Clinical Care Interaction and Patient Sleep in the Intensive Care Unit: A Secondary Data Analysis

Resumo

Background Sleep is a fundamental biophysiological requirement, essential for both physiological and psychological health. Patients admitted to intensive care are vulnerable to sleep disturbances due to continuous monitoring and the intensity of care provided. Despite this, the relationship between clinical care interactions and sleep quality remains underexplored. Aim To examine the association between clinical interactions, patient acuity and inflammatory biomarkers on sleep, and to characterise ICU patient sleep using objective and subjective measures. Study Design A secondary data analysis of a clinical trial conducted within a 36‐bed tertiary intensive care unit. The primary study employed a within‐subjects design, integrating patient self‐reported sleep experiences (Richard‐Campbell's Sleep Questionnaire) and Actigraphy (biophysiological sleep monitoring) to characterise the sleep quality of ICU patients. Data on clinical interactions were extracted from electronic patient records (Metavision: iMDsoft). Results Patients ( n = 37) reported poor sleep quality, with mean RCSQ scores below 50 mm across all subscales. Actigraphy reported a median nocturnal sleep duration of 5.6 h (IQR 303.3–422 min), with a mean of 33.4 awakenings per hour (SD ± 16.3). Patients experienced a median of nine interactions per hour, with clinical assessments (32.8%) being the most frequent. Higher SOFA scores correlated with increased clinical interaction ( r s (35) = 0.33, p = 0.05), whilst low

Tipo

Artigo

Área

Enfermagem

Ano

2026

Idioma

Inglês

Licença

CC BY-NC

DOI

10.1111/nicc.70482

Como citar (ABNT)

ISLAM, Aliya; DELANEY, Lori. Clinical Care Interaction and Patient Sleep in the Intensive Care Unit: A Secondary Data Analysis. Nursing in Critical Care, v. 31, n. 3, 2026. DOI: 10.1111/nicc.70482.