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Papers by Linda Shanks
Clinical Nurse Specialist, 2021
Purpose/Aim The aim of this study was to explore the perceived quality of sleep and sleep disturb... more Purpose/Aim The aim of this study was to explore the perceived quality of sleep and sleep disturbances in hospitalized patients. Design A prospective descriptive, exploratory, cross-sectional study was conducted at a 172-bed community hospital in Northeast Ohio. A convenient sample of 100 hospitalized patients was recruited from medical/surgical, progressive care, and intensive care units. Methods Participants used the Richards-Campbell Sleep Questionnaire to report sleep. A quality of sleep assessment survey was used to collect information regarding 17 factors leading to decreased quality of sleep. Results Mean sleep score was 47.92 for each question regarding sleep depth, latency, awakenings, time spent awake, and overall sleep quality. Pearson's correlation showed a significantly positive correlation between measure of noise and sleep score. Five environmental factors were identified as most disruptive to sleep: pain, laboratory draws, staff, blood pressure checks, and intravenous alarms. Conclusion The positive correlation between sleeping well and higher noise levels is noteworthy. Raising awareness about the importance of sleep in the hospital setting and introducing interventions to promote a quiet environment and minimize sleep-disturbing factors may increase patient satisfaction scores and improve healing.
Clinical Simulation in Nursing, 2020
Background: Health care professionals need to communicate with each other when there are patient ... more Background: Health care professionals need to communicate with each other when there are patient safety concerns. However, speaking up can be difficult because the health care environment is highly hierarchical. Many times health care professionals choose to remain silent or fail to bring a patient safety issue to another team member's attention. Sample: Senior nursing students from a Midwestern University. Method: Nonequivalent groups design with standardized patient simulation as intervention. Results: Both groups reported higher self-confidence in speaking up to authority from before to after test, but differences were not significant. Conclusion: Although this study yielded nonsignificant differences with the use of standardized patient simulation, the trend in increasing self-reported confidence in speaking up to an authority when a patient safety concern arose in the intervention group was encouraging. The effects of standardized patients on students' confidence in speaking up merit further testing with a larger sample and random assignment.
Clinical Nurse Specialist, 2021
Purpose/Aim The aim of this study was to explore the perceived quality of sleep and sleep disturb... more Purpose/Aim The aim of this study was to explore the perceived quality of sleep and sleep disturbances in hospitalized patients. Design A prospective descriptive, exploratory, cross-sectional study was conducted at a 172-bed community hospital in Northeast Ohio. A convenient sample of 100 hospitalized patients was recruited from medical/surgical, progressive care, and intensive care units. Methods Participants used the Richards-Campbell Sleep Questionnaire to report sleep. A quality of sleep assessment survey was used to collect information regarding 17 factors leading to decreased quality of sleep. Results Mean sleep score was 47.92 for each question regarding sleep depth, latency, awakenings, time spent awake, and overall sleep quality. Pearson's correlation showed a significantly positive correlation between measure of noise and sleep score. Five environmental factors were identified as most disruptive to sleep: pain, laboratory draws, staff, blood pressure checks, and intravenous alarms. Conclusion The positive correlation between sleeping well and higher noise levels is noteworthy. Raising awareness about the importance of sleep in the hospital setting and introducing interventions to promote a quiet environment and minimize sleep-disturbing factors may increase patient satisfaction scores and improve healing.
Clinical Simulation in Nursing, 2020
Background: Health care professionals need to communicate with each other when there are patient ... more Background: Health care professionals need to communicate with each other when there are patient safety concerns. However, speaking up can be difficult because the health care environment is highly hierarchical. Many times health care professionals choose to remain silent or fail to bring a patient safety issue to another team member's attention. Sample: Senior nursing students from a Midwestern University. Method: Nonequivalent groups design with standardized patient simulation as intervention. Results: Both groups reported higher self-confidence in speaking up to authority from before to after test, but differences were not significant. Conclusion: Although this study yielded nonsignificant differences with the use of standardized patient simulation, the trend in increasing self-reported confidence in speaking up to an authority when a patient safety concern arose in the intervention group was encouraging. The effects of standardized patients on students' confidence in speaking up merit further testing with a larger sample and random assignment.