title: The influence of "quiet time" for patients in critical care.
abstract: The primary aim was to examine the influence of "quiet time" in critical care. A dual-unit, nonrandomized, uncontrolled trial of a quiet time (QT) protocol was completed. A sample of adult patients from the Neurosciences Intensive Care Unit (NICU) and Cardiovascular Intensive Care Unit (CVICU) participated. Environmental stressors were reduced and patient rest promoted prior to QT. One hundred twenty-nine patients participated in 205 QTs. A one-way, repeated measure analysis of covariance (ANCOVA) was calculated comparing Richards-Campbell Sleep Questionnaire scores, pain and anxiety over three consecutive QTs. No significant statistical effect was found. However, patients rated sleep higher and anxiety levels decreased over consecutive QTs. Ninety-three percent of patients reported QT mattered to them. The combined efforts of nursing, medicine, and ancillary staff are necessary to foster periods of uninterrupted rest, thereby optimizing patient care. Further research is needed to determine if successive QTs positively influence patient outcomes.
authors.affiliation: Staff Nurse Educator for the Neurosciences Intensive Care Unit, Froedtert Hospital, Milwaukee, WI, USA cmaidl@froedterthealth.org.
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Maidl
authors.affiliation: Professor College of Nursing, University of Wisconsin, Milwaukee Nurse Researcher, Milwaukee, WI, USA.
authors.forename: Jane S
authors.initials: JS
authors.lastname: Leske
authors.affiliation: Clinical Nurse Specialist for the Cardiovascular Intensive Care Unit, Froedtert Hospital, Milwaukee, WI, USA.
authors.forename: Annette E
authors.initials: AE
authors.lastname: Garcia
mesh_terms: D000328:Adult; D002985:Clinical Protocols; D003422:Critical Care; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D013312:Stress, Physiological; D013315:Stress, Psychological; D055815:Young Adult
keywords: anxiety; cardiovascular ICU; critical care; neuro ICU; pain; quiet time