Evid Based Nurs 14:99-100 doi:10.1136/ebn1172
  • Adult nursing
  • Quantitative study – other

Use of sleep care guidelines in a surgical intensive care unit reduces noise levels and improves patient-reported sleep quality

  1. Helen Noble2
  1. 1Royal District Nursing Service, St Kilda, Victoria, Australia
  2. 2Queens University Belfast, Belfast, Northern Ireland
  1. Correspondence to Susan Koch
    Royal District Nursing Service, 31 Alma Road, St Kilda, VIC 3182, Australia; skoch{at}

Commentary on:

Implications for practice and research

  • Nurses need to be aware of the impact that care delivery has on sleep quality and the importance of sleep for recuperation.

  • Changes to routine care may have a positive impact on sleep quality from the perception of the patient.

  • Further studies to examine patients' perception of sleep quality throughout a hospital stay are required.

  • Observational studies are needed to observe how staffs apply guidelines in practice to reduce noise and light to promote patients' sleep during a hospital stay.


Critical care nurses have traditionally adopted a biomedical and technological approach to caring for their patients. As a result, the physical and technical aspects of patient care are prioritised, and the sleep experience of the patient may not be considered. Poor sleep quality places critically ill patients at greater risk for …

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