Publication Date
2025
Presentation Length
Poster/Gallery presentation
College
Gordon E. Inman College of Nursing
Department
Nursing, School of
Student Level
Undergraduate
SPARK Category
Research
Faculty Advisor
Dr. Patricia Hall
SPARK Session
10:15-11:45
Presentation Type
Poster
Summary
The Impact of Nurse-Led Environmental Controls on Insomnia in Elderly Acute Care Inpatients
Research Question: Does teaching nurses to control the patient environment (I) in acute care in-patients aged 65+ (P) reduce insomnia compared to current practice (Q1H rounding) (C) from 67.4% to less than 30% as measured by the Insomnia Severity Index (ISI) (O)?
Background and Significance: 67.4% of hospitalized patients report experiencing insomnia from sleep disturbances, which can significantly impact their recovery and overall health outcomes. Nurses can address these disruptions by monitoring noise, light exposure, and staff interruptions.
Sample methods: The literature review search keywords were sleep hygiene, sleep hygiene therapy, improved sleep, factors affecting sleep, sleep in hospitalized patients, insomnia, delirium, sleep disorders, acute-care sleep therapy, med-surg sleep therapy, geriatric, ages 65+. The search was conducted using the databases CINAHL and PubMed, resulting in 75 research studies. After applying filters for the last 5 years, RN author or application, RCT or quasi-experimental, and English language, the sample yielded 10.
Sample: Three studies on insomnia and non-pharmacological interventions for improvement in sleep hygiene.
Results: The body of evidence shows that environmental control interventions are statistically significant in reducing insomnia severity in acute care inpatients aged 65+, as measured by the Insomnia Severity Index (ISI).
Conclusion: Implementing nurse-led environmental modifications to improve sleep quality in acute inpatients aged 65+ is recommended as a change in practice. Future research should explore the long-term effects of these interventions on patient outcomes related to insomnia and hospitalization-related complications.
Recommended Citation
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