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- OS X: With smartphones always on, setting quiet hours matters so they don't constantly beep every time a notification comes in when we want silence. Some of us want the same for our Macs.
- 'A Quiet Night In' is the second episode of the British dark comedy television anthology series Inside No. It first aired on 12 February 2014 on BBC Two.Written by Reece Shearsmith and Steve Pemberton, it stars the writers as a pair of hapless burglars attempting to break into the large, modernist house of a couple—played by Denis Lawson and Oona Chaplin—to steal a painting.
- Apple already uses AR to show us what a Mac might look like on our desks, but a newly-revealed patent application goes much further. There still has to be an actual MacBook Pro somewhere, but the.
Cast: Claire Rankin, Julian McMahon, Tom Irwin, Alexandra Kyle, Joe Spano, Lukas HaasA district attorney (Claire Rankin) and a young girl who ran away from h.
Doctor of Nursing Practice Projects
Title
Authors
Document Type
DNP Project
Department
School of Nursing
Date of Degree
Spring 2020
Degree
Doctor of Nursing Practice (DNP)
Primary Advisor
Karen Kesten, DNP, APRN, CCNS, CNE, CCRN-K, FAAN; Cathaleen Ley, PhD, RN
Abstract
Background: Undisturbed, restful sleep is essential for physiological as well as psychological well-being. For critically ill patients, sleep deprivation caused by frequent nighttime interruptions is associated with poor sleep quality and negative patient outcomes.
Objectives: The purpose of this Quality Improvement (QI) project was to promote uninterrupted sleep between the hours of 10 PM and 5 AM. Outcomes for evaluation consisted of the following three components: (1) sleep quality, (2) incidence of delirium, and (3) nighttime sedation requirements. Except for sleep quality, these variables were compared before and after the intervention.
Methods: A descriptive, before and after design for data collection and analysis was utilized. Quantitative data was obtained via the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), and the Richards-Campbell Sleep Questionnaire (RCSQ). The nurse-driven, non-pharmacological ICU Sleep Checklist contained nine interventions reducing noise, light, and iatrogenic sleep disturbances.
A Quiet Night In The Neighborhood Mac Os X
Results: Seventy-four patients received the intervention and completed the RCSQ. For all RCSQ items, patients scores indicated a tendency towards a favorable (mean, [SD], 51.78, [24.64]) and perceived nighttime noise levels were low (73.58, [26.93]. No incidences of ICU-acquired delirium were noted. A chi-square test determined a statistically significant relationship between CAM-ICU scores pre- and post-intervention (p
Conclusions: We identified an association between people who report better sleep quality and those who receive less medications during the night. An improvement in the rate of ICU delirium in this population suggests that by promoting sleep, ICU nurses can prevent the onset of delirium. It is feasible to apply this intervention with a minimal amount of extra work for nurses. An improvement in the rate of ICU delirium in this population suggests that by promoting sleep, ICU nurses can prevent the onset of delirium.
Copyright Notice
©2020 Christina Junker. All rights reserved.
Recommended Citation
Junker, MSN, RN, CCRN, C. (2020). Time for Quiet Reducing Nighttime Interruptions in the ICU (TURN IN-ICU): Evaluation and Implementation of a Nonpharmacological Sleep Bundle to Improve Sleep Quality, Delirium, and Nighttime Sedation Requirements. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/63
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