Effectiveness of Clinical Practice Guidelines Implementation for Sleep Promotion Among Critically Ill Patients


  • Kaweewan Jaikla Professional Nurse, Sriphat Medical Center, Faculty of Medicine, Chiang Mai University
  • Jindarat Chaiard Associate Professor, Faculty of Nursing, Chiang Mai University
  • Mayulee Somrarnyart Associate Professor, Faculty of Nursing, Chiang Mai University


sleep promotion, critically ill patients, CPG, sleep quality, sleep disturbances


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:

  1. 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.
  2. 82.4% to 94.1% of health care providers who implemented CPGs strongly agreed with the feasibility of the guidelines.
  3. 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)


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