The Impact of Nurse-Led Quiet Time Protocols on Patient Sleep Quality in Hospitalized Adu

Faculty Mentor

Patricia Nadraus

Area of Research

Nursing Research, Evidence-Based Practice (EBP)

Major

Nursing

Description

INTRODUCTION: Sleep disturbances are common hospital concerns among patients and have an impact upon their healing and recovery.

METHOD: In this quasi-experimental design research proposal, we will examine the impact of a quiet time sleep protocol on the impact of sleep quality in adult hospital patients admitted to medical-surgical units. Two medical surgical units will be utilized with one unit receiving the intervention and another unit receiving standard of care. The study will recruit 62 adult hospitalized patients (1:1 allocation).  Participant eligibility criteria include participants aged 18 years or older, length of stay expected to be 3 or more days, English literate and the ability to provide voluntary informed consent. Exclusion criteria include patients taking medications with an indication for “sleep” (other than melatonin) and patients with sleep apnea. The intervention focuses on implementing a nurse-led quiet time initiative to mitigate environmental disturbances. Data will be collected either for length of stay on the unit where enrollment occurred with a maximum of up to seven (7) days for each participant.  Sleep quality will be measured with the Verran and Snyder-Halpern Sleep Scale, which has previously demonstrated reliability with Cronbach α coefficient of 0.82. Statistical analysis will include descriptive statistics and an independent sample t-test to compare the impact of the intervention on mean differences between groups regarding sleep quality, along with comparing documentation of sleep duration from each participant.

RESULTS: It is expected that patients who engage in the quiet time sleep protocol will report better sleep quality and longer duration of sleep than those of the participants receiving usual care.

DISCUSSION/CONCLUSION: The results of these studies may be a source of support for using simple non-pharmacological measures to make patients more comfortable and recover from hospitalization.

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The Impact of Nurse-Led Quiet Time Protocols on Patient Sleep Quality in Hospitalized Adu

INTRODUCTION: Sleep disturbances are common hospital concerns among patients and have an impact upon their healing and recovery.

METHOD: In this quasi-experimental design research proposal, we will examine the impact of a quiet time sleep protocol on the impact of sleep quality in adult hospital patients admitted to medical-surgical units. Two medical surgical units will be utilized with one unit receiving the intervention and another unit receiving standard of care. The study will recruit 62 adult hospitalized patients (1:1 allocation).  Participant eligibility criteria include participants aged 18 years or older, length of stay expected to be 3 or more days, English literate and the ability to provide voluntary informed consent. Exclusion criteria include patients taking medications with an indication for “sleep” (other than melatonin) and patients with sleep apnea. The intervention focuses on implementing a nurse-led quiet time initiative to mitigate environmental disturbances. Data will be collected either for length of stay on the unit where enrollment occurred with a maximum of up to seven (7) days for each participant.  Sleep quality will be measured with the Verran and Snyder-Halpern Sleep Scale, which has previously demonstrated reliability with Cronbach α coefficient of 0.82. Statistical analysis will include descriptive statistics and an independent sample t-test to compare the impact of the intervention on mean differences between groups regarding sleep quality, along with comparing documentation of sleep duration from each participant.

RESULTS: It is expected that patients who engage in the quiet time sleep protocol will report better sleep quality and longer duration of sleep than those of the participants receiving usual care.

DISCUSSION/CONCLUSION: The results of these studies may be a source of support for using simple non-pharmacological measures to make patients more comfortable and recover from hospitalization.