Sleep-wake disturbances in people with cancer part II: evaluating the evidence for clinical decision making.

Abstract:

PURPOSE/OBJECTIVES:To evaluate the quality of evidence on sleep-wake disturbances in people with cancer as a basis for clinical decision making and to discuss implications of the evidence for oncology clinicians, educators, and researchers. DATA SOURCES:Published, peer-reviewed articles. DATA SYNTHESIS:Members of the 2001 Oncology Nursing Society (ONS) Advanced Practice Nurse Retreat Evidence-Based Practice Sleep Working Group selected and evaluated data sources using criteria and processes outlined by ONS. CONCLUSIONS:The development of nursing science related to sleep-wake disturbances among people with cancer and the application of research findings to clinical decision making are limited by the quantity and quality of published evidence. IMPLICATIONS FOR NURSING:Clinicians are challenged to develop a plan of care that includes the assessment of sleep-wake disturbances and interventions to address them. Nurse educators are challenged to include sleep-wake content and skills to evaluate empirical data and interventions for sleep-wake disturbances in degree and continuing education curricula. Nurse researchers are challenged to specify consistent conceptual and operational definitions of key variables in sleep-wake models, use measurement instruments with evidence of reliability and validity, and design clinical trials to test interventions for sleep-wake disturbances among people with cancer.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Clark J,Cunningham M,McMillan S,Vena C,Parker K

doi

10.1188/04.ONF.747-771

subject

Has Abstract

pub_date

2004-07-13 00:00:00

pages

747-71

issue

4

eissn

0190-535X

issn

1538-0688

journal_volume

31

pub_type

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