Developing, Implementing, and Evaluating a Multifaceted Quality Improvement Intervention to Promote Sleep in an ICU

American Journal of Medical Quality

Volumn 29, Issue 6, 2014, Pages 546-554

  Kamdar, Biren B ^a,c   Yang, Jessica ^a,d   King, Lauren M ^a   Neufeld, Karin J ^a   Bienvenu, O Joseph ^a   Rowden, Annette M ^a   Brower, Roy G ^a   Collop, Nancy A ^b   Needham, Dale M ^a  

^a JOHNS HOPKINS UNIVERSITY   (United States)

^b EMORY UNIVERSITY   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d NewYork Presbyterian Hospital   (United States)

Author keywords

cognition; delirium; intensive care unit; outcome assessment; program development; program evaluation; quality improvement; sleep

Indexed keywords

HEALTH CARE QUALITY; HUMAN; INTENSIVE CARE UNIT; ORGANIZATION AND MANAGEMENT; PREVENTION AND CONTROL; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; SLEEP; SLEEP DEPRIVATION; STANDARDS; TOTAL QUALITY MANAGEMENT;

HUMANS; INTENSIVE CARE UNITS; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; SLEEP; SLEEP DEPRIVATION;

EID: 84908547896     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860613509684     Document Type: Article

References (35)

1. Friese RS.Sleep and recovery from critical illness and injury: a review of theory, current practice, and future directions.Crit Care Med. 2008;36:697-705
2. Hardin KA.Sleep in the ICU: potential mechanisms and clinical implications.Chest. 2009;136:284-294
3. Kamdar BB,Needham DM,Collop NA.Sleep deprivation in critical illness: its role in physical and psychological recovery.J Intensive Care Med. 2012;27:97-111
4. Barr J,Fraser GL,Puntillo K, et al.Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit.Crit Care Med. 2013;41:263-306
5. Freedman NS,Gazendam J,Levan L,Pack AI,Schwab RJ.Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit.Am J Respir Crit Care Med. 2001;163:451-457
6. Gabor JY,Cooper AB,Crombach SA, et al.Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects.Am J Respir Crit Care Med. 2003;167:708-715
7. Tamburri LM,DiBrienza R,Zozula R,Redeker NS.Nocturnal care interactions with patients in critical care units.Am J Crit Care. 2004;13:102-112
8. Xie H,Kang J,Mills GH.Clinical review: the impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units.Crit Care. 2009;13 (2): 208
9. Dubois MJ,Bergeron N,Dumont M,Dial S,Skrobik Y.Delirium in an intensive care unit: a study of risk factors.Intensive Care Med. 2001;27:1297-1304
10. Figueroa-Ramos MI,Arroyo-Novoa CM,Lee KA,Padilla G,Puntillo KA.Sleep and delirium in ICU patients: a review of mechanisms and manifestations.Intensive Care Med. 2009;35:781-795
11. Pandharipande P,Cotton BA,Shintani A, et al.Prevalence and risk factors for development of delirium in surgical and trauma intensive care unit patients.J Trauma. 2008;65:34-41
12. Pandharipande P,Shintani A,Peterson J, et al.Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients.Anesthesiology. 2006;104:21-26
13. Ouimet S,Kavanagh BP,Gottfried SB,Skrobik Y.Incidence, risk factors and consequences of ICU delirium.Intensive Care Med. 2007;33:66-73
14. Patel RP,Gambrell M,Speroff T, et al.Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionals.Crit Care Med. 2009;37:825-832
15. Kahn DM,Cook TE,Carlisle CC,Nelson DL,Kramer NR,Millman RP.Identification and modification of environmental noise in an ICU setting.Chest. 1998;114:535-540
16. Walder B,Francioli D,Meyer JJ,Lancon M,Romand JA.Effects of guidelines implementation in a surgical intensive care unit to control nighttime light and noise levels.Crit Care Med. 2000;28:2242-2247
17. Monsen MG,Edell-Gustafsson UM.Noise and sleep disturbance factors before and after implementation of a behavioural modification programme.Intensive Crit Care Nurs. 2005;21:208-219
18. Wallace CJ,Robins J,Alvord LS,Walker JM.The effect of earplugs on sleep measures during exposure to simulated intensive care unit noise.Am J Crit Care. 1999;8:210-219
19. Richardson A,Allsop M,Coghill E,Turnock C.Earplugs and eye masks: do they improve critical care patients’ sleep?.Nurs Crit Care. 2007;12:278-286
20. Hu RF,Jiang XY,Zeng YM,Chen XY,Zhang YH.Effects of earplugs and eye masks on nocturnal sleep, melatonin and cortisol in a simulated intensive care unit environment.Crit Care. 2010;14 (2): R66
21. Stanchina ML,Abu-Hijleh M,Chaudhry BK,Carlisle CC,Millman RP.The influence of white noise on sleep in subjects exposed to ICU noise.Sleep Med. 2005;6:423-428
22. Williamson JW.The effects of ocean sounds on sleep after coronary artery bypass graft surgery.Am J Crit Care. 1992;1:91-97
23. Kamdar BB,King LM,Collop NA, et al.The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU.Crit Care Med. 2013;41:800-809
24. Richards KC,O’Sullivan PS,Phillips RL.Measurement of sleep in critically ill patients.J Nurs Meas. 2000;8:131-144
25. Pronovost PJ,Berenholtz SM,Needham DM.Translating evidence into practice: a model for large scale knowledge translation.BMJ. 2008;337:a1714
26. Needham DM,Korupolu R.Rehabilitation quality improvement in an intensive care unit setting: implementation of a quality improvement model.Top Stroke Rehabil. 2010;17:271-281
27. Pronovost P,Needham D,Berenholtz S, et al.An intervention to decrease catheter-related bloodstream infections in the ICU.N Engl J Med. 2006;355:2725-2732
28. US Department of Health & Human Services, Office of Human Research Protections. Quality improvement activities—FAQs. http://answers.hhs.gov/ohrp/categories/1569. Accessed January 31, 2011.
29. Kamdar BB,Collop N,Rahman F,Shah PA,Needham DM.The association of sleep quality at home with sleep in the ICU.Am J Respir Crit Care Med. 2010;181:A1661
30. Buysse DJ,Reynolds CF,Monk TH,Berman SR,Kupfer DJ.The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research.Psychiatry Res. 1989;28:193-213
31. Ely EW,Truman B,Shintani A, et al.Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).JAMA. 2003;289:2983-2991
32. Frisk U,Nordstrom G.Patients’ sleep in an intensive care unit—patients’ and nurses’ perception.Intensive Crit Care Nurs. 2003;19:342-349
33. Nicolas A,Aizpitarte E,Iruarrizaga A,Vazquez M,Margall A,Asiain C.Perception of night-time sleep by surgical patients in an intensive care unit.Nurs Crit Care. 2008;13:25-33
34. Ely EW,Inouye SK,Bernard GR, et al.Delirium in mechanically ventilated patients: validity and reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).JAMA. 2001;286:2703-2710
35. Kamdar BB,Shah PA,King LM, et al.Patient-nurse interrater reliability and agreement of the Richards-Campbell Sleep Questionnaire.Am J Crit Care. 2012;21:261-269