{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T22:24:39Z","timestamp":1791843879599,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100013291","name":"Tongji Medical College, Huazhong University of Science and Technology","doi-asserted-by":"publisher","award":["TJJXYJ2023029"],"award-info":[{"award-number":["TJJXYJ2023029"]}],"id":[{"id":"10.13039\/501100013291","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients in the intensive care unit (ICU) suffer from significant sleep disturbances, which can negatively impact their healing and overall health. Nurses, as the primary caregivers, need to have expertise in sleep management to ensure better patient outcomes. Implementing nurse\u2010led, evidence\u2010based sleep protocols in ICUs is crucial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to improve ICU patients' sleep quality by developing and implementing a nurse\u2010led, evidence\u2010based SLEEP Bundle, including Sleep initiative, Light control, Eye mask and earplugs usage, Environment noise cancellation and Provision of non\u2010pharmacological (aromatherapy and music therapy) and pharmacological (dexmedetomidine and painkillers) support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Framework of Evidence\u2010based Continuous Quality Improvement and the Ottawa Model of Research Use framework were used to guide the development, implementation and assessment of the SLEEP Bundle. A quasi\u2010experimental study was conducted in a 12\u2010bed surgical intensive care unit (SICU), assessing patient\u2010perceived sleep quality, nurses' self\u2010report knowledge, attitudes and actions regarding patient sleep conditions and nurses' adherence to the interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>In order to successfully translate evidence into clinical practice, the protocol was crafted with significant nurse involvement, input in sleep promotion materials and a flexible continuing education component, which provided credits to encourage nurse participation. A sleep\u2010aid kit, complete with non\u2010pharmacological tools, and a system of regular quality control and feedback were integral to the clinical application of the protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention significantly enhanced ICU patients' sleep quality, as evidenced by a significant increase in Richards\u2010Campbell Sleep Questionnaire scores from 62 (IQR\u2009=\u200948\u201372) to 70 (IQR\u2009=\u200962\u201376) (95% CI [\u221210.000, \u22126.000],\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u2009\u22126.100,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Nurses demonstrated a 100% agreement in knowledge items and a significant upsurge in action items following the intervention. Concurrently, adherence to practice standards showed notable improvements in sleep management practices, including enhanced sleep quality assessment, daytime functional exercise support and compliance with environmental regulations, along with increased use of earplugs, eye masks and aromatherapy\/music therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study highlights the effectiveness and feasibility of a nurse\u2010led sleep management strategy, as demonstrated by improved patient outcomes and increased nurse adherence to sleep promotion interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The significant improvements in sleep quality as well as the increased adherence to evidence\u2010based interventions by nurses suggest that this SLEEP Bundle could be effectively translated to other clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70028","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T21:59:41Z","timestamp":1743890381000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Nurse\u2010led evidence\u2010based quality improvement programme to improve intensive care unit patient sleep quality"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2233-2906","authenticated-orcid":false,"given":"Weidi","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Nursing, Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology  Wuhan 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University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology  Wuhan 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