Sleep Disturbance Among Patients In Hospital: Implication For Nursing Care Department Of Nursing Study

4025 words - 17 pages


This descriptive study was aimed at determining the pattern, quantity and quality of sleep and the prevalence, causes and effects of sleep deprivation/disturbance among patients hospitalized in two hospitals in Calabar. A prospective design was used, and 183 adult patients admitted into two hospitals and 80 nurses caring for them, were selected purposively and enrolled in the study. Patients’ sleep data were collected using an observation checklist (the sleep Behaviour Observational Tool–SBOT) and a patients’ self-report interview schedule (Sleep Quality Tool-SQT). Nurses’ data were collected through a structured questionnaire and examination of nurses’ night reports. Patients’ sleep was significantly disturbed during early period of hospitalization. Sleep disturbance was in the form of delayed onset of sleep or early awakening, both of which resulted in a short duration of total sleep time. Although sleep quantity and quality improved significantly as from the 7th day of admission, patients still reported inadequate feeling of restfulness in the morning. Identified causes of poor sleep in the hospital included environmental factors (bright lights, noise, heat, cold, disturbance by mosquitoes), frequent awakening by nurses for procedures and discomforts due to the illness. Nurses reported sleep difficulty in only 25.1% and 79.2% of patients themselves reported it. Such reports from nurses did not indicate duration of total sleep time, pattern of sleep disturbance. The need for both the medical and nursing teams to re-asses the habit of interrupting patients’ sleep for certain procedures and treatments is suggested. This re-assessment will enable them put in place measures that will allow patients to have un-interrupted sleep as much as possible if the procedures, prescribed and carried out are not absolutely necessary at night.

Key-words: Sleep disturbance, Sleep deprivation, Sleep latency, Sleep pattern, Mild–sleep awakening.
Introduction and statement of the problem

The need for sleep in human beings is universal and basic because sleep serves a restorative function for the body and mind. All individuals, well and ill, require adequate sleep times sleep disturbance especially insomnia, occurs. Insomnia is among the most frequent health complaints brought to the attention of healthcare providers1. Prevalence estimates are highest among pregnant women2, adolescents3, older adults especially menopausal women1,4, and patients with cancer5,6. Correlates of poor sleep include environmental factors (noise, excessive heat or cold, bright lights, frequent awakening for treatment etc.) and personal factors (pain itching, fever, patient’s underlying illness, medication used in treatment, etc). Hospitalization is detrimental to obtaining adequate sleep, and the critically ill are particularly vulnerable to sleep disturbance7,8. This is because the sleep of hospitalized patients is usually fragmented by frequent awakening episodes...

Find Another Essay On Sleep disturbance among patients in hospital: Implication for nursing care - Department of Nursing - Study

Critique on the Nursing Article Critical care patients’ experience of the helmet continuous positive airway pressure

2784 words - 11 pages This assignment aims to critically analyse a chosen nursing research article “Critical care patients’ experience of the helmet continuous positive airway pressure” by Dimech (2011) and was published in the Journal of Nursing in Critical Care (JNCC). It will examine both the strengths and limitations of the study by weighing various elements of the research undertaken and its value and implication for nursing practice. It will use a critiquing

Culture Competent in Nursing Care Essay

1066 words - 5 pages care, inequalities in health outcomes may be reduced. Without a doubt cultural competence has been increasingly viewed as essential to nursing in regard to culturally competent nursing practice as being central to healthcare (American Academy of Nursing and the Transcultural Nursing Society, 2010). The quality and safety education for nursing “QSEN” that will be discuss in this paper for understanding cultural competence in nursing practice, is

The Hospital Based Nursing Programs

1004 words - 5 pages patients. A BSN program is a liberal arts base, with its core curriculum based on knowledge, training, and critical thinking skills. In a 2003 Aiken study, it was found that an increased proportion of BSN’s in the nursing staff lowered patient mortality rates in critical care situations ( our book, p ?) In another by The Institute of Medicine “To Err is Human” study, found that 98,000 patients die each year due to medical error. This study found

Hospital Nursing and Medication Safety

1051 words - 4 pages How to engage hospital nursing staff in the promotion of medication safety A culture of medication safety has been a priority for many years; there has been less attention to incorporating culture of safety content into the engagement of the nursing staff. The goal of a culture of medication safety is to lessen harm to patients and providers through both system effectiveness and individual performance (Cronewett et al., 2007), numerous threats

