Date of Award

Spring 2024

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)



Committee Chairperson

Jacquelyn Owens, Ph.D.

Committee Member

Veronica Wilbur, Ph.D.


Critically ill patients admitted to the ICU frequently experience sleep disturbances. Sleep can be promoted in the ICU by adjusting the patient's environment to lessen noise, light, and patient care interruptions. Given the potential impact of sleep disturbances in both the acute and long-term, promoting quality sleep should be considered an essential component of providing care to patients admitted to the ICU. This DNP project aimed to identify whether implementing a nonpharmacological sleep bundle in a SICU improved patients' perceived sleep quality, as evidenced by their Richards Campbell Sleep Questionnaire scores. The Donabedian model is the theoretical framework that guided the design and implementation of this project. A quantitative, quasi-experimental, pre- and post-intervention design was applied to this quality improvement project. An investigator created a Nonpharmacological Sleep Bundle Checklist, and the validated Richards Campbell Sleep Questionnaire were the tools utilized for this project. A total of N = 218 RCSQs were completed, pre and post-intervention. The intervention group (n =157) consisted of those patients who had received the nonpharmacological sleep interventions following implementation. A comparative group (n = 61) of patients completed the adapted RCSQ before the sleep bundle's implementation. The statistical analysis results of this QI project showed no statistically significant difference between the comparative group and the postimplementation group [t (N = 218) = -.099, p = .461]. However, the average total RCSQ score was higher for the postimplementation group (M = 55, SD = 29) when compared to the comparative group.