Earplugs Improve Patients Subjective Experience of Sleep in Critical Care

Earplugs improve perseverings subjective experience of nap in critical precaution Laboure College breast feeding 202 March 8, 2013 The purpose of this study is to see if earplugs improve slumber in patients in critical care areas. It is to see if the use of earplugs will improve patient outcomes by decreasing noise levels during balanceing hours. The problem statement is that patients will train better quicker if they get uninterrupted rest. The literature review summarizes the topic and its findings.According to the article, noise can have a negative claim on patients outcomes same(p) sleep disturbances (Honkus, 2003 Redeker, 2003), increase in the stress response (Kam et al. , 1994 Moore et al. , 1998 Lower et al. , 2002), and condensed patient satisfaction (Lower & Bonsack, 2002). Different interventions were tried to decrease noise levels, but unfortunately, patients needs came first therefore abandoning those interventions like quiet time. Quiet time protocols were imp lemented by restricting care activities and visiting at sleep hours (Moore et al. , 1998 Olson et al. 2001 Kellman, 2002 Lower & Bonsack, 2003). Wallace et al. (1998) studied the effect of earplugs worn during normal sleeping hours by 12 intensive care patients receiving mechanical ventilation and reported an increase in REM sleep during earplug use. This study was qualitative because it had the analyse subjects use subjective entropy about the use of earplugs and the decrease in noise level by using The Verran-Snyder-Halpern Sleep Scale. The fit between the research question and methods are inconclusive because it is based on subjective data and not all the test subjects finished the study.The sample is the test subjects in the study. The participants include men and women over the age of 18 who were admitted to critical care units at a Midwestern US teaching hospital (Scotto, McClusky, Spillan, & Kimmel, 2009). The criteria consisted of subjects who were alert and oriented, abl e to understand the study, able to give informed consent and name the official document (Scotto et al. , 2009). The data was collected by having the 100 participants randomly assigned to the earplug intervention or mesh classify.The intervention group was giving instructions on the use of the earplugs during regular sleep hours for one wickedness only removing them briefly for less than 10 minutes at a time for communication purposes (Scotto et al. , 2009). The data was compiled by having the participants complete the Verran-Snyder-Halpern Sleep Scale the day following the study. The sleep scale scores were whence kept in a locked box until data was entered into an SPSS spreadsheet for analysis to be seen by the research team. The instruments utilize were soft foam earplugs and the Verran-Snyder-Halpern Sleep Scale.The sleep scale measures subjective response to sleep in hospitalized adults (Snyder-Halpern & Verran, 1987). The tool is an eight-item visual analogue instrument t hat takes about 10 minutes or less to complete (Snyder-Halpern & Verran, 1987 Richardson, 1997). The airplane pilot study received approval from the Summa Health System internal review board and had an equivalent group post-test-only design (Scotto et al. , 2009). The weakness of the study is the limitation of test subjects and that the data is qualitative.The findings showed that the participants using earplugs during normal sleeping hours deteriorate asleep easier, woke up less, decrease tossing and turning, slept deeper and woke up feeling refreshed. Out of the six different types of earplugs, used patients preferent foam earplugs because they were more comfortable and easier to insert (Chisholm et al. , 2004). I would rate this article a three in difficulty. The overall contribution the study makes to patient care is finding ways to improve patients REM sleep therefore improving outcomes for patients well being.I think that earplug use on all types of floors in a hospital set ting would be beneficial to help improve the overall health of the patient. References Chisholm E, Kuchai R, McPartlin D. (2004). An objective evaluation of the waterproof qualities, ease of insertion, and comfort of commonly available earplugs. Clinical Otolaryngology 29 128-132. Honkus V. (2003). Sleep Deprivation in critical care units. Critical awe Nurse 26 179-189. Kam P, Kam A, Thompson J. (1994). Noise pollution in the anaesthetic(a) and intensive care environments. Anesthesia 49 982-986. Kellman N. (2002). Noise in the intensive care nursery.Neonatal Network 21 35-41. Lower J, Bonsack C. (2002). High-tech high touch mission possible? Dimensions of Critical attention 21 201-205. Moore M, Nguyen D, Nolan S, Robinson S, Ryals B, Imbries J, Spotnitz W. (1998). Interventions to reduce decibel levels on patient care units. The American Surgeon 64 894-899. Olson D, Borel C, Laskowitz D, Moore D, McConnell E. (2001). Quiet time a nursing intervention to promote sleep in neuro-cr itical care units. American Journal of Critical Care 10 74-78 Redeker N. (2003). Sleep in acute care settings an integrative review. Journal of Nursing Scholarship 32 31-38 Richardson S. 1997). A comparison of tools for the assessment of sleep pattern disturbances in critically ill adults. Dimensions of Critical Care Nursing 16 226-242. Scotto C, McClusky C, Spillan S, Kimmel J (2009). Earplugs improve patients subjective experience of sleep in critical care. Nursing in Critical Care, 14(4). Snyder-Halpern R, Verran J. (1987). Instrumentation to describe subjective sleep characteristics in healthy subjects. Nursing in Research and Health 10 155-163. Wallace C, Robins J, Alvord L, Walker J. (1998). The effects of earplugs in critically ill patients. Sleep 21(Suppl. ) 234.