Sleep Protocols Essay

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Implementing Sleep Protocols to Reduce Nighttime Staff Interruptions to Improve Sleep in Acute Care Adult Patients
University of Utah
Application of Evidence Based Practice
30 October 2017

REDUCING NIGHTTIME STAFF INTERRUPTIONS 2
Implementing Sleep Protocols to Reduce Nighttime Staff Interruptions to Improve Sleep in Acute Care Adult Patients Evidence-based practice is essential to improving current practices in health care and implementing the best methods for providing safe and efficient care to all patients. Evidence-based simply means that after a problem is identified, evidence is gathered and researched to discover the best practices being used in
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The patient described how the CNA would come in for vital signs at midnight, the nurse would come for a check two hours later, then the CNA would do another set of vital signs two hours after that, and then the nurse would come back to draw morning labs about one to two hours after that again. It was impossible to get longer than a two or three hour stretch of uninterrupted sleep.
This issue is a hard one to find large scale data on in order to determine the scope of the problem, partly because asking about the amount of sleep or quality of sleep during a hospital stay is not on HCAHPS surveys sent to patients to determine patient satisfaction. The HCAHPS surveys ask about the level of noise experienced at night during a hospital stay, but not about how much sleep the patient was able to get or how well the staff were able to minimize interruptions during the night (H., 2018). Yet in a study done to examine sleep in ICU patients, it was found that 60% reported sleep disruptions as a major cause of stress during their hospital stay (Farshidpanah, Pisani, Ely, & Watson, 2017). Hacker, Patel, and Stainthorpe (2013) studied

REDUCING NIGHTTIME STAFF INTERRUPTIONS 4 the number of nighttime staff interruptions on 40 patients for four nights. The study found that there was an average of 20-58 interruptions per patient over the four night period. These interruptions include patient assessments, vital signs,
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