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All Journal Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) The Journal of Hospital Accreditation (JHA) Journal of Applied Nursing and Health Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Academic Hospital Journal
Purwadi Sujalmo
Gadjah Mada University Academic Hospital, Yogyakarta
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Journal of Applied Nursing and Health

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Nurses’ Perspectives on Sleep Promotion Practices in Indonesian ICUs: A Multicenter Cross-Sectional Study Setiyarini, Sri; Listyaningrum, Desy; Hersinta Retno Martani; Sujalmo, Purwadi; Kusumawati, Happy Indah
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.311

Abstract

Background: Critically ill patients commonly experience sleep disturbance, which has the potential to increase mortality and morbidity. Therefore, implementing interventions to enhance sleep quality is crucial. This study aimed to explore Indonesian nurses' perceptions of patients' sleep and to investigate the relationship between sleep promotion practices and the quality of sleep of patients in the Intensive Care Unit (ICU). Methods: : A cross-sectional study design was used. A total of 211 nurses working in 10 ICU settings across 14 hospitals in Indonesia were involved using convenience sampling. The SLEEPii questionnaire was used to collect data from nurses who work in ICU for a minimum of one year.  Data was analyzed using frequency, mean (±SD), Median (±IQR), the Spearman Rank test, Kendal tau, and Kruskal-Wallis test. This study was reported in accordance with the STROBE guidelines. Results: 211 nurses from 14 hospitals in Indonesia reported that critically ill patients had sleep duration less than four hours (46.4%) and had fair sleep quality (58.8%). Sleep duration had significant differences between hospital status (p=0.004), and general hospital classification (0.002). Significant differences were also reported between sleep quality with ICU number of each Hospital (p=0.023), hospital status (p=0.047), and general hospital classification (0.032). Even though all participant reported that none of the ICU have protocol to promote sleep, this study found that duration of sleep correlate with control environmental noise levels (p=0.036), receiving medications for sleep (p=0.021), and activity to keeping ICU rooms dark at night (p=0.043), adhere to a clustered sleep protocol designed (p=0.001) and create conditions for a dedicated sleeping (p=0.004). Controlling environmental noise levels also correlated with sleep quality. Conclusion: Most of the critically ill patients had fair sleep quality. Findings suggest the urgent need for standardized sleep promotion protocols in Indonesian ICUs.
Co-Authors Afridhia Bidari Fachrudin Afridhia Bidari Fachrudin Agit Seno Adisetiadi Benedictus Hangga Harinawantara Clarista Ardelia Rahardjo Clarista Rahardjo Desy Listyaningrum, Desy Greenwood, Melanie Happy Indah Kusumawati Hersinta Retno Martani Hidayanto, Muhammad Nur Khoironi Rachmad Damarjati Pitajeng, Mutik Sri Rahmadani Puji Lestari Ratna Dewi Puspita Ratnasari, Etika Renni Pusposari Rochmi Isnaini Rismawanti Rochmi Isnaini Rismawanti Rochmi Rismawanti Rosita Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto SRI SETIYARINI, SRI Walsh, Kenneth Wandira Lalitya Wandira Lalitya Wandira Lalitya Yanasta Yudo Pratama