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Authors

  1. Gode, Autumn MS, APRN-CNS
  2. Kozub, Elizabeth MS, APRN-CNS, CCNS, CNRN, CCRN
  3. Joerger, Kyla BSN, RN-BC
  4. Lynch, Cassandra BSN, NE-BC, OCN
  5. Roche, Maren BSN, RN
  6. Kirven, Justin MD

Abstract

Background: Delirium affects approximately 1 in 4 patients during their hospitalization and is associated with numerous complications. Sleep deprivation is a significant risk factor for developing delirium and is a patient dissatisfier.

 

Problem: An internal assessment revealed that up to 25% of all patients on medical-surgical units had a diagnosis of delirium while in the hospital.

 

Approach: An evidence-based practice project was implemented to reduce the development of delirium through sleep promotion on 2 inpatient units. A dedicated time was selected, and key strategies were identified to promote sleep with minimal interruptions.

 

Outcomes: Delirium decreased by 33% and 45% on the 2 units over 1 year. Overall, patient satisfaction for quietness at night survey responses also increased (P = .0005; CI, 0.05 to 0.67) with ongoing sustainment.

 

Conclusions: Implementation of a dedicated period to sleep was associated with a reduction in delirium and increased patient satisfaction for quietness at night.