Academic Level at Time of Presentation

Senior

Major

Nursing

2nd Student Academic Level at Time of Presentation

Senior

2nd Student Major

Nursing

List all Project Mentors & Advisor(s)

Nancy Armstrong

Presentation Format

Oral Presentation

Abstract/Description

Hospitalized patients frequently experience poor sleep quality due to clinical activities that occur during typical sleeping hours such as vital sign checks and medication administration. These nighttime disruptions negatively impact patient recovery times and decrease patient satisfaction. This evidence-based practice evaluated if restructuring nighttime clinical activities would minimize sleep disturbances and improve sleep quality in hospitalized patients. Patient surveys were used to assess the frequency of nighttime awakenings as well as the different sources of these awakenings. Interventions included moving nighttime clinical activities (blood pressure checks and medication administrations) to not be done during the hours of 10pm to 5am and replacing heparin injections with once-a-day enoxaparin injections, assuming . Post-intervention results displayed significant reductions in disturbances and overall increased patient satisfactions, this was especially noted in telemetry patients. Interventions to routine clinical activities can significantly improve sleep quality in hospitalized patients and improve recovery times. Hospitals should consider implementing these interventions to minimize nighttime disruptions and promote restorative patient-centered care.

Keywords: Evidence-based practice, No wake times, Clinical activities, Nighttime disruptions

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Implementation of No Wake Times

Hospitalized patients frequently experience poor sleep quality due to clinical activities that occur during typical sleeping hours such as vital sign checks and medication administration. These nighttime disruptions negatively impact patient recovery times and decrease patient satisfaction. This evidence-based practice evaluated if restructuring nighttime clinical activities would minimize sleep disturbances and improve sleep quality in hospitalized patients. Patient surveys were used to assess the frequency of nighttime awakenings as well as the different sources of these awakenings. Interventions included moving nighttime clinical activities (blood pressure checks and medication administrations) to not be done during the hours of 10pm to 5am and replacing heparin injections with once-a-day enoxaparin injections, assuming . Post-intervention results displayed significant reductions in disturbances and overall increased patient satisfactions, this was especially noted in telemetry patients. Interventions to routine clinical activities can significantly improve sleep quality in hospitalized patients and improve recovery times. Hospitals should consider implementing these interventions to minimize nighttime disruptions and promote restorative patient-centered care.

Keywords: Evidence-based practice, No wake times, Clinical activities, Nighttime disruptions