{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T11:29:43Z","timestamp":1768908583558,"version":"3.49.0"},"reference-count":31,"publisher":"AACN Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Supporting the sleep health of surrogate decision-makers of patients in the intensive care unit is a research priority. However, few studies have approached sleep health as a multidimensional construct, instead focusing on 1 or 2 dimensions in isolation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To holistically examine the sleep health (satisfaction, timing, efficiency, duration) of surrogate decision-makers of critically ill patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This secondary analysis involved surrogate decision-makers of incapacitated intensive care unit patients at a tertiary medical center in northeastern Ohio (n = 19). Sleep-health data were captured by means of a subjective scale (satisfaction) and objectively (timing, efficiency, duration) by means of a wrist-worn accelerometer (Actiwatch Spectrum Plus; Philips Respironics). Upon enrollment, participants completed the satisfaction scale and wore the Actiwatch Spectrum Plus for 3 consecutive days. Descriptive statistics of the study variables were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A minority (15%) of the sample reported poor sleep satisfaction. Sleep timing variables were comparable to those found in other adult studies. Participants averaged approximately 6 hours of sleep per day with an average sleep efficiency of 83.7%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Despite adequate satisfaction scores, intensive care unit surrogate decision-makers\u2019 sleep duration is inadequate and sleep efficiency is suboptimal. Sleep-health interventions may be needed in this at-risk population. Future research should consider the impact of surrogate decision-maker sleep health on their capacity to serve in the surrogate decision-maker role.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2024174","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T02:02:19Z","timestamp":1730426539000},"page":"468-472","source":"Crossref","is-referenced-by-count":2,"title":["Multidimensional Sleep Health in Surrogate Decision-Makers of Critically Ill Patients"],"prefix":"10.4037","volume":"33","author":[{"given":"Grant A.","family":"Pignatiello","sequence":"first","affiliation":[{"name":"Grant A. Pignatiello is an assistant professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Griggs","sequence":"additional","affiliation":[{"name":"Stephanie Griggs is an associate professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth Alan","family":"Hoffer","sequence":"additional","affiliation":[{"name":"Seth Alan Hoffer is a professor of neurological surgery and neurology at the School of Medicine, Case Western Reserve University, and University Hospitals Cleveland Medical Center, Cleveland, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Ronald L.","family":"Hickman","sequence":"additional","affiliation":[{"name":"Ronald L. Hickman, Jr, is the Ruth M. 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