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Implementation of a sleep management plan to improve the quality and quantity of sleep in the Intensive Care Unit: a before and after study (iSleep)

Implementation of a sleep management plan to improve the quality and quantity of sleep in ICU: a before and after study (iSleep)

Sponsor

Intensive Care Unit, John Hunter Hospital

Enrollment

350 participants

Start Date

Jun 14, 2017

Study Type

Interventional

Conditions

Poor sleep in the critically ill

Summary

Sleep is a very important physiological process that helps the body heal when sick. The ICU environment is not conducive to achieving good quality sleep. Loud noise levels and bright lights during the night time are some of the things that keep patients form achieving a good night sleep. This study will be a before and after trial where patients will be given the chance to answer a validated questionnaire about the quality and quantity of sleep that they achieved during every night spent in ICU. Sound levels and light levels will be measured inside patient rooms and at the nurses station at night. An intervention will then take place, which will be the implementation of a sleep management plan in ICU. This will include changing the culture of the unit to try and achieve low noise and light levels at night, implementing a schedule to decrease the volume of monitors and ventilators in the ICU as well as dimming and turning off lights at night. Patients will be offered eye masks and ear plugs to wear at night. Once the sleep management plan has become ingrained, a second period of data collection will take place where patient will answer the same questionnaire and noise and light levels at the nurses' station and patient rooms will again be measured. We hope to find a significant decrease in all measurements.

Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

This study is testing whether a sleep improvement plan can help ICU patients sleep better while they are in hospital. The ICU environment — with its bright lights, alarms, and frequent interruptions at night — makes it very hard to sleep. The study will ask patients about their sleep quality, measure noise and light levels, and then put a sleep management plan in place (dimming lights, reducing monitor volumes, offering eye masks and earplugs) before measuring sleep quality again. You may be eligible if: - You are 18 years or older - You are admitted to the intensive care unit - You are awake and thinking clearly enough to answer survey questions about your sleep - You are able to give informed consent You may NOT be eligible if: - You are under 18 years old - You are a cardiothoracic (heart/lung surgery) patient - You are not expected to survive your ICU admission - You have a neurological condition affecting your ability to answer the survey - You are on a mechanical ventilator Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Implementation of a sleep management plan in ICU: This will involve educating ICU staff about the importance of sleep in the critically ill through education sessions and in-services, implementing a nightly schedule to reduce the volumes of monitors, ventilators, telephones, and pagers in the ICU, dimming the lights in the ICU and patient rooms, closing patient rooms curtains, and providing patients with eye masks and ear plugs if they wish to have them. Education sessions will be administered by senior ICU medical and nursing staff. The intervention will take place for 4 months before data is collected again and while the after data is being collected. This will be a total of 6 months. Teaching sessions will occur for one hour, at least once a week. If on a particular week attendance by nursing staff is deemed by the investigators to be too low (less than five ICU nurses), then catch-up sessions will be scheduled on the following week for the same duration of the normal session and done in the same manner. This will be provided in group sessions. They will occur face to face during formal ICU education sessions. The adherence to the strategy will be logged through the ICU education program attendance checks The sleep management plan will remain in place in the ICU for the duration of the "after" data collection period.

Locations(1)

John Hunter Hospital Royal Newcastle Centre - New Lambton

NSW, Australia

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ACTRN12616000805471