Quiet Time: A Sleep Promotion Intervention on a Postoperative Transplant Unit
Purpose: The purpose of this Quality Improvement (QI) project was to compare perceptions of unit quietness and sleep quality in patients who received a unit-based sleep intervention to perceptions in patients who did not receive it and evaluate its acceptability in nursing staff.
Methods: This QI project used a retrospective comparative design. Sleep and Rest Survey scores in patients who participated in the intervention were compared to survey scores in patients who did not participate in the intervention. The intervention consisted in limiting staff interruptions between 0000 and 0500. This study took place at The Mayo Clinic (Jacksonville, Florida) on a unit specializing in Abdominal Organ Transplants. A convenience sample of 7 participants meeting specific inclusion/exclusion criteria was recruited.
Results: Five out of seven patients rated their sleep as worse than prior to hospitalization. Two patients stated their sleep as the same as prior to hospitalization. None of the patients surveyed rated their sleep as better than prior to hospitalization. Moreover, although some patients expressed some satisfaction toward the intervention, the majority reported the occurrence of similar barriers that patients who did not receive the intervention. Of the twelve nursing staff members that were surveyed, all but one ranked this intervention as effective to very much effective in improving sleep and rest quality patient perceptions and 8 answered that they would be very to very much willing to comply with it.
Discussion: Although some patients did not perceive worse sleep while hospitalized and expressed potential benefits of the intervention, most of them listed barriers to sleep and rest. Nevertheless, staff members expressed positive judgement of the intervention’s acceptability.
Conclusions: Future research should be pursued and could include observational data. Nurses should continue to minimize stimuli such as better alarm management, decreased environmental noise, and bundling care to promote better sleep and rest.
Major Professor: Geraldine Martorella, PhD, RN