{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:12:18Z","timestamp":1789992738132,"version":"4.0.1"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep disturbances and delirium are prevalent problems in the intensive care unit. Evidence suggests that these conditions negatively impact patient outcomes by increasing the length of hospital stays, delaying recovery, and raising healthcare costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to investigate the effect of implementing a sleep care bundle on sleep quality and delirium among critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quasi\u2010experimental research design was used. A purposive sample of 66 patients was divided equally into two groups: a bundle group that received a sleep care bundle and a control group that received routine unit care in the chest intensive care units at Mansoura University in Egypt. Data were collected using the critically ill patients' outcome evaluation tool based on the Richards\u2010Campbell Sleep Questionnaire Scale and the Intensive Care Delirium Screening Checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to the control group, the bundle group demonstrated statistically significant improvements across all sleep quality domains measured by the Richards\u2010Campbell Sleep Questionnaire by Day 3. Specifically, sleep depth improved from 1.24\u2009\u00b1\u20090.44 to 1.82\u2009\u00b1\u20090.39 (effect size\u2009=\u20090.600), ability to fall asleep from 1.21\u2009\u00b1\u20090.42 to 1.91\u2009\u00b1\u20090.29 (effect size\u2009=\u20090.703), number of awakenings from 1.27\u2009\u00b1\u20090.45 to 1.79\u2009\u00b1\u20090.42 (effect size\u2009=\u20090.483), sleep efficiency from 1.24\u2009\u00b1\u20090.44 to 1.76\u2009\u00b1\u20090.44 (effect size\u2009=\u20090.600), and overall sleep quality from 1.24\u2009\u00b1\u20090.44 to 1.85\u2009\u00b1\u20090.36 (effect size\u2009=\u20090.600). In addition, the occurrence of delirium on Day 3 was significantly lower in the bundle group (0.0%) compared with the control group (15.2%) (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20097.471,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). Subsyndromal delirium was observed in 6.1% of the bundle group and 15.2% of the control group. The overall percentage of patients without delirium was significantly higher in the bundle group (93.9%) compared to the control group (69.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>Implementing a sleep care bundle enhances sleep quality and reduces the occurrence of delirium in critically ill patients. Therefore, it can be integrated as an adjunctive intervention alongside routine care for these patients. To strengthen future applications, incorporating fidelity monitoring is recommended to ensure consistent implementation of the sleep care bundle and to optimize its effectiveness in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70077","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T06:07:30Z","timestamp":1761977250000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effect of Implementing a Sleep Care Bundle on Sleep Quality and Delirium Among Critically Ill Patients: A Quasi\u2010Experimental Study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5011-5223","authenticated-orcid":false,"given":"Ayat Mohamed","family":"Fahmy","sequence":"first","affiliation":[{"name":"Faculty of Nursing Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer Awad","family":"El\u2010Sayed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hala Ahmed Mohamed","family":"Abdelrahman","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hend El\u2010Sayed","family":"Mansour","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12741"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1891\/1061\u20103749.27.3.e153"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.14044"},{"key":"e_1_2_9_5_1","unstructured":"Balajthy S. E.2023.\u201cThe Effect of a Non\u2010Pharmacologic Sleep Bundle on the Incidence of Delirium.\u201d Doctoral Dissertation University of Maryland School of Nursing.http:\/\/hdl.handle.net\/10713\/20798."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12740"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2023.02.005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001340100909"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.05.004"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ctn7030022"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13865"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/dcc.0000000000000662"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104239"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.34250\/jkccn.2023.16.2"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2020.549908"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/10600280211043278"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.61568"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2377960820930209"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0552"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.6224\/jn.202008_67(4).12"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.5281\/zenodo.3612818"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.17241\/smr.2025.02782"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/19375867251317235"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.12691\/ajnr\u20107\u20103\u20107"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2022.04.006"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.791342"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.11648\/j.ajns.20200904.28"},{"issue":"2","key":"e_1_2_9_29_1","first-page":"175","article-title":"Effects of Non\u2010Therapeutic Measures on Sleep Quality Among Critically Ill Patients, Egypt","volume":"1","author":"Khalil N. S.","year":"2019","journal-title":"International Academic Journal of Health, Medicine and Nursing"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11940\u2010022\u201000724\u20105"},{"key":"e_1_2_9_31_1","unstructured":"Lee S.2022.\u201cThe Effect of the Sleep Promotion Interventions on Incidence of Delirium in Intensive Care Patients.\u201d Master Dissertation University of Winona State.https:\/\/openriver.winona.edu\/nursingmasters\/403."},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare8030351"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.4274\/tybd.galenos.2024.59480"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2020709"},{"issue":"1","key":"e_1_2_9_35_1","first-page":"1","article-title":"The Impact of Sleep on Relationship to Disease Prevention and Sleep Quality and Health Outcomes","volume":"4","author":"Manish G.","year":"2024","journal-title":"International Journal of Advanced Engineering Technologies and Innovations"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11133725"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.5812\/msnj\u2010144370"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.6224\/jn.202402_71(1).11"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2019.12.003"},{"key":"e_1_2_9_40_1","volume-title":"Essentials of Nursing Research: Appraising Evidence for Nursing Practice","author":"Polit D.","year":"2021"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.36401\/jqsh\u201022\u20101"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201904\u20100819oc"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1891\/1061\u20103749.8.2.131"},{"key":"e_1_2_9_44_1","unstructured":"Risch M. S.2020.\u201cThe Effects of Non\u2010Pharmacological Interventions Including Earplugs and Eye Masks on Self\u2010Reported Sleep Quality in ICU Patients.\u201d Doctorate Dissertation Washington University School of Nursing.https:\/\/hsrc.himmelfarb.gwu.edu\/son_dnp\/68."},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15906"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3667"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.21608\/tsnj.2022.274237"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.4266\/acc.2022.00094"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v12.i3.92"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.21608\/ejhc.2021.183802"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010022\u201002570\u2010w"},{"key":"e_1_2_9_52_1","first-page":"231","volume-title":"Sleep Apnea Frontiers: Pathophysiology, Diagnosis, and Treatment Strategies","author":"Vaishnav P. P.","year":"2024"},{"key":"e_1_2_9_53_1","unstructured":"Wei Y.2020.\u201cEvaluation of Sleep Hygiene Checklist for Delirium in an Intensive Care Uni.\u201dMaster Dissertation University of Central Missouri.https:\/\/irl.umsl.edu\/dissertation\/977."},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010024\u201005161\u20101"}],"container-title":["Worldviews on Evidence-Based Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.70077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/wvn.70077","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.70077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:28:36Z","timestamp":1772962116000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/wvn.70077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":53,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/wvn.70077"],"URL":"https:\/\/doi.org\/10.1111\/wvn.70077","archive":["Portico"],"relation":{},"ISSN":["1545-102X","1741-6787"],"issn-type":[{"value":"1545-102X","type":"print"},{"value":"1741-6787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"assertion":[{"value":"2025-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70077"}}