Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

DNP - University Access Only

Award Date

2019

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Kay Foland

Abstract

The aim of this doctoral of nursing (DNP) project was conduct a project to evaluate how decreasing the number of times vital signs are taken during the night impacts sleep perception in hospitalized patients. The analysis of literature shows that vital sign assessment every four hours has minimal evidence to support use in healthcare. Existing methods of monitoring are supported by institutional protocol and fail to take into consideration potential negative health outcomes such as blood pressure changes, impaired immune system function, increased inflammation, and delirium. Modified early warning scores (MEWS) are utilized in various healthcare settings and promote communication between healthcare providers to decrease the risk of clinical deterioration. The Modified Overnight Vital Sign Assessment Questionnaire gives a detailed depiction of sleep disruption and the subsequent impact on quality of sleep during a hospital stay. The results of this project indicate decreased monitoring overnight for low-risk patients improves patient perception of sleep quality during a hospital stay.

Library of Congress Subject Headings

Sleep.
Vital signs.
Patient monitoring.
Heart -- Diseases -- Patients -- Hospital care.

Format

application/pdf

Number of Pages

58

Publisher

South Dakota State University

Rights

Copyright © 2019 Jessica Koupal

Download

Share

COinS