Evidence Based Interparations 1

Sleep is often over looked as an intervention for ME, but through the improvement of environment, medication, life style changes and self-help strategies, sleep can be improved to help provide symptom relief and increase an individuals energy envelope. (ANZMES, n.d.c; Pemberton & Berry, 2009; Wright,

In a laboratory study of sleep deprivation, researchers employed a variety of techniques to keep

Bay Area Sleep Evaluation Center, BASEC, is still working on defining their Vision, but they do have a Mission Statement that is “IMPROVING THE QUALITY OF YOUR SLEEP FOR A BETTER TOMORROW” ("Bay Area Sleep Evaluation Center", 2010).  Their sleep specialists diagnose and treat problems ranging from inability to fall asleep to excessive daytime sleepiness. It is my goal, once I open my own sleep study, to enforce the mission statement by preparing my employees to be qualified and efficient in evaluating patients sleep studies. The vision statement is something my sister and I will work on together. The vision statement will be something real and our patients can hold us accountable for.

Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and will be too tired to perform activities surrounding daily living. We have to assess the risk factors contributing to the problems of sleep disturbance and these might be “related to poor sleep hygiene, including an irregular sleep schedule, environmental noise or light, and the use of stimulants” (Mauk, 2014, p. 581). If the sleeping pattern is not assessed, possible complications will happen, such as falls that could lead to bodily injuries.

Furthermore, the education provided helped them to understand by each illustration was a reflection of the Safe to Sleep imitative. Modeling safe sleep not only benefited infants during hospitalization but benefited them after their discharge home. Staff were to model safe sleep by placing all infants in cribs supine, on a flat surface, in a sleep sack without a hat, and no addition items in their beds except a pacifier and bulb syringe.

With growing concern about patient safety and satisfaction, a change in where shift report is given has been a cause of concern. Traditionally, change-of-shift report is done at the nurses’ station or away from patients. Numerous studies have been conducted on moving the change-of-shift report from the nurses’ station or hallway to the patient’s bedside. An analysis of bedside shift reporting has revealed the benefits of increased patient satisfaction and safety as well as several challenges of implementation of bedside shift reporting.

Specific Purpose: My audience will understand the importance of sleep, the effects a lack of sleep can have on a person’s body, and ways to improve the quality of sleep.

Utilizing evidence based practice in nursing is paramount today in the always evolving field of nursing. Having the clinical expertise and knowledge of a nurse is just the first step in making decisions for the treatment of a client. Adding the most recent and up to date evidence alongside with the client’s values and preferences is ideal to guiding the process of healthcare (Kelly & Tazbir, 2010). When evidence based guidelines are set forth in the plan of care for a client, the clinician has an abundant of amount of data to make sound decisions on. This allows the nurse to make the best decision or develop the best strategy to deliver care. Evidence based practice also allows

In the article “Sleepless in Stepdown” written by Joanne Matukaitis, MSN, RN, FABC, NE-BC; Thea Eckman, MSN, RN, CCRN; Kristan Baxter, BSN, CCRN-CSC; Elisabeth Bradley, MS, RN, APN; Helen Hawrylack, BSN, CCRN; Sharmila Johnson, MSN, RN, APN, CCRN; Ruth Mooney, PhD, MN, RN-BC; Donna Papanicolas, RN, and Patricia Brigss, MSN, RN, CCRN, HTP, discuss issues of possible sleep disturbances in the recovery process in the hospital. Their theory basically says that sleep disturbances may lead to extended stays in the hospital, but also how the patient recovers in the process. The authors’ also address the fact that physiologic, behavioral, and functional outcomes may also be influenced by sleep disturbance.

Nursing handover is the primary method of sharing patient information between shifts and ensuring continuity of care from shift to shift. Hand over between shifts is a practice that is basic to the organization of the health works and is an essential aspect of health care delivery. Nursing handover at the bedside should be an interactive process, providing opportunities for introducing the staff to the patient as well as for obtaining the patient’s viewpoint. In particular, bedside handover ensures that patients remain at the center of their

The inability to sleep is a source of anxiety and stress for patients in the intensive care unit (ICU); this inability can lead to cardiorespiratory disturbances, immune system dysfunction, impaired wound healing, hormonal and metabolic imbalances, cognitive changes, and delirium. Through the use of quiet times and nursing actions that encourage sleep, or, sleep hygiene bundles, nurses can assist in improving sleep quality in the ICU. These bundles include noise and light reduction, scheduling routine procedures outside of reserved sleep times, the use of earplugs and eye masks, and the grouping of nursing care activities to minimize sleep interruptions. The aim of this proposal, therefore, will be to implement a nurse-driven, sleep hygiene protocol, in order to improve patient care by promoting quality sleep in ICU patients. Barriers to implementation include staff resistance to the concept, concerns regarding patient care during sleep times and difficulties in coordinating care with other units. Studies used to gather information for this proposal were published between the years of 2011 and 2016 and were found in several databases: Academic Search Complete, Medline, and OVID Journals.

Options to improve bedside shift report are to give both oral and written report together, include the patient’ MD, making bedside shift report universal in all areas of the institution and including the charge

The title of this study “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” appropriately portrays the information of the article. It describes the design of the study, a randomized trial, as well as the topic, sleep quality of nurses. Overall it gives a good picture of what the article includes.

You mention the you job requirement of 0640 arrival, at my work place, our shift starts at 0700 and it is not require to be there early. We do have 30min to get report from the shift that is leaving and we also do the bedside reporting. I think the bedside reporting is a great way to meet your patient and get them involve in their care. These would assume these particular policies

Specific Purpose: To inform my audience about the factors contributing to sleep deprivation and the effects of insufficient sleep.