Open AccessPatient-related factors may influence nursing perception of sleep in the Intensive Care Unit
Author(s) -
Mariam Louis,
Kasey Treger,
Tracy Ashby,
Carmen Smotherman,
Shiva Gautum,
Vandana Seeram,
James Cury,
Lisa Jones
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0226323
Subject(s) - intraclass correlation , medicine , sleep (system call) , correlation , intensive care unit , nursing care , physical therapy , nursing , intensive care medicine , psychometrics , clinical psychology , geometry , mathematics , computer science , operating system
Objective There exist conflicting data regarding the accuracy of ICU nurses accurately assessing patient sleep using validated questionnaires. Using the Richards-Campbell Sleep Questionnaire (RSQ), we hypothesize that patient factors might influence nursing perception of their sleep. Methods Patients in the ICU who met the inclusion criteria were asked to complete the sleep questionnaire, as were their nurses and intraclass correlation analysis was done. Results 38 paired patient-nurse surveys were included for analysis. The mean difference in total average score of the RSQ was not significantly different between patients and nurses. There was fair intraclass correlation by patient age, black race, and admission for respiratory illnesses. A good intraclass correlation existed for non-blacks and admission for non-respiratory reasons. Most striking was the intraclass correlation by sex, with poor intraclass correlation for women compared to an excellent correlation for men. Conclusion The results of our study confirm that patients in our ICU have poor sleep with a fair intraclass correlation. When examined by patient related factor, the greatest divergence between patient and nursing perception of sleep in the ICU using the RCSQ was patient female sex. More research is needed in this area to better understand the divergence and improve sleep in the ICU.