Staff Nurse, Northern Ireland.
University of Ulster, Northern Ireland.
Intensive Crit Care Nurs. 2014 Aug;30(4):231-5. doi: 10.1016/j.iccn.2013.12.005. Epub 2014 Jan 30.
Sleep deprivation within intensive care units (ICU) remains a recurring norm despite the extensive research highlighting a crucial need for sleep promotion. However, the degree to which sleep deprivation can be associated with the nurses' provision of care remains unclear. Therefore, this critical literature review aims to explore the nurses' knowledge and prioritisation of sleep whilst examining the nurses' use of sleep assessment skills and tools. The nurses' awareness and prioritisation of sleep promoting interventions and complimentary therapies will also be analysed.
The online databases Cochrane, CINAHL and Science Direct were searched for English language articles, published between 2003 and 2013 which were downloadable in full text format. A total of 378 articles were identified and 25 papers met all the inclusion criteria.
It appears that ICU nurses lack a complex understanding of the importance of sleep and the interventions needed to promote it. Indeed, studies suggest that inattention to sufficient training and a lack of structured protocol within practice makes the provision of sleep for the ICU patient impossible. Therefore, whilst further empirical research is required it may be noted that evidence informed education programmes and sleep assessment tools require development within the ICU environment.
尽管大量研究强调促进睡眠至关重要，但重症监护病房（ICU）内的睡眠剥夺仍然是一个反复出现的问题。然而，睡眠剥夺与护士提供护理的程度之间的关系尚不清楚。因此，本批判性文献综述旨在探讨护士在睡眠方面的知识和优先事项，同时检查护士使用睡眠评估技能和工具的情况。还将分析护士对促进睡眠的干预措施和补充疗法的意识和重视程度。
在 Cochrane、CINAHL 和 Science Direct 在线数据库中搜索了 2003 年至 2013 年间发表的英文文章，这些文章可以全文下载。共确定了 378 篇文章，其中 25 篇符合所有纳入标准。
似乎 ICU 护士对睡眠的重要性以及促进睡眠所需的干预措施缺乏复杂的理解。事实上，研究表明，对充分培训的关注不足以及实践中缺乏结构化方案使得为 ICU 患者提供睡眠成为不可能。因此，虽然需要进一步的实证研究，但可以注意到，证据为基础的教育计划和睡眠评估工具需要在 ICU 环境中开发。
