Perceptions and Practices Regarding Sleep in the Intensive Care Unit. A Survey of 1,223 Critical Care Providers

Biren B Kamdar; Melissa P Knauert; Shirley F Jones; Elizabeth C Parsons; Sairam Parthasarathy; Margaret A Pisani; Sleep in the ICU (SLEEPii) Task Force

doi:10.1513/AnnalsATS.201601-087OC

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Perceptions and Practices Regarding Sleep in the Intensive Care Unit. A Survey of 1,223 Critical Care Providers

Journal article

Open access

Peer reviewed

Perceptions and Practices Regarding Sleep in the Intensive Care Unit. A Survey of 1,223 Critical Care Providers

Biren B Kamdar, Melissa P Knauert, Shirley F Jones, Elizabeth C Parsons, Sairam Parthasarathy, Margaret A Pisani and Sleep in the ICU (SLEEPii) Task Force

Annals of the American Thoracic Society, Vol.13(8), pp.1370-1377

08/2016

DOI: 10.1513/AnnalsATS.201601-087OC

PMCID: PMC5021080

PMID: 27104770

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https://europepmc.org/articles/pmc5021080View

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Abstract

Poor sleep affects a majority of critically ill patients and is believed to be associated with adverse intensive care unit (ICU) outcomes such as delirium. While recent guidelines recommend sleep promotion efforts to improve delirium and other ICU outcomes, little is known about critical care providers' beliefs regarding sleep in the ICU. To evaluate providers' perceptions and practices regarding sleep in the ICU. From April to July 2014, the Sleep in the ICU Survey was disseminated to ICU providers via institutional e-mail lists and four international critical care society distribution lists. A total of 1,223 surveys were completed by providers from 24 countries. Respondents were primarily nurses (59%) or physicians (39%). Most respondents indicated that ICU patients experienced "poor" or "very poor" sleep (75%) and that poor sleep could affect the ICU recovery process (88%). Respondents also felt that poor sleep was associated with negative ICU outcomes such as the development of delirium (97%), longer length of stay (88%), poor participation in physical therapy (87%), and delayed liberation from mechanical ventilation (83%). The minority (32%) of providers had sleep-promoting protocols; these providers tended to believe their patients slept longer and experienced better sleep quality. Though most clinicians believe that sleep in the ICU is poor and adversely affects patient outcomes, a minority of the ICUs represented by our respondents have sleep promotion protocols. These findings highlight discordant provider perceptions and practices surrounding sleep in the ICU, as well as a possible lack of available evidence-based guidelines for promoting sleep in the ICU.

Adult

Critical Illness - psychology

Critical Illness - therapy

Delirium - etiology

Female

Health Care Surveys

Health Personnel

Humans

Intensive Care Units - standards

International Cooperation

Internet

Male

Middle Aged

Respiration, Artificial - statistics & numerical data

Sleep

Details

Title: Subtitle: Perceptions and Practices Regarding Sleep in the Intensive Care Unit. A Survey of 1,223 Critical Care Providers
Creators: Biren B Kamdar - University of California, Los Angeles
Melissa P Knauert - Yale University
Shirley F Jones - Texas A&M Health Science Center College of Medicine
Elizabeth C Parsons - VA Puget Sound Health Care System
Sairam Parthasarathy - University of Arizona
Margaret A Pisani - Yale University
Sleep in the ICU (SLEEPii) Task Force
Contributors: Brian K Gehlbach (Contributor) - University of Iowa, Internal Medicine
Resource Type: Journal article
Publication Details: Annals of the American Thoracic Society, Vol.13(8), pp.1370-1377
DOI: 10.1513/AnnalsATS.201601-087OC
PMID: 27104770
PMCID: PMC5021080
NLM abbreviation: Ann Am Thorac Soc
ISSN: 2325-6621
eISSN: 2325-6621
Publisher: American Thoracic Society
Grant note: P20 NR014126 / NINR NIH HHS KL2 TR001862 / NCATS NIH HHS P30 AG021342 / NIA NIH HHS KL2 TR000140 / NCATS NIH HHS UL1 TR001881 / NCATS NIH HHS UL1 TR001863 / NCATS NIH HHS UL1 TR000124 / NCATS NIH HHS
Language: English
Date published: 08/2016
Academic Unit: Neurology; Pulmonary, Critical Care, and Occupational Medicine; Health, Sport, and Human Physiology ; Internal Medicine
Record Identifier: 9984303016402771

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