Understanding sleep quality among postoperative patients in Intensive Care
Unit: A conceptual analysis approach
Dublin Core
Title
Understanding sleep quality among postoperative patients in Intensive Care
Unit: A conceptual analysis approach
Unit: A conceptual analysis approach
Subject
concept analysis; intensive care unit; postoperative recovery;
sleep quality
sleep quality
Description
Background: Sleep quality is an important yet understudied element
influencing postoperative recovery in intensive care units. Considering that
there is a lack of consistent knowledge of the quality of sleep, it is difficult to
establish appropriate tests and therapies.
Purpose: To do a conceptual analysis of sleep quality in postoperative
intensive care units patients utilizing the Walker and Avant framework,
delineating its qualities, antecedents, consequences, and empirical referents.
Methods: This study used the Walker and Avant eight-step process for
idea analysis, which included a systematic literature evaluation of papers
published between 2020 and 2024 in databases such as PubMed, Scopus,
ScienceDirect, and ProQuest. Data was evaluated to determine important
defining qualities, causes, outcomes, and measurable indicators of sleep
quality.
Results: The analysis identified four defining attributes of sleep quality:
sleep architecture, sleep disturbances, subjective experience, and
physiological indicators. Antecedents included environmental noise, lighting,
pain, anxiety, and frequent medical interventions. Poor sleep quality was
associated with adverse outcomes such as increased delirium risk, delayed
wound healing, and prolonged intensive care units stays. Empirical referents
included patient-reported tools like the Pittsburgh Sleep Quality Index,
polysomnography, and actigraphy.
Conclusion: Sleep quality is a multidimensional concept central to
postoperative care in intensive care unit. Addressing environmental and
psychological factors through targeted interventions can improve sleep
quality and enhance recovery outcomes.
influencing postoperative recovery in intensive care units. Considering that
there is a lack of consistent knowledge of the quality of sleep, it is difficult to
establish appropriate tests and therapies.
Purpose: To do a conceptual analysis of sleep quality in postoperative
intensive care units patients utilizing the Walker and Avant framework,
delineating its qualities, antecedents, consequences, and empirical referents.
Methods: This study used the Walker and Avant eight-step process for
idea analysis, which included a systematic literature evaluation of papers
published between 2020 and 2024 in databases such as PubMed, Scopus,
ScienceDirect, and ProQuest. Data was evaluated to determine important
defining qualities, causes, outcomes, and measurable indicators of sleep
quality.
Results: The analysis identified four defining attributes of sleep quality:
sleep architecture, sleep disturbances, subjective experience, and
physiological indicators. Antecedents included environmental noise, lighting,
pain, anxiety, and frequent medical interventions. Poor sleep quality was
associated with adverse outcomes such as increased delirium risk, delayed
wound healing, and prolonged intensive care units stays. Empirical referents
included patient-reported tools like the Pittsburgh Sleep Quality Index,
polysomnography, and actigraphy.
Conclusion: Sleep quality is a multidimensional concept central to
postoperative care in intensive care unit. Addressing environmental and
psychological factors through targeted interventions can improve sleep
quality and enhance recovery outcomes.
Creator
Nunung Nurhayati1
* , Agung Waluyo2 , I Made Kariasa3 , Sali Rahadi
Asih4 , Hening Pujasari5 , Bahrul Hayat6
* , Agung Waluyo2 , I Made Kariasa3 , Sali Rahadi
Asih4 , Hening Pujasari5 , Bahrul Hayat6
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
December 30, 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Nunung Nurhayati1
* , Agung Waluyo2 , I Made Kariasa3 , Sali Rahadi
Asih4 , Hening Pujasari5 , Bahrul Hayat6, “Understanding sleep quality among postoperative patients in Intensive Care
Unit: A conceptual analysis approach,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10830.
Unit: A conceptual analysis approach,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10830.