关键词: ICU患者, 睡眠促进, 审查指标, 障碍因素, 变革策略

Abstract: Objective To understand the current status of clinical application of the evidence on sleep promotion strategies for awake patients in ICU,analyze the barriers and facilitators,and initially formulate strategies for change,so as to provide references for the clinical translation of the evidence. Methods Through the pre-evidence summary,21 pieces of best evidence were included and 13 audit criteria with 22 audit indicators were developed for clinical audit,and based on the results of the audit,barriers and facilitators were analyzed and strategies for change were developed. Results The clinical implementation rate for the 22 audit indicators ranged from 0 to 100%,and 8 of the review entries had an implementation rate of 0 percent. The barrier factors were mainly the lack of knowledge of sleep management among ICU nurses,gaps in the relevant systems and processes in the department,and irrational settings in the ward environment,while facilitators were the good ability of the researcher and the team to translate the evidence,active support for change from the departmental administrators,the support of the hospital's policy to build a humanistic ward,and the strong willingness of the nurses in the department to accept and support the change. Conclusion There is still a large gap between the evidence of sleep promotion strategies for awake patients in ICU and clinical practice,so a comprehensive and in-depth analysis of barrier and promotion factors should be conducted to formulate scientific and reasonable change strategies,promote the translation of evidence,and provide a reference basis for clinical practice.

Key words: ICU Patients, Sleep Promotion, Review of Indicators, Barrier Factors, Change Strategies