Effect of Implementing Sleep Care Bundle on Nurses' Practice and Patients' Outcomes

Not Applicable

Completed

• Conditions: Respiratory Ilness; Respiratory Distress Syndrome, Adult

• Registration Number: NCT06775210
• Lead Sponsor: Mansoura University

Brief Summary

Sleep is a fundamental physiological requirement for the human body to heal and overcome an illness or injury . Good sleep is essential for patient recovery and restoration of normal daily functions . Critically ill patients often experience poor sleep quality due to shortened sleep times, increased daytime sleep, and disrupted circadian rhythm . Poor sleep quality is one of the most common complaints of patients who survive their critical illness. Patients' complaints include trouble initiating and maintaining sleep and frequent awakenings with difficulty returning to sleep

Detailed Description

Sleep plays an important role in restoring the health of individuals who are ill or injured and essential for critical illness recovery. Poor sleep quality during hospitalization may lead to post-hospital symptoms and increase readmission rates and mortality . Sleep disruption is associated with immune system dysfunction, decreased resistance to infection, changes in nitrogen balance, and impaired wound healing. Therefore, using a standardized non-pharmacological sleep promotion strategy as a sleep care bundle is proposed to reduce the incidence of delirium and improve sleep quality. Internationally, investigations performed to evaluate the effect of implementing sleep care bundle on patients' outcomes had reported its effectiveness. However, studies that addressed the effectiveness of implementing sleep care bundle on critical care nurses' practice and patients' outcomes in Egypt are scarce. Moreover, from our empirical observations, investigators found that there are no available standards of sleep care in the study setting. Furthermore, most nurses do not realize the importance of good sleep for critically ill patients. Therefore, the present study will be carried out to address this issue. Hopefully, the current investigation might generate attention and motivation for using this bundle and for conducting further research studies in this area.

Study Timeline

• Study Start: 2024-03-01
• Primary Completion: 2024-09-01
• Study Completion: 2024-11-25
• Status Verified: 2025-01
• Study First Submitted: 2025-01-04
• Study First Submitted QC: 2025-01-09
• Last Update Submitted: 2025-01-09
• Study First Posted: 2025-01-15
• Last Update Posted: 2025-01-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

Inclusion criteria

• Adult patients of ≥ 18 years old.
• Fully consciousness (Glasgow coma scale score 15; orientation to person, place, and time).
• Spent at least 3 full nights in the above-mentioned ICUs.

Exclusion Criteria

History of sleep disorder as insomnia and sleep apnea.

• History of mental disorders.
• Patients who are on sedative or narcotic drugs.
• Patients who have visual or hearing impairment.
• History of skin diseases (e.g., contagious skin, eczema).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Sleep Quality Assessment Scale	from first day on admission to three days	This part used to measure patients' sleep quality. This instrument was developed and validated for ICU patients. It measures participants' perceptions of their sleep in five dimensions: sleep depth, sleep latency (time to fall a sleep), number of awakenings, efficiency (percentage of time awake), and sleep quality. Answers are recorded on a visual analogue scale of 100 mm, with higher scores representing better sleep
Sleep Care Bundle Observation Checklist	Each participant nurse was interviewed individually to gather the demographic characteristics. Nurses' practices regarding the sleep care bundle were observed .	This part will be developed by the researcher after revising related literature. It will be used to assess nurses' practice regarding implementing the sleep care bundle which encompasses three main domains including; seeing, sensing, and hearing. The intervention that is done correctly will be scored with 1 point while the item that is done incorrectly or not done will be scored with zero point.
Intensive Care Delirium Screening Checklist (ICDSC)	from first day on admission to three days	This part was adopted from Bergeron, Dubois, Dumont, Dial, \& Skrobik (2001) to assess ICU-acquired delirium. Designed for rapid observations from bedside clinical staff routinely gathered throughout a shift. The ICDSC is composed of 8 items including; altered level of consciousness, inattention, disorientation, hallucination or delusion, psychomotor agitation or retardation, inappropriate mood or speech, sleep/wake cycle disturbance, and symptom fluctuation. Patients scored one point for each symptom exhibited during the study and zero points if the symptom did not present.; The score is ranked as follows: * A 0 score indicates that the patient has no delirium; * A score from 1-3 indicates sub-syndromal delirium; * A score from 4-8 indicates delirium

Trial Locations

Locations (1)

Faculty of Nursing, Mansoura University; 🇪🇬 Mansoura, Dakahlia Governorate, Egypt