The Effects of a Sleep Promotion Bundle on Delirium in an Intensive Care Setting
Advisor(s)
Dr. Jamie Craig
Confirmation
1
Document Type
Poster
Location
ONU McIntosh Center; Activities Room
Start Date
24-4-2026 11:00 AM
End Date
24-4-2026 11:50 AM
Abstract
Abstract
Problem: Delirium is a common complication among adult patients admitted to the intensive care unit (ICU), and contributes to increased mortality, prolonged mechanical ventilation, extended hospital stays, and long-term cognitive impairment. Disrupted sleep contributes to ICU delirium and is highly common in the ICU due to frequent assessments, alarms, and environmental stimulation. A potential approach to reducing delirium rates is the use of a nurse-driven sleep promotion bundle.
Purpose: The purpose of this study is to determine whether the implementation of a nurse-driven sleep promotion bundle, compared to routine care, decreases the rate of delirium in adult ICU patients within six months of implementation.
Methods: This quasi-experimental pretest-posttest design will be conducted in an adult ICU comparing the incidence rate of delirium during a six-month pre-implementation period and a six-month post-implementation period following the usage of a standardized sleep promotion bundle. This study will use a convenience sample of 100 patients aged 18 years or older during both periods. Patients during the pre-implementation period will receive routine care and patients during the post-implementation period will receive a sleep promotion bundle including noise reduction, dimming lights, clustered nursing care, promoting daytime wakefulness, and limited nighttime interruptions. Delirium will be assessed using the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC).
Conclusion: It is expected that sleep promotion bundles will decrease the incidence of hospital-acquired delirium. Reducing delirium is expected to improve patient outcomes by shortening hospital stays, decreasing healthcare costs, and enhancing overall quality of care.
Recommended Citation
Hurst, Brooklyn Shea, "The Effects of a Sleep Promotion Bundle on Delirium in an Intensive Care Setting" (2026). ONU Student Research Colloquium. 33.
https://digitalcommons.onu.edu/student_research_colloquium/2026/Posters/33
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The Effects of a Sleep Promotion Bundle on Delirium in an Intensive Care Setting
ONU McIntosh Center; Activities Room
Abstract
Problem: Delirium is a common complication among adult patients admitted to the intensive care unit (ICU), and contributes to increased mortality, prolonged mechanical ventilation, extended hospital stays, and long-term cognitive impairment. Disrupted sleep contributes to ICU delirium and is highly common in the ICU due to frequent assessments, alarms, and environmental stimulation. A potential approach to reducing delirium rates is the use of a nurse-driven sleep promotion bundle.
Purpose: The purpose of this study is to determine whether the implementation of a nurse-driven sleep promotion bundle, compared to routine care, decreases the rate of delirium in adult ICU patients within six months of implementation.
Methods: This quasi-experimental pretest-posttest design will be conducted in an adult ICU comparing the incidence rate of delirium during a six-month pre-implementation period and a six-month post-implementation period following the usage of a standardized sleep promotion bundle. This study will use a convenience sample of 100 patients aged 18 years or older during both periods. Patients during the pre-implementation period will receive routine care and patients during the post-implementation period will receive a sleep promotion bundle including noise reduction, dimming lights, clustered nursing care, promoting daytime wakefulness, and limited nighttime interruptions. Delirium will be assessed using the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC).
Conclusion: It is expected that sleep promotion bundles will decrease the incidence of hospital-acquired delirium. Reducing delirium is expected to improve patient outcomes by shortening hospital stays, decreasing healthcare costs, and enhancing overall quality of care.