The development and feasibility study of nursing practice guidelines for promoting sleep in postoperative patients in the intensive care unit
Keywords:sleep disturbance, sleep promotion, sleep quality, ; clinical nursing practice guideline, critically ill patients
This study is part of the research on the effect of Clinical Nursing Practices Guidelines (CNPG) for promoting sleep in postoperative patients in the intensive care unit. The study aimed to develop and evaluate the feasibility of CNPG for sleep promotion in postoperative patients in the intensive care unit. The Soukup model was adopted in CNPG development. Quality was measured in terms of content validity index (CVI) and Appraisal of Guidelines for Research & Evaluation II (AGREE II), which were verified by five experts. The CNPG was tried out in 10 patients and 10 nurses to evaluate the feasibility.
Thirty-one studies were included and synthesized to develop the CNPG. This CNPG is composed of 3 main parts, including 1) Assessment of risk factors for sleep disturbances; 2) Nursing intervention for sleep promotion in terms of environment, physiology, psychology, nursing and treatment activities, and use of accessories; and 3) Assessment and monitoring of sleep quality. Validity test obtained CVI of the CNPG=0.98, AGREE II=93.33-100.00%. Five experts recommended applying this CNPG in the postoperative patients in the intensive care unit. The results of the feasibility test revealed that on the first and second night, all patients had good sleep quality at 100.00 % (Mean = 60.40+15.28 and 67.20+12.33, respectively). The overall of nurse's opinion on the feasibility in applying the CNPG was at high level (80.75%, Mean=4.03 + 0.22).
The developed CNPG had adequate quality and feasibility in applying for sleep promotion among postoperative patients in the intensive care unit. Future research should be carried out to evaluate effectiveness of the CNPG.
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