Date of Doctor of Nursing Practice Project Completion
Summer 12-20-2027
Faculty Advisor
Dr. Linda Cole
Abstract
Purpose: This quality improvement (QI) project’s purpose was implementation of a sleep bundle for at least 25% of an 18-bed cardiac intensive care unit (ICU) and reduce noise level by 20% (decibels) through education of at least 75% of the patient-care staff 3 months post-implementation.
Background: This quality improvement (QI) project’s purpose was implementation of a sleep bundle for at least 25% of an 18-bed cardiac intensive care unit (ICU) and reduce noise level by 20% (decibels) through education of at least 75% of the patient-care staff 3 months post-implementation.
Methodology: Patients were assessed using the Richard Campbell Sleep Questionnaire (RSCQ) to evaluate sleep quality pre- and post-bundle. Noise levels were measured via a decibel meter several times and locations, while delirium was assessed via CAM-ICU scores. Lastly, the PDSA cycles guided the project based on feedback from the healthcare staff.
Results: The project included 27 patients with 55.6% being female and an average age of 56.5 years old. The overall RCSQ improved by 14.75 points pre-and post-implementation. Delirium rates decreased by 1.9% while the noise level reduction of 0.94-16.34%.
Through PDSA cycles, it was noted that staff perceived an increased workload which presented challenges for initial compliance from healthcare staff. With the feedback, changes were made to improve compliance and multidisciplinary coordination.
Implications: A structured, nurse-drive sleep bundle significantly improved patient-perceived sleep quality in the cardiac ICU. Sleep hygiene promotion is a feasible, low-cost, high-impact QI initiative that aligns with several nursing practices and Magnet standards.
Keywords
sleep quality, icu, bundle, delirium, intensive care unit, noise level, sleep bundle, sleep hygiene
Recommended Citation
Emma J. Harris, "Promoting Sleep Hygiene in the Intensive Care Unit- Implementation of a Sleep Bundle" (2027). Doctor of Nursing Practice Final Project Abstract. 163.
https://digitalcommons.library.tmc.edu/dnp_abstract/163