Evidence Based Nursing Interventions

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

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.

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.

This relaxation goes even further when the soft palate muscles and uvula (fleshy tissue) sag over the airway as well, creating the "labored and noisy" (Sleep Apnea) so readily associated with the condition. It is important for the student to know that there are times when this blockage causes breathing to stop entirely. Interestingly, those who suffer with sleep apnea do not realize it, inasmuch as another person typically hears the startling noises and suggests that there is a problem. The sufferer may display frequent episodes of falling asleep on the job, giving work associates the clue, as well. "People with sleep apnea usually aren't even aware they have a problem and may not believe it when told" (Sleep Apnea). Inasmuch as sleep apnea is potentially life threatening, it is imperative that the sufferer seeks immediate diagnosis and treatment. Early recognition and treatment of obstructive sleep apnea is a critical step not only in getting a more restful night's sleep, but also in avoiding the potential complications of irregular heartbeat, high blood pressure, heart attack and stroke. Sleep apnea is more prevalent in men and young African-Americans; however, it has been diagnosed during all life stages. It is important for the student to know that attaining proper diagnosis of obstructive sleep apnea includes consultation with a primary care physician, pulmonologist, neurologist

Level I research evidence signifies the strength of the study’s design and it’s increased applicability to practice. A systematic review, such as the one carried out by Xie, Kang, and Mills (2009), is considered to be the highest level attainable in the hierarchy of evidence (LoBiondo-Wood & Haber, 2014). Xie et al. (2009) synthesized a review of literature examining several factors to a disruptive environment. Some of the topics researched included determining if noise is the most disturbing factor in sleep, the kind of noises that are most disturbing to the sleep in these patients, and the effectiveness of noise reduction strategies. Noise reduction strategies can include the use of earmuffs, earplugs, eye masks, behavior

Sleep is a vital component to sustaining life in humans. Even though everyone participates in sleeping, many individuals do not understand the true significance of sleeping, and what benefits and consequences come with too much or too little sleep. Sleep comes in different stages throughout the period of rest, with some stages being more important than others. By interrupting various stages, different types of problems can arise from which stage is being affected. In particular, elder adults are affected in larger numbers to a more extensive depth of issues. “However, aging does not mean elders should encounter sleep disorders; it merely increases the possibility that more elders will seek help to manage the problem” (Song, Hollenbeck, Blair, Schatzkin, Chen. 2012. p.316) By understanding possible causes for sleep disorders, what kinds of physiological effects this has on the aged anatomy, and the types of problems that appear in the psychological aspect, it becomes achievable to begin working towards reversing complications and promoting elder sleep health.

sleep is essential for our health and wellbeing. It allows our body to rejuvenate and restore itself. It helps the body to create new cells. Sleep deprivation is one of the biggest causes of premature aging. Tiredness can significantly affect your mood and how you feel. Sleep can help lower blood pressure and elevated levels of stress hormones. Your cardiovascular system is constantly under pressure and sleep helps to reduce the levels of stress and inflammation in your body. High levels of "inflammatory markers" are linked to heart disease and strokes. Sleep can also help keep blood pressure and cholesterol levels (which

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,

For this research study, the researcher and subject have agreed upon utilizing a fifteen-minute meditation sequence prior to bedtime, which is intended to calm the mind and regulate the body in preparation for sleep. This intervention will be implemented after the researcher collects seven days of baseline data. The intervention and follow up stages will also be recorded for

Purpose: To inform the audience about what sleep is and how it helps the body.

Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.

Many disorders and diseases can result from abnormal sleeping patterns that are triggered from sleep deprivation. The most common forms of sleep disorders include insomnia, sleep apnea, restless legs syndrome, and narcolepsy (NINDS 10). All of these sleep disorders begin from sleep deprivation and can be managed once they are diagnosed correctly. According to Urban, “Nervousness, dizziness, and sleeplessness may occur”, as a result of sleep deprivation (1). This proves that the slightest health changes can occur if sleep deprivation becomes a problem. According to NINDS, “The disorders and the resulting sleep deprivation interfere with work, driving, and social activities” (10). This shows that the effects of being sleep deprived can drastically change one’s everyday

In a study used to determine the efficacy of paced breathing on insomnia and vagal activity 14 people with self reported insomnia (SRI) and 14 people who reported to be good sleepers (GS) were utilized to test the hypotheses that paced breathing would aid those with insomnia in falling asleep (Tsai, Kuo, Lee, & Yang, 2014). The study measured variables such as sleep quality, sleep effectiveness, Heart rate variability, and cardiac vagal tone. For the individuals to be allowed in the SRI group they had to have difficulty falling asleep, staying asleep, or trouble with waking up too early and not being able to go back to sleep more than 3 times per week, for 6 continuous months. All subjects of the study had to be between 20-25 years old and have a BMI within the normal range for their height and weight (18.5-24.5 Kg/m^). The subjects all had regular times that they went to bed and woke up and none reported having any history of sleep disorders such as sleep apnea or periodic limb movement, substance abuse,

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.

Older individuals experiencing cognitive impairments such as dementia, experience depression, agitation, stress, anxiety, and sleep disturbances at one point or another. These problems become extenuated as the individuals become institutionalized and contribute to rising cost of care; in 2003 the estimated cost of care for institutionalized dementia patients was $48.6 billion (Holliday-Welsh, Gessert, & Renier, 2009). Massage therapy is a method that enhances sensory stimulations, consequently leading to relaxation to and regulation of the circadian rhythm and resulting in sleep promotion. In addition, massage therapy can increase nighttime sleep through neurological mechanisms that reduce pain and muscle spasm; reducing factors that contribute