• Crit Care Nurs Clin North Am · Jun 2020

    Review

    Sleep in the Intensive Care Unit: Biological, Environmental, and Pharmacologic Implications for Nurses.

    • Karin Reuter-Rice, Mary Grace McMurray, Elise Christoferson, Haley Yeager, and Brooke Wiggins.
    • Department of Pediatrics, Division of Pediatric Critical Care, Duke University School of Nursing, Duke University School of Medicine, Duke Institute for Brain Sciences 307 Trent Drive, Durham, NC 27710, USA. Electronic address: karin.reuter-rice@duke.edu.
    • Crit Care Nurs Clin North Am. 2020 Jun 1; 32 (2): 191-201.

    AbstractThere is a clear relationship between lack of sleep, poor health outcomes, and delayed recovery from illness in the intensive care unit. Several factors can contribute to poor quality sleep in the intensive care unit, including (1) environmental disruptions such as light and sound, (2) physiologic disruptions such as discomfort, nausea, and pain, (3) psychological disruptions such as anxiety and a lack of privacy, and (4) health care provider-related disruptions, such as medication administration and nursing care. Nursing implications include increased attention to the role of sleep to promote intensive care unit patient's health outcomes and using multicomponent sleep-promoting protocols.Copyright © 2020 Elsevier Inc. All rights reserved.

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