. Journal of Intensive Care Med, 27(2), 97-111. doi:10.1177/0885066610394322
Liao, W. C., Huang, C. Y., Huang, T. Y., & Hwang, S. L. (2011). A systematic review of sleep patterns and factors that dictrub sleep after heart surgery. The Journal of Nursing Research, 19(4), 275-288. doi:10.1097/JNR.0b013e318236cf68
Linck, V. M., da Silva, A. L., Figueiro, M., Caramao, E. B., Moreo, P. R. H., & Elisabetsky, E. (2009). Effects of inhaled linalool in anxiety, social interaction and aggressive behavior in mice. Phytomedicine, 17(8-9), 679-683. doi:10.1016/j.phymed.2009.10.002
National Health and Medical Research Council. (1999). A guideline to the development, implementation, and evaluation of clinical practice guidelines. Retrieved from http://www. nhmrc.gov.au/ publications/_files/ cp30.pdf
National Health and Medical Research Council. (2000). How to put the evidence into practice: Implementation and dissemination strategies. Retrieved fromhttp://www.nhmrc.gov.au/ publications/_files/cp 71.pdf
Orton, D. I., & Gruzelier, J. H. (1989). Adverse changes in mood and cognitive performance of house officers after night duty. British Medicine Journal, 298(6665), 21-33.
Ozsancak, A., D'Ambrosio, C., Garpestad, E., Schumaker, G., & Hill, N. S. (2008). Sleep and Mechanical Ventilation. Critical Care Clinics, 24(3), 517-531. doi:10.1016/j.ccc. 2008.03.002
Pandharipande, P., & Ely, E. W. (2006). Sedative and analgesic medications: Risk factors for delirium and sleep disturbances in the critically ill. Critical Care Clinics, 22(2), 313-327. doi:10.1016/j.ccc.2006.02.010
Parthasarathy, S., & Tobin, M. J. (2004). Sleep in the intensive care unit. Intensive Care Medicine, 30(2), 197-206.
Richards, K. C., O'Sullivan, P. S., & Phillips, R. L. (2000). Measurement of sleep in critically ill patients. Journal of Nursing Measurment, 8(2), 131-144.
The Joanna Briggs Institute. (2014). Grading of recommendations. Retrieved from http://www.joannabriggs.edu.au/About%20Us/JBI%20Approach/Levels%20of20Evidence%20%20FAME
Thomas, M., Sing, H., Belenky, G., Holcomb, H., Mayberg, H., Dannals, R., Wagner, H., … Redmond, D. (2000). Neural basis of alertness and cognitive performance impairments during sleepiness: effect of 24 h of sleep deprivation on waking human regional brain activity. Journal of Sleep Research, 9(4), 335-352.
Trompeo, A. C., Vidi, Y., Locane, M. D., Braghiroli, A., Mascia, L., & Ranieri, V. M. (2011). Sleep disturbances in the critically ill patients: Role of delirium and sedative agents. Minerva Anestesiologica, 77(6), 604-612.
Van Cauter, E., & Tasali, E. (2011). Endocrine physiology in relation to sleep and sleep disturbances. In Kryger, H. M., Roth, T., & Dement, C. W. (Eds.). Principle and practice of sleep medicine (5th ed., pp. 1143-1147). Louis, MS: Elsevier.
Xie, H., Kang, J., & Mills, G. H. (2009). Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care unit. Critical Care, 13(2), 208. doi:10.1186/cc7154
Zhang, L., Sha, S. Y., Kong, Q. Q., Woo, A. J., Miller, R. A., Li, W. H., … Wang, L. C. (2013). Factor that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery. Support Care Cancer, 2, 2091-2096. doi:10.1007 /s00520-013-1754-2
Always, A., Halm, M. A., Shilhanek, M., & Pierre, J. (2013). Do earplugs and eye masks affect Sleep and delirium outcomes in the critically ill?. American Journal of Critical Care, 22(4), 357-360. doi:10.4037/ajcc2013545
Burn, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). Missouri: Saunders Elsevier.
Daneshmandi, M., Neiseh, F., SadeghiShermeh, M., & Ebadi, A. (2012). Effect of eye mask on sleep quality in patients with acute coronary syndrome. Journal of Caring Sciences, 1(3), 135-143. doi:10.5681/jcs.2012.020
DeKeyser, F. (2003). Psychoneuroimmunology in critically ill patients. Advance Practice in Acute and Critical Care, 14(1), 25-32.
