Evidence-Based Practice: A Case Study

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

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

Those two theories are Florence Nightingale’s theory of the important of the environment and Katharine Kolcaba’s theory of comfort. Both of these theories are lacking in the emergency room because of the lack a therapeutic environment for these patients. The goal for most emergency room physician is to keep the patient safe until the patient can be moved to an inpatient pscyharitic unit (Nicks & Manthey, 2012, p. 2). By the physicians having this mentality, it does not allow the patient to start his or her healing process in the emergency room while the patient is boarding waiting for an inpatient bed to become available. With the implementation of both of the nursing theories mentioned above this writer believes that it will change the environment that the patient is in and will teach the physicians to start to treat these patients and in turn, it will provide the patients with the quality care that he or she

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,

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Nurses spend most of their time taking care of their patients that they forget to be mindful of their own wellbeing. It is very important for nurses to take care of themselves because it is reflected through the care they provide to their patients. Sleep deprivation can increase the chances of a nurse miscalculating a dosage, which can be fatal to a patient’s life or injure themselves by forgetting proper body mechanics. Not having enough sleep and overworking themselves can be the cause for this simple mistake that could have been avoided through self-care. Having at least 8 hours a sleep a night is just one of the few ways a nurse can manage healthy living. A nurse’s work schedule can consists of mainly over

Thesis: Sleep plays an essential part in a person’s health and well-being; the way we feel while awake is dependent upon what happens to your body while asleep.

In “The Bed –Rest Hoax” by Alexandra Kleeman, medical practice is use to prove that it can help women succeed their hard time on bed rest. However, bed rest will vary from woman to woman and may range from basic occasional resting at home to full bed rest with observing in a hospital. According to Hilton’s recommendation, “rest became the guiding principle of medical interventions” (Keelman 117). Therefore, leaving different sort of illness such as, “congestive heart failure, peptic ulcers, rheumatic fever, [and many other types of illness] (117) all being treated with bed rest. Hilton contends that nature was the essential agent of mending and that the doctors' best game-plan was to give the body a chance to rest, with the goal that it may recover itself (117).

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

“Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” is a quantitative study by Nui, Chu Chung, Lin, Chang, and Chou published in the journal of Biological Research for Nursing (2012). The article aims to compare the amount of recovery time needed by nurses that work the night shift in relation to nurses that work the day shift. In order to determine if a study is eligible to use for developing evidence based practice it is important to critique research articles (Lobiondo-Wood & Haber, 2014) for their quality and applicability. This will determine if the study is relevant and can be applied to nursing practice. That is the purpose of this paper.

The authors recommend that the findings originating from this study can be used as a basis to initiate protocols for implementation of bedside nursing

The function of sleep is to promote restoration. The human body accumulates damages due to impact strain and from reactive oxygen species that damage cells and buildup during times of activity (Sleep-wake cycle, 2006). During sleep, most of the body's systems are in an anabolic state, helping to restore the immune, nervous, skeletal, and muscular systems (Sleep-wake cycle, 2006). Most of the body has restorative processes that can supplement the restorative processes that happen during sleep for long periods of time, but the brain is more reliant on regular intervals of sleep for restoration as quiescent restoration is insufficient (Sleep-wake cycle, 2006). When the body does not get enough sleep, most body functions work at diminished capacity. (Brain Basics, 2017). Sleep deprivation is defined as obtaining inadequate sleep to support adequate daytime alertness (Kryger, Roth, & Dement, 2005). The pathological effects of sleep deprivation can lead to undesirable physiologic

The effects of long work hours, resulting in insufficient sleep have been well documented (Rogers, 2008). Insufficient sleep alone has been noted to cause cognitive problems, mood alterations, reduced job performance, reduced motivation, increased safety risks, and physiological changes (Rogers, 2008). Failure to obtain a sufficient amount of sleep is even an important contributor to medical errors (Rogers, 2008). Now think of the effects of sleep, and add in stressful work environments, short-staffing, pressure from administration, and unexpected events, we can begin to realize how patient outcomes may be greatly compromised.

Level V is described as a “systematic review of descriptive and qualitative studies” (Melnyk site). According to Vincensi, Pearce, Redding, Brandonisio, Tzou, and Meiusi (2016), an exploratory cross-sectional survey design was performed to determine how both patients and nurses perceived sleep disruptions. I was unable to raise the ranking up to the next level due to the small sample size, the number of qualitative studies incorporated in the research review, and cross-sectional studies being considered one of the most biased. The other studies used for research purposes in this study included one randomized controlled trial (RCT), one quasi-experimental study, one qualitative study, and three literature reviews. The Vital Sleep Headband is described in depth in the article but the sample of nurses and patients only received surveys, videos, illustrations, and questionnaires about the validity of their use but no one actually used the headband which also contributed to the lower ranking. The sampling method used in this study was a convenience sampling, a nonprobability sampling strategy, considered the easiest and most commonly used