ArticleAnnals of the American Thoracic Society2016
Perceptions and Practices Regarding Sleep in the Intensive Care Unit. A Survey of 1,223 Critical Care Providers.
Article in Annals of the American Thoracic Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of sleep-oriented non-pharmacological interventions in preventing delirium: a systematic review of randomized controlled trials.Croatian medical journal · 2025Pooled it
- Is there an association between subjective sleep quality and daily delirium occurrence in critically ill adults? A post hoc analysis of a randomised controlled trial.BMJ open respiratory research · 2020Trial
- Pilot study: an intensive care unit sleep promotion protocol.BMJ open respiratory research · 2019Trial
- Sleep Quality and Delirium Occurrence in Intensive Care Unit Patients: A Prospective Observational Study.Nursing in critical care · 2026Observational
- Impact of a wellness charter on nursing practice for older adults in Tunisian healthcare centers: a cross-sectional quasi-experimental multicenter study.BMC nursing · 2025Article
- Sleep, anxiety, depression, and stress in critically ill patients: a descriptive study in a Portuguese intensive care unit.Acute and critical care · 2024Article
- Objective and subjective sleep characteristics in hospitalized older adults and their associations to hospital outcomes.Frontiers in sleep · 2024Article
- Article
- Development and Implementation of a Multicomponent Protocol to Promote Sleep and Reduce Delirium in a Medical Intensive Care Unit.The Annals of pharmacotherapy · 2022Article
- Efforts to improve sleep quality in a medical intensive care unit: effect of a protocol of non-pharmacological interventions.Sleep & breathing = Schlaf & Atmung · 2022Article
- Adding Insult to Injury: Sleep Deficiency in Hospitalized Patients.Clinics in chest medicine · 2022Review
- Sleep Architecture in Mechanically Ventilated Pediatric ICU Patients Receiving Goal-Directed, Dexmedetomidine- and Opioid-based Sedation.Journal of pediatric intensive care · 2022Article
- Characterization of Nocturnal Neuroactive Medication Use and Related Sleep Documentation in Critically Ill Adults.Critical care explorations · 2021Article
- Is there a role for melatonin in the ICU?The Southern African journal of critical care : the official journal of the Critical Care Society · 2021Review
- Practices for promoting sleep in intensive care units in Brazil: a national survey.Revista Brasileira de terapia intensiva · 2020Article
- Abnormal Sleep, Circadian Rhythm Disruption, and Delirium in the ICU: Are They Related?Frontiers in neurology · 2020Review
- Effect on nurse and patient experience: overnight use of blue-depleted illumination.BMJ open quality · 2019Article
- Non-circadian signals in the intensive care unit: Point prevalence morning, noon and night.Heart & lung : the journal of critical care · 2018Observational
- Creating Naptime: An Overnight, Nonpharmacologic Intensive Care Unit Sleep Promotion Protocol.Journal of patient experience · 2018Article
- Validity and reliability of sleep promotion questionnaire and predictors of quality of care.SAGE open medicine · 2018Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
7 authors.
Funding
Abstract
rationalePoor sleep affects a majority of critically ill patients and is believed to be associated with adverse intensive care unit (ICU) outcomes such as delirium. While recent guidelines recommend sleep promotion efforts to improve delirium and other ICU outcomes, little is known about critical care providers' beliefs regarding sleep in the ICU.
objectivesTo evaluate providers' perceptions and practices regarding sleep in the ICU.
methodsFrom April to July 2014, the Sleep in the ICU Survey was disseminated to ICU providers via institutional e-mail lists and four international critical care society distribution lists. MEASUREMENTS AND MAIN
resultsA total of 1,223 surveys were completed by providers from 24 countries. Respondents were primarily nurses (59%) or physicians (39%). Most respondents indicated that ICU patients experienced "poor" or "very poor" sleep (75%) and that poor sleep could affect the ICU recovery process (88%). Respondents also felt that poor sleep was associated with negative ICU outcomes such as the development of delirium (97%), longer length of stay (88%), poor participation in physical therapy (87%), and delayed liberation from mechanical ventilation (83%). The minority (32%) of providers had sleep-promoting protocols; these providers tended to believe their patients slept longer and experienced better sleep quality.
conclusionsThough most clinicians believe that sleep in the ICU is poor and adversely affects patient outcomes, a minority of the ICUs represented by our respondents have sleep promotion protocols. These findings highlight discordant provider perceptions and practices surrounding sleep in the ICU, as well as a possible lack of available evidence-based guidelines for promoting sleep in the ICU.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.