Diekelmann, S., Wilhelm, I., & Born, J. (2009). The what and whens of sleep-dependent memory consolidation. Sleep Medicine Reviews, 13(5), 309-321. doi:10.1016/j.smrv.2008.08.002
Duong-Coburn, N. K. (2013). A Systematic Review of Sleep Quality and Sleep Promotion in The Intensive Care Unit. Retrieved from https://csusmdspace.calstate.edu/bitstream/handle/10211.8/535/DuongCoburnNhung_Fall2013.pdf?sequence=1
Drouot, X., Cabello, B., d’Ortho, M. P., & Brochard, L. (2008). Sleep in the intensive care Unit. Sleep Medicine Reviews, 12(5), 391-403. doi:10.1016/j.smrv.2007.11.004
Elliott, R., McKinley, S., & Cistulli, P. (2011). The quality and duration of sleep in the intensive care setting: An integrative review. International Journal of Nursing Studies, 48(3), 384-400. doi:10.1016/j.ijnurstu.2010.11.006
Friese, R. S. (2008). Sleep and recovery from critical illness and injury: A review of theory, current practice, and future directions. Critical Care Medicine, 36(3), 697-705. doi:10.1097/ CCM.0B013E3181643F29
Honkus, V. L. (2003). Sleep Deprivation in Critical Care Units. Critical Care Nursing Quarterly, 26(3), 179-191.
Joint Commision on Acreditation of Healthcare Organization. (2001). Pain management: A systems approach to improveing quality and safety. Retrieved from http://www.jcrinc.com/pain-management-a-systems-approach-to-improving-quality-and-safety/
Kamdar, B. B., Needham, D. M., & Collop, N. A. (2012). Sleep deprivation in critical illness: Its role in physical and psychological recovery. Journal of Intensive Care Med, 27(2), 97-111. doi:10.1177/0885066610394322
Liao, W. C., Huang, C. Y., Huang, T. Y., & Hwang, S. L. (2011). A systematic review of sleep patterns and factors that dictrub sleep after heart surgery. The Journal of Nursing Research, 19(4), 275-288. doi:10.1097/JNR.0b013e318236cf68
Linck, V. M., da Silva, A. L., Figueiro, M., Caramao, E. B., Moreo, P. R. H., & Elisabetsky, E. (2009). Effects of inhaled linalool in anxiety, social interaction and aggressive behavior in mice. Phytomedicine, 17(8-9), 679-683. doi:10.1016/j.phymed.2009.10.002
National Health and Medical Research Council. (1999). A guideline to the development, implementation, and evaluation of clinical practice guidelines. Retrieved from http://www. nhmrc.gov.au/ publications/_files/ cp30.pdf
National Health and Medical Research Council. (2000). How to put the evidence into practice: Implementation and dissemination strategies. Retrieved fromhttp://www.nhmrc.gov.au/ publications/_files/cp 71.pdf
Orton, D. I., & Gruzelier, J. H. (1989). Adverse changes in mood and cognitive performance of house officers after night duty. British Medicine Journal, 298(6665), 21-33.
Ozsancak, A., D'Ambrosio, C., Garpestad, E., Schumaker, G., & Hill, N. S. (2008). Sleep and Mechanical Ventilation. Critical Care Clinics, 24(3), 517-531. doi:10.1016/j.ccc. 2008.03.002
Pandharipande, P., & Ely, E. W. (2006). Sedative and analgesic medications: Risk factors for delirium and sleep disturbances in the critically ill. Critical Care Clinics, 22(2), 313-327. doi:10.1016/j.ccc.2006.02.010
Parthasarathy, S., & Tobin, M. J. (2004). Sleep in the intensive care unit. Intensive Care Medicine, 30(2), 197-206.
Richards, K. C., O'Sullivan, P. S., & Phillips, R. L. (2000). Measurement of sleep in critically ill patients. Journal of Nursing Measurment, 8(2), 131-144.
The Joanna Briggs Institute. (2014). Grading of recommendations. Retrieved from http://www.joannabriggs.edu.au/About%20Us/JBI%20Approach/Levels%20of20Evidence%20%20FAME
Thomas, M., Sing, H., Belenky, G., Holcomb, H., Mayberg, H., Dannals, R., Wagner, H., … Redmond, D. (2000). Neural basis of alertness and cognitive performance impairments during sleepiness: effect of 24 h of sleep deprivation on waking human regional brain activity. Journal of Sleep Research, 9(4), 335-352.
Trompeo, A. C., Vidi, Y., Locane, M. D., Braghiroli, A., Mascia, L., & Ranieri, V. M. (2011). Sleep disturbances in the critically ill patients: Role of delirium and sedative agents. Minerva Anestesiologica, 77(6), 604-612.
Van Cauter, E., & Tasali, E. (2011). Endocrine physiology in relation to sleep and sleep disturbances. In Kryger, H. M., Roth, T., & Dement, C. W. (Eds.). Principle and practice of sleep medicine (5th ed., pp. 1143-1147). Louis, MS: Elsevier.
Xie, H., Kang, J., & Mills, G. H. (2009). Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care unit. Critical Care, 13(2), 208. doi:10.1186/cc7154
Zhang, L., Sha, S. Y., Kong, Q. Q., Woo, A. J., Miller, R. A., Li, W. H., … Wang, L. C. (2013). Factor that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery. Support Care Cancer, 2, 2091-2096. doi:10.1007 /s00520-013-1754-2
Downloads
Published
2020-12-08
How to Cite
Jaikla , K. ., Chaiard , J. . ., & Somrarnyart , M. . (2020). Effectiveness of Clinical Practice Guidelines Implementation for Sleep Promotion Among Critically Ill Patients. Nursing Journal CMU, 47(4), 216–228. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/247945
Issue
Section
Research Article
License
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
