[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100616730":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":25,"locations":35,"responsibleParty":52,"collaborators":18,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":61,"acronym":62,"eligibilityCriteria":63,"healthyVolunteers":58,"sex":64,"minAge":65,"maxAge":18,"enrollmentInfo":66,"targetDuration":18,"studyType":69,"phases":70,"briefSummary":72,"conditions":73,"keywords":75,"overallStatus":81,"whyStopped":18,"lastUpdateSubmitDate":82,"lastUpdatePostDateStruct":83,"startDateStruct":86,"completionDateStruct":88,"leadSponsor":90,"locationsCount":91},{"fullName":5,"class":6},"Fenerbahce University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Quiet Night Protocol (Environmental Stressor Reduction Package)","EXPERIMENTAL","This arm will receive the Environmental Stressor Reduction Package, a multi-component nursing intervention designed to reduce environmental stressors in the ICU. The package includes:\n\nNoise control (≤45 dB, alarms adjusted, staff reminders)\n\nCircadian lighting adjustments (bedside lights off during sleep hours, local lighting for procedures, use of eye masks when appropriate)\n\nThermal comfort monitoring (timpanically measured, blankets or controlled bedside warmers if needed)\n\nRestricted visitor traffic (no visitors after 22:00, quiet medical rounds at night)\n\nAdjustment of care activities (minimizing unnecessary night interventions, clustering nursing care before 22:00)\n\nUse of the \"Quiet Night Checklist\" by nurses at 22:00, 02:00, and 06:00 to standardize monitoring.",[13],"Behavioral: Environmental Stressor Reduction Package",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard ICU Care","NO_INTERVENTION","This arm will receive routine ICU care without the structured Environmental Stressor Reduction Package. Standard care includes typical ICU monitoring, treatments, and nursing interventions according to hospital policies, without specific modifications for noise, light, thermal comfort, or visitor regulation beyond institutional standards.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Environmental Stressor Reduction Package","A structured, nurse-led protocol implemented in the ICU to reduce environmental stressors that negatively affect patients' sleep quality. It combines noise reduction, circadian lighting adjustment, thermal comfort, visitor traffic regulation, and adjustment of care activities. Nurses use a standardized checklist (\"Quiet Night Checklist\") at three time points (22:00, 02:00, and 06:00) to ensure consistency and adherence.",[9],[26,31],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},"öznur BALKAN, Research Assistant","CONTACT","+905075803533","oznur.balkan34@gmail.com",{"name":32,"role":28,"phone":33,"phoneExt":18,"email":34},"ADNAN AYDENİZZ","05379810926","adnan.aydeniz@hotmail.com",[36],{"facility":37,"status":18,"city":38,"state":39,"zip":40,"country":41,"countryCode":18,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Umraniye Education and Research Hospital","Istanbul","Umraniye","34000","Turkey (Türkiye)",{"type":43,"coordinates":44},"Point",[45,46],28.94966,41.01384,{"lat":46,"lon":45},[49],{"name":50,"role":28,"phone":51,"phoneExt":18,"email":34},"öznur AYDENİZ","05075803533",{"type":53,"investigatorFullName":54,"investigatorTitle":55,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","öznur balkan","Research Assistant","100616730","effect-of-a-nurse-led-environmental-stressor-reduction-package-on-perceived-stress-and-sleep-quality-in-intensive-care-unit-patients-100616730",false,"NCT07309406","Effect of a Nurse-Led Environmental Stressor Reduction Package on Perceived Stress and Sleep Quality in Intensive Care Unit Patients","Evaluating the Effects of a Nurse-Led Multicomponent Environmental Intervention on Stress Perception and Sleep Quality in ICU Patients: A Quasi-Experimental Study","ICU-SLEEP","Inclusion Criteria:\n\n* Adults aged 18 years and older\n* Admitted to the intensive care unit (ICU)\n* Awake and able to communicate\n* Not receiving sedation or invasive mechanical ventilation\n* Expected to remain in the ICU for at least 2 consecutive nights\n* Willing to participate and provide written informed consent\n\nExclusion Criteria:\n\n* Younger than 18 years of age\n* Diagnosed with delirium or severe cognitive impairment\n* Presence of a psychiatric condition that may substantially affect sleep or perceived environmental stress\n* Receiving continuous sedative or opioid infusion\n* Discharged from the ICU or deceased before completion of the required study assessments","ALL","18 Years",{"count":67,"type":68},68,"ESTIMATED","INTERVENTIONAL",[71],"NA","This study aims to evaluate the effect of a nurse-led Environmental Stressor Reduction Package on perceived environmental stress and sleep quality among adult patients in the intensive care unit (ICU).\n\nThe Environmental Stressor Reduction Package is a structured, multicomponent nursing intervention designed to reduce potentially disturbing environmental stimuli during nighttime care. The package focuses on reducing unnecessary noise, optimizing nighttime lighting, supporting thermal comfort, limiting nighttime visitor activity, and organizing nursing care to minimize avoidable sleep interruptions while maintaining patient safety and essential clinical care.\n\nParticipants in the intervention group will receive the Environmental Stressor Reduction Package during their ICU stay, while participants in the control group will receive standard ICU care. The study will assess whether the nurse-led intervention reduces perceived environmental stress and improves self-reported sleep quality compared with standard care.\n\nPerceived environmental stress will be assessed using the Intensive Care Unit Environmental Stressor Scale (ICUESS), and sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ).",[74],"Sleep Disturbance",[76,77,78,79,80],"Critical Care Nursing","Environmental Stressors","Intensive Care Unit","Sleep Quality","Quiet Night Protocol","NOT_YET_RECRUITING","2026-08-14",{"date":84,"type":85},"2026-08-18","ACTUAL",{"date":87,"type":68},"2026-09-01",{"date":89,"type":68},"2027-01-31",{"name":5,"class":6},1]