Nursing Care for the Arab Culture

1552 words - 7 pages do and not to do as a nurse rendering care to an Arab patient. Keywords: culture, holistic, Arab Nursing Care for the Arab Culture In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is not limited to race and ethnicity (Khalifa, 2012). Matusiak (2013) references the U.S. government definition of Arab persons as “those who can trace

Health Care: Nursing

1216 words - 5 pages Nursing has not always been viewed as the skilled and polished profession that it is today. In nursing’s primitive beginning there were no set rules, regulations, or protocols follow nor were there any professional training offered to those in charge of caring for the ill and injured. Nursing was not even considered to be a true profession. Instead most nurses were mother’s caring for ill family members or women who volunteered to care for

A Shortage of Care covers the nursing shortage in Iowa

1059 words - 4 pages % of the current nurses retiring in ten years and on top of that we have half the faculty to teach the nurses of tomorrow.What can we do to fix this problem before it gets so out of hand we can't deal with it? First, I believe we need to address the issue of attracting more people to the nursing profession and keeping them in that profession for the length of their careers. We can't change the fact that people are going to be retiring, so we need

Nursing Care Plan

8217 words - 33 pages Nursing Care Plan CLIENT CLINICAL PICTURE Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his

Mental Health Nursing Care

4160 words - 17 pages Untitled Running Head: MENTAL HEALTH NURSING CARE Mental Health Nursing Care Mental Health Nursing Care Introduction Thе tеrm powеr diffеrеntiation includеs thе notion of limits, linеs or bordеrs (Avis, Drysdalе, Grеgg, Nеufеldt, & Scargill, 2003). Profеssional rеquirеmеnts for practicе arе mеt whеn thе rеgistеrеd nursе dеmonstratеs thе knowlеdgе, skills and attitudеs of thеrapеutic

The Use of Restraints With Elderly Patients in the Nursing Home

2236 words - 9 pages patients, often have mixed feelings on the subject. In one study, undertaken by Chang and Huang (2007), Nurses' feelings and thoughts about using physical restraints on hospitalized older patients, they found that of the twelve nurses they used in their study, most had negative feelings towards the use of physical restraints. In addition, they found that among these nurses there was "a struggle between patients' autonomy and the practice of care

Nursing Care Plan Pathophysiology

2988 words - 12 pages parathyroid hormones and calcium levels. This in turn will decrease mineralization effects and subperiosteal bone reabsorption. - Ranitidine HCL: 1 TAB PO QD (Ranitidine 75mg tablet) o Nursing Interventions: Toxicity may occur because of decreased elimination which will prolong the action of the drug, thus creating a toxic effect for patients with renal dysfunction. Liver function tests should be done periodically as well as creatinine levels

Similar Essays

Nursing: Providing The Best Possible Care For Patients

1605 words - 6 pages , but it also provides quality patient-centered care. My philosophy involves having a strong base knowledge of medicine as well as being able to provide compassionate patient-centered care. I believe nursing is holistic and committed to achieving the best patient outcome. My belief of nursing being holistic is that it involves a person, environment, health, and nursing. I also believe that it is extremely important for nurses to be able to work in

Quality Care Of Patients In Hospitals And The Current Nursing Shortages

1215 words - 5 pages bedridden patient is turned, allowing secretions to build up in the patient's lungs resulting in pneumonia. These are among the hospital incurred infections that are preventable with appropriate RN staffing" (Myers, 2003)In the profession of nursing, nurses can be leaders and managers. In this role, nurses are responsible for the quality of client care through a process, which is known as quality assurance. "Quality assurance consists of the quality

Performance Of The Nursing Department In A Healthcare Institute

1111 words - 5 pages his entire treatment record can be maintained effectively. Summary The paper discusses some core and fundamental aspects related to ways in which the problem of hygiene, medication management and risk of falls among patients admitted in different private nursing homes and healthcare institutes can be reduced. For this the evidence based practice that has been chosen for curbing it is in the form of arranging proper training programs and workshops

Nursing: Lifting, Transferring And Positioning Of Patients

1898 words - 8 pages Nursing: Lifting, Transferring and Positioning of Patients ABSTRACT Lifting, transferring and positioning of patients is frequently undertaken by nurses on each working day. This is necessary for patient comfort, medical reasons and completion of self care needs. Lifting can be done in numerous ways. As well as the nurse physically lifting or moving patients, a number of devices are also available to assist in the transfer of