Article type
Abstract
"Background:
Patients with breast cancer are 50% more likely to experience sleep disturbances during treatment. Sleep disturbance may affect physiological and psychological functions and even induce cancer recurrence. However, only 71% of patients in our breast surgery ward underwent sleep problem screening; 21% had sleep problems among the screened, but 0% of sleep problems were recorded, and sleep care may not be provided.
Objectives
This study aims to implement the best evidence to improve screening, assessment, and management of sleep disturbance in breast cancer patients undergoing chemotherapy through a designed sleep disturbance share care (SDSC) process.
Methods
Setting
This project was implemented in a general surgery ward at a medical center in South Taiwan, which has 57 beds with 30 nursing staff.
Intervention
Our project team comprises the associate dean of the nursing department, a nurse, a case manager, a psychiatrist, and a nursing professor. Valid and easy-to-use tools for comprehensive sleep assessment (CSA, sleep quality and related risk factors) were selected and developed. An SDSC process was designed for breast cancer patients undergoing chemotherapy, which includes screening for sleep problems within 8 hours of admission, referral to comprehensive sleep assessment if screened positive for sleep disturbance, and delivery of individualized multimodal sleep promotion interventions based on patients’ assessment results. The interdisciplinary clinical staff agreed upon all of these processes.
Results
100% of nurses received education on sleep disturbance and SDSC. The screening rate was increased from 71% to 82%, 100% of the screened sleep disturbance patients were referred and received CSA, and 100% of assessed patients received individual, multimodal sleep management based on their CSA result.
Conclusions
The implementation of the best practice recommendations for improving screening, assessment, and management of sleep disturbance in our breast surgery ward includes establishing an SDSC process with valid and easy-to-use tools, informing and involving staff and got consensus about the SDSC process, and an interdisciplinary team approach. This SDSC process significantly improved the screening, assessment, and management of sleep disturbances in breast cancer patients undergoing chemotherapy.
"
Patients with breast cancer are 50% more likely to experience sleep disturbances during treatment. Sleep disturbance may affect physiological and psychological functions and even induce cancer recurrence. However, only 71% of patients in our breast surgery ward underwent sleep problem screening; 21% had sleep problems among the screened, but 0% of sleep problems were recorded, and sleep care may not be provided.
Objectives
This study aims to implement the best evidence to improve screening, assessment, and management of sleep disturbance in breast cancer patients undergoing chemotherapy through a designed sleep disturbance share care (SDSC) process.
Methods
Setting
This project was implemented in a general surgery ward at a medical center in South Taiwan, which has 57 beds with 30 nursing staff.
Intervention
Our project team comprises the associate dean of the nursing department, a nurse, a case manager, a psychiatrist, and a nursing professor. Valid and easy-to-use tools for comprehensive sleep assessment (CSA, sleep quality and related risk factors) were selected and developed. An SDSC process was designed for breast cancer patients undergoing chemotherapy, which includes screening for sleep problems within 8 hours of admission, referral to comprehensive sleep assessment if screened positive for sleep disturbance, and delivery of individualized multimodal sleep promotion interventions based on patients’ assessment results. The interdisciplinary clinical staff agreed upon all of these processes.
Results
100% of nurses received education on sleep disturbance and SDSC. The screening rate was increased from 71% to 82%, 100% of the screened sleep disturbance patients were referred and received CSA, and 100% of assessed patients received individual, multimodal sleep management based on their CSA result.
Conclusions
The implementation of the best practice recommendations for improving screening, assessment, and management of sleep disturbance in our breast surgery ward includes establishing an SDSC process with valid and easy-to-use tools, informing and involving staff and got consensus about the SDSC process, and an interdisciplinary team approach. This SDSC process significantly improved the screening, assessment, and management of sleep disturbances in breast cancer patients undergoing chemotherapy.
"