Intensive Care Nurse Specialist, Master of Nursing Sci., Lovisenberg Diaconal University College, Department for Postgraduate Studies, Oslo, Norway; Oslo University Hospital, Oslo, Norway.
Intensive Care Nurse Specialist, Master of Nursing Sci., Lovisenberg Diaconal University College, Department for Postgraduate Studies, Oslo, Norway; Vestre Viken, Bærum hospital, Bærum, Norway.
Intensive Crit Care Nurs. 2021 Dec;67:103108. doi: 10.1016/j.iccn.2021.103108. Epub 2021 Jul 8.
To examine the causes of poor sleep in critically ill patients from nurses' experiences.
A meta-synthesis following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement was conducted. Articles were searched systematically in the CINAHL, MEDLINE and Embase databases up to January 2020. Study selection and data extraction were performed by two authors working independently. Included articles were critically evaluated by both authors using the Critical Appraisal Screening Programme tool.
The meta-synthesis resulted in four analytical themes: (1) Inherent factors of critical illness, (2) Lack of implementation of evidence-based practice, (3) Lack of relational collaboration, (4) Hospital organisation and culture.
This literature review indicates that promoting critically ill patients' sleep is difficult. Evidence-based interventions should be implemented into practice in order for nurses to be able to meet the patients' needs and improve sleep. Furthermore, the team surrounding the patient must have support from the health care organisation, and a culture change is necessary to improve communication between them to reach a shared goal to improve critically ill patients' sleep.
从护士的经验中探讨重症患者睡眠不佳的原因。
按照加强定性研究综合报告透明度声明进行了荟萃分析。截至 2020 年 1 月，系统地在 CINAHL、MEDLINE 和 Embase 数据库中搜索了文章。两名作者独立进行了研究选择和数据提取。使用批判性评估筛选计划工具对纳入的文章进行了两位作者的严格评估。
荟萃分析产生了四个分析主题：（1）重症疾病的内在因素，（2）缺乏循证实践的实施，（3）缺乏关系协作，（4）医院组织和文化。
本文献综述表明，促进重症患者的睡眠是困难的。为了使护士能够满足患者的需求并改善睡眠，应将循证干预措施实施到实践中。此外，患者周围的团队必须得到医疗保健组织的支持，并且需要进行文化变革，以改善他们之间的沟通，以达到改善重症患者睡眠的共同目标。
