ArticleJournal of patient experience2018
Creating Naptime: An Overnight, Nonpharmacologic Intensive Care Unit Sleep Promotion Protocol.
Article in Journal of patient experience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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
11 citing papers in PubMed.
- Pilot study: an intensive care unit sleep promotion protocol.BMJ open respiratory research · 2019Trial
- Improving sleep in ICUs through real-time sleep monitoring: a proof-of-concept study.Annals of intensive care · 2026Article
- Optimizing Sleep Hygiene in the Hospital Environment.Sleep medicine clinics · 2025Review
- Multimodal sleep management reduces perioperative insomnia in general surgery patients through optimal healing environments.Scientific reports · 2025Article
- Article
- Article
- Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses.Curationis · 2021Article
- Can ICUs create more sleep by creating less noise?Intensive care medicine · 2020Article
- An Open Source Classifier for Bed Mattress Signal in Infant Sleep Monitoring.Frontiers in neuroscience · 2020Article
- Non-circadian signals in the intensive care unit: Point prevalence morning, noon and night.Heart & lung : the journal of critical care · 2018Observational
- Nighttime Sleep Duration Is Associated With Length of Stay Outcomes Among Older Adult Survivors of Critical Illness.Dimensions of critical care nursing : DCCNArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
introductionPatients in the intensive care unit (ICU) have significantly disrupted sleep. Sleep disruption is believed to contribute to ICU delirium, and ICU delirium is associated with increased mortality. Experts recommend sleep promotion as a means of preventing or shortening the duration of delirium. ICU Sleep promotion protocols are highly complex and difficult to implement. Our objective is to describe the development, pilot implementation, and revision of a medical ICU sleep promotion protocol.
methods
resultsWe identified sound, patient care, and patient anxiety as important sources of overnight disturbance. The pilot protocol altered the timing of routine care with a focus on medications and laboratory draws. During the pilot, there were frequent protocol violations for laboratory draws and for urgent care. Stakeholder feedback supported revision of the protocol with a focus on providing 60- to 120-minute rest periods interrupted by brief clusters of care between 00:00 and 04:00. DISCUSSION: Four-hour blocks of rest may not be possible for all medical ICU patients, but interruptions can be minimized to a significant degree. Involvement of all stakeholders and frequent protocol reevaluation are needed for successful adoption of an overnight rest period.
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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.