Table 4: Interventions.
|
Intervention |
Beltrami, 2022 [1] |
Boyko, 2017 [19] |
Chen, 2022 [12] |
Darby, 2022 [13] |
Jinglin, 2019 [14] |
Kamdar, 2013 [15] |
Locihov, 2020 [16] |
Patel, 2014 [17] |
Tonna, 2021 [2] |
Topcu, 2022 [17] |
|
Sleep discussed during rounds |
× |
|||||||||
|
Consultation with pharmacist |
× |
× |
× |
|||||||
|
Physician input on improving sleep quality |
× |
|||||||||
|
Education provided to staff |
× |
× |
× |
× |
× |
|||||
|
Consultation with Respiratory Therapist |
× |
× |
× |
|||||||
|
Eye Masks |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
Earplugs |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
Adjust Lighting |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
Control environmental noise to include conversations and alarms |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
Aromatherapy |
||||||||||
|
Alternative Treatment |
||||||||||
|
Massage |
× |
|||||||||
|
Sedative |
× |
× |
||||||||
|
Melatonin |
× |
× |
× |
|||||||
|
Opioid |
× |
× |
||||||||
|
Zolpidem |
× |
|||||||||
|
Haloperidol |
× |
|||||||||
|
Caffeine limited after 1500 |
× |
× |
× |
|||||||
|
adaptive ventilation mode |
× |
|||||||||
|
retiming patient-care interventions. (Glucose checks, medication administration, labs, assessments) |
× |
× |
× |
× |
× |
|||||
|
managing noise from IV pump |
× |
× |
||||||||
|
light music |
× |
|||||||||
|
Pain Assessment before bed |
× |
× |
× |
× |
||||||
|
Offer nicotine patch |
× |
|||||||||
|
Antipsychotic Medication |
× |
|||||||||
|
Promoting Daytime wakefulness |
× |
× |
× |
|||||||
|
Encourage family visits at nighttime |
× |
|||||||||
|
Discouragement of Medications known to alter sleep |
× |
|||||||||
|
Hypnotic |
× |
|
|
|
|
|
|
|
|
|
|
Restrict glucose checks between (2200-0600) |
× |
|
|
|
|
|
|
|
|
|
|
Perform medication review for patients who slept poortly or had positive CAM |
|
|
|
|
|
|
|
× |
|
|
|
Category |
Intervention |
Beltrami, 2022 [1] |
Boyko, 2017[19] |
Chen, 2022 [12] |
Darby, 2022 [13] |
Jinglin, 2019 [14] |
Kamdar, 2013 [15] |
Locihova, 2020 [16] |
Patel, 2014 [17] |
Tonna, 2021 [2] |
Topcu, 2022 [18] |
|
Professional Collaboration and Education |
Sleep discussed during rounds |
|
|
× |
|
|
|
|
|
|
|
|
|
Consultation with pharmacist |
× |
|
|
× |
× |
|
|
|
|
|
|
|
Physician input on improving sleep quality |
× |
|
|
|
|
|
|
|
|
|
|
|
Education provided to staff |
× |
× |
× |
× |
|
|
|
× |
|
|
|
|
Consultation with Respiratory Therapist |
|
|
× |
|
|
|
|
|
× |
× |
|
Non-Pharmacological Interventions |
Eye Masks |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
|
Earplugs |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
|
Adjust Lighting |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
|
Control environmental noise |
× |
× |
× |
× |
× |
× |
× |
× |
× |
× |
|
|
Aromatherapy |
|
|
|
|
|
|
|
|
|
|
|
|
Alternative Treatment |
|
|
|
|
|
|
|
× |
|
|
|
|
Managing noise from IV pump |
× |
|
|
|
|
|
|
|
|
× |
|
|
Light music |
|
|
× |
|
|
|
|
|
|
|
|
|
Retiming patient-care interventions |
× |
|
× |
|
|
|
× |
× |
|
× |
|
|
Promoting Daytime wakefulness |
|
|
|
|
|
|
|
|
× |
× |
|
|
Encourage family visits at nighttime |
|
|
|
|
|
|
|
|
|
× |
|
Pharmacological Interventions |
Sedative |
|
|
|
× |
× |
|
|
|
|
|
|
|
Melatonin |
× |
|
|
× |
× |
|
|
|
|
|
|
|
Opioid |
× |
|
|
× |
|
|
|
|
|
|
|
|
Zolpidem |
|
|
|
|
|
|
|
|
× |
|
|
|
Haloperidol |
|
|
|
|
|
|
|
|
× |
|
|
|
Caffeine limited after 1500 |
|
× |
|
× |
|
|
× |
|
||
|
|
Hypnotic |
× |
|
|
|
|
|
|
|
|
|
|
|
Antipsychotic Medication |
|
|
|
× |
|
|
|
|
|
|
|
Pain and Medication Management |
Pain Assessment before bed |
× |
|
|
|
× |
× |
× |
|
|
|
|
|
Offer nicotine patch |
× |
|
|
|
|
|
|
|
|
|
|
|
Perform medication review |
|
|
|
|
|
|
|
|
× |
|
|
|
Discouragement of Medications known to alter sleep |
|
|
|
|
|
|
|
|
× |
|
|
|
Restrict glucose checks |
× |
|
|
|
|
|
|
|
|
|
|
Specialty Interventions |
Adaptive ventilation mode |
|
|
× |
|
|
|
|
|
|