How Sleep Patterns of Patients Are Critical for Nurses Annotated Bibliography

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Total Length: 1888 words ( 6 double-spaced pages)

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Flick et al., 2010

To determine nurses awareness that activities can reduce daytime sleepiness for patients and increase the quality of sleep during the night in nursing homes and the consequences of this awareness

Case-control study

32 nurses and caregivers, 10 nursing homes in Berlin Germany

8 of the participants understood time structure in the ward determines sleep, 16 understood but did not take advantage of this to influence resident’s sleep, and 8 were oblivious of the link between time structure and sleep.

Poor knowledge on the link between time structure and sleepiness by nursing home staff might be one of the causes of limited sleep by the residents. The authors concluded there is a need for training of nurses and caregivers on the issues.

Brown, Rutherford & Crawford, 2015

To document the role of noise in mental healthcare giving environments and the extent to which researchers have explored sound in hospitals, and identify new research opportunities.

Narrative review

Data was from UK policy documents and literature search of PubMed, Scopus, and Web of Knowledge.

Unwanted health is detrimental to recovery and this is understood by policymakers in the UK context. The authors contend that there is a need to think about the social functions of sound in mental health clinics

While unwanted sound is stressful, sound can also be useful, soothing, a source of information, and assurance. In mental healthcare environment, sound can be used to secure a degree of manageability, control, and order in the mental health environment.

Rahman & Schnelle, 2002

Research on common sense strategies that can be used to improve sleep for residents in nursing homes, but not commonly used.

Feature article

N/A

N/A

Common sense interventions e.g. individualized nighttime care, educating homecare staff, and noise and light avoidance and removal have a high potential in improving nighttime sleep environment for the majority of nursing home residents. These interventions implemented together are a good step in the right direction towards ensuring a good night sleep for nursing home residents.

Kamdar et al., 2016

To evaluate and determine the perceptions and practices of providers concerning sleep in the intensive care unit.
Prospective cohort study

The sample was made up of critical care clinicians including physicians, physician assistants, nurses, and nurse practitioners from north America, South America, Europe, Asia, and Australia working in ICU with at least 6 beds.

Out of 1223 participants from 24 counties; 75% indicated ICU patients experienced very poor or poor sleep, 88% indicated poor sleep affected recovery, 97% associated poor sleep with negative ICU results, 88% associated poor sleep with longer ICU stay, 87% associated poor sleep with poor participation is physical therapy, and only 32% had implemented sleep-improvement protocols.

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There is a wide gap between the perceptions care providers have and the practices surrounding sleep in the ICU and there is a lack of available guidelines that are supported by evidence on how to promote sleep in the ICU.

Radtke, Obermann & Teymer, 2014

To identify the knowledge nurses had on sleep quality outcomes for acutely ill patients, nurses understanding on the negative effects of insomnia, whether knowledge on effects of sleep influence promotion of sleep strategies.

Prospective cohort study

Convenient sample of nurses working in general and surgical units from a 321-bed home care in central Wisconsin.

Nurses had knowledge to recognize the effects of insomnia, there was no deficit on knowledge on how sleep quality promotes healing, and the knowledge on the benefits associated with adequate sleep did not promote the adoption of sleep promotion activities.

Even though nurses have the relevant knowledge on the effects of insomnia and the benefits of adequate sleep in acutely ill patients, barriers still exist to adoption of strategies to promote enough sleep.

Gilenan, 2012

An examination of normal and insomnia sleep patterns and what nurses can do to determine sleep disturbances and the strategies to promote adequate sleep in inpatients and care home residents.

Systematic review

Literature search from MEDLINE, CIHAHL, and PubMed using the keywords “health promotion,” “sleep,” and “inpatients.”

Inclusion criteria: literature on older people, post-surgery, cancer patients, the critically ill, and pregnant women.

N/A

Insomnia is widespread and often goes undiagnosed. Insomnia affects recovery, length of stay, and patient general wellbeing. Nurses should promote good sleep habits because it is also benefiting to nurses including short-stays.

Nesbitt & Goode, 2014….....

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