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Patricia M.
Evidence Based Practice (EBP) is a problem-solving approach to nurse practice that incorporates research findings, clinical judgment, and patient values to deliver optimal client outcomes. This process begins with identifying the target population, answerable clinical questions reflecting a clear and focused problem, such as a PICOT question. An extensive search on the delimitation of a specific research question to establish the best evidence relevant to a question is then conducted (Blackwell et al., 2024). Validity, reliability, and applicability are critiqued regarding their suitability for the patient population and practice environment. Clinicians then apply this research evidence with their knowledge and judgment and the patient’s characteristics and preferences to develop and apply an evidence-based treatment. The effects of the implemented practice are measured to determine their impact, thus providing direction on the need to formulate procedural adjustments. This step-by-step, approach will help healthcare providers consistently provide the best care for patients to improve outcomes whenever they are involved.
The focuses is on the PICOT question of how to minimize sleep disruptions among elderly inpatients in Cleveland Clinic Weston Hospital. The literature review’s main findings are sleep disturbances are common in this population. Insomnia is reported by older adults and poor sleep quality is associated with such adverse consequences as delirium, increased agitation, falls, and extended hospital stays (Wilson et al., 2020). The interventions aimed at reducing nighttime disturbances, including noise and light and alterations to care regimen, have been found to enhance sleep quality and alleviate cognitive impairment (Hashemighouchani et al., 2020). Individual research has shown that most of these interventions work when clients have limited exposure to noise and light to have improved sleeping patterns and reduced confusion, longer sleeping hours, a shortened hospitalization period and facilitated healing, and less exposure to noise extensively enhanced patients’ sleeping experience. The gathered data supports the necessity of the proposed intervention to enhance and reduce disruptions, specifically at night, for better sleep and corresponding health repercussions for elderly inpatients in the Cleveland Clinic Weston Hospital.
Such evidence can, therefore, strongly support a conservative sleep disruption disturbance change initiative of putting standard night disturbance reduction procedures in place accompanied by noise control. Conducting a synthesis of such research findings with clinical experience and characteristics of elderly patients in Cleveland Clinic Weston Hospital may contribute to the formulation and application of practical, evidence-based practice to promote sleep and related health.