Wednesday, May 1, 2019

Richard-Campbell Sleep Questionnaire Instrument Critique Research Paper

Richard-Campbell stay Questionnaire Instrument pass judgment - Research Paper ExampleIn the development of the instrument, studies describing critically ill patients patterns of residual were utilise as a theoretical basis for various items incorporated into the instrument. The instrument was validated against the polysomnograph and found to be an overture in measuring respite quality for patients in intensive c atomic number 18 (Richards et al, 2000).As currently used, the Richard-Campbell peacefulness Questionnaire reflects five items that are used for measuring eternal rest quality in ICU patients. These are the foresight of sleep, ability to fall asleep, number of times the patients wake up, percentage of the time the patients are awake, and the overall sleep quality of the patients (Richards et al, 2000). The Richard-Campbell kip Questionnaire, on top of these five items, also includes a rating for noise during the nighttime, which are scored using a visual analogue s cale. The five scores for the Richard-Campbell Sleep Questionnaire is averaged, and the mean score used in determining sleep quality. Night shift nurses are required to complete the Richard-Campbell Sleep Questionnaire with regards to the sleep quality of their patients overnight, while the patients also fill in the Richard-Campbell Sleep Questionnaire after they wake up. The instrument was modify to measure how many awakenings the patient had during their sleep in pitch to differentiate between patients who woke up oft and those who did not wake up during their sleep. Further advances in the instrument involved the requirement that the items and directions on the questionnaire be read out to the patients in intensive sustainment (Richards et al, 2000). This was because, while patients have been found to have picayune trouble in completing it if nurses read the items and directions out to them, majority of the critically ill patients had problems when completing the questionnai re without preparation of assistance. However, for obvious reasons, this survey is only useful if the patients are awake and non-delirious. The visual analog nature of the Richard-Campbell Sleep Questionnaire scales means that, as a measure of the latency of sleep, it is not very sensitive in comparing to other modalities of scaling (Richards et al, 2000). For this reason, there is a need to revise the instrument. This could be done in order to improve the Richard-Campbell Sleep Questionnaires ability to predict the strength of sleep in intensive care patients. For example, the instrument could be revised by adding more items in an attempt to predict sleep efficiency with an improved percentage of variance. However, this will be done at the risk of decreasing the practicality of outcome measurements for patients who are critically ill (Richards et al, 2000), especially as increasing the number of items may be too a great deal for nurses who are overworked and patients who are cri tically ill and may be too weak to answer them. The Richard-Campbell Sleep Questionnaires predictive ability could also be potentially improved by adding another piece with more items for nurses. This additional section would consist of additional observations that the nurses make for the critically ill patients quality of sleep (Richards et al, 2000). The Richard-Campbell Sleep Questionnaire could also be revised to account for sleep characteristic

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