Domain 4. Activity-rest
Class 1. Sleep-rest
Diagnostic Code: 00165
Nanda label: Readiness for enhanced sleep
Diagnostic focus: Sleep
Introduction to Nursing Diagnosis Readiness for Enhanced Sleep
Poor sleep quality can have a negative impact on an individual’s overall health and wellbeing. In order to ensure optimal patient outcomes, nurses must be able to properly diagnose, assess and develop treatment plans that address patients’ sleep-related needs. Nursing diagnosis readiness for enhanced sleep is one of the most common diagnoses used in nursing practice and is based on the assessment and evaluation of identified sleep disturbances. With the right knowledge, treatments and interventions, nurses can help patients improve their sleep quality and health.
NANDA Nursing Diagnosis Definition: Readiness for Enhanced Sleep
The NANDA-I organization defines Nursing Diagnosis Readiness for Enhanced Sleep as “the state in which an individual is able to recognize and initiate behaviors conducive to improved sleep quality and quantity.” This definition is based on an understanding of the relationship between an individual’s behavior and the quality and quantity of sleep they obtain each night. It emphasizes the importance of an individual being aware of and actively engaging in sleep-promoting behaviors.
There are several defining characteristics associated with Nursing Diagnosis Readiness for Enhanced Sleep. These include both subjective and objective criteria. Subjective criteria involve how a patient describes how they feel about their sleep, including how well they feel rested upon waking and the amount and quality of their sleep. Objective criteria include more measurable information such as sleep duration, sleep latency, and total time spent awake during the night.
Subjective Defining Characteristics
- Sleep quality/rest quality upon awakening
- Hours of sleep obtained per night
- Subjective level of comfort with sleep habits
- Difficulty initiating or maintaining sleep
- Frequency of nightmares
Objective Defining Characteristics
- Sleep latency
- Total time awake during the night
- Regularity of sleep schedule
- Glycemic control
- Medication compliance
Suggested Uses of Nursing Diagnosis Readiness for Enhanced Sleep
Nursing diagnosis readiness for enhanced sleep can be used as a primary or secondary diagnosis in the care of both non-clinical and clinical populations. In non-clinical settings, it is often used to refer to issues related to normal sleep hygiene and bedtime routines, such as the ability to initiate or maintain sleep, difficulty sleeping through the night, and difficulty waking from sleep. It can also be used to refer to sleep disturbances associated with medical disorders, such as chronic pain, depression, and diabetes.
Suggested Alternative NANDA Nursing Diagnoses
- Insufficient Sleep Syndrome: This diagnosis is used to describe an individual who is experiencing excessive daytime sleepiness or fatigue due to their current sleep pattern or lack thereof.
- Disrupted Sleep Pattern: This diagnosis refers to the disruption of an individual’s regular sleep pattern. This could include difficulty getting to sleep, not getting enough sleep, or sleeping too much.
- Sleep Deprivation: This diagnosis is used to describe a situation in which an individual is not getting enough sleep. This could refer to either lack of adequate amount or quality of sleep.
- Sleep Deficit: This diagnosis is used to describe an individual who has experienced a prolonged period of inadequate sleep.
- Parasomnia: This diagnosis refers to any disturbance in sleep that is manifested through abnormal behavior, movement, or thoughts during sleep. Common examples include sleep talking, sleepwalking, and night terrors.
Usage Tips for Nursing Diagnosis Readiness for Enhanced Sleep
Nursing diagnosis readings for enhanced sleep should always start with a thorough assessment of a patient’s sleep patterns, including a review of their daily routine, lifestyle habits, and medical conditions. If a secondary diagnosis is necessary to identify underlying medical or mental health issues, they should be included as well. Nurses should also provide brief psychoeducation about good sleep hygiene, provide advice on relaxation techniques, and develop action plans aimed at improving sleep quality.
The following are commonly used NOC outcomes related to Nursing Diagnosis Readiness for Enhanced Sleep:
- Better Sleep Quality: This outcome measures the patient’s ability to achieve and sustain a more restful sleep. It is often evaluated on a numerical scale ranging from 1-10.
- Restful Sleep: This outcome measures the patient’s ability to achieve a restful sleep, free from disruptive behaviors or symptoms. It is typically evaluated on a numerical scale ranging from 1-10.
- Improved Daytime Alertness: This outcome measures the patient’s ability to remain alert and energized during the daytime hours. It is typically evaluated on a numerical scale ranging from 1-10.
- Reduced Fatigue: This outcome measures the patient’s ability to remain energized and active throughout their day. It is typically evaluated on a numerical scale ranging from 1-10.
- Decreased Sleep Latency: This outcome measures the patient’s ability to fall asleep quickly. It is typically evaluated on a numerical scale ranging from 1-10.
Evaluation Objectives and Criteria
Evaluation activities related to Nursing Diagnosis Readiness for Enhanced Sleep typically include:
- Conducting an interview with the patient or their family to assess the quality, quantity and pattern of sleep
- Observing the patient’s behavior during sleep
- Assessing environmental factors that may influence the patient’s sleep quality and quantity
- Evaluating physiologic factors, such as glycemic control, hormone levels, and nutrition
- Assessing medication usage and compliance
NIC Interventions with
The following are commonly used NIC interventions related to Nursing Diagnosis Readiness for Enhanced Sleep:
- Limiting Stimulants During the Evening Hours: Limiting caffeinated beverages, smoking, and alcohol during the evening hours can help improve sleep onset latency and the overall quality of sleep.
- Encouraging Relaxation Techniques: Teaching and encouraging the use of relaxation techniques prior to bedtime can help reduce sleep anxiety and promote better sleep.
- Establishing a Sleep Schedule: Establishing a regular, repetitive sleep schedule can help to minimize variability in sleep-wake cycles and promote optimal sleep efficiency.
- Re-evaluating Medication Usage: Medication side effects can oftentimes interfere with sleep, so reassessing current medication regimens may be beneficial.
- Improving Environment: Improving the patient’s sleep environment to promote more restful sleep, such as limiting noise disturbance, controlling light exposure, and limiting distractions.
Nursing activities related to Nursing Diagnosis Readiness for Enhanced Sleep may include:
- Assessing sleep duration, quality, and pattern using scale and questions
- Reviewing current lifestyle habits in regards to sleep hygiene
- Conducting an interview to assess level of comfort and confidence with sleep hygiene behaviors
- Providing education about sleep hygiene
- Counseling about relaxation techniques
- Assessing medication usage and any side-effects
- Assessing the patient’s sleep environment to identify any potential influences on sleep quality
- Developing an individualized action plan to improve sleep quality and quantity
Nursing diagnosis readiness for enhanced sleep is a vital part of identifying and managing sleep-related issues in both non-clinical and clinical populations. By assessing defined characteristics and targeting interventions towards specific areas of need, nurses can ensure that patients receive effective treatments to improve their sleep quality and quantity.
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- What is Readiness for Enhanced Sleep? Readiness for enhanced sleep is a nursing diagnosis that focuses on improving sleep hygiene and the quality and quantity of an individual’s sleep.
- What are NOC Outcomes Related to Readiness for Enhanced Sleep? Common NOC Outcomes related to readiness for enhanced sleep include better sleep quality, restful sleep, improved daytime alertness, reduced fatigue, and decreased sleep latency.
- What are NIC Interventions for Readiness for Enhanced Sleep? Common NIC interventions for Readiness for Enhanced Sleep include limiting stimulant intake during the evening hours, helping the patient establish a regular sleep schedule, evaluating medication usage, and improving the patient’s sleep environment.
- What kind of activities can nurses do to support this diagnosis? Nurses can assess a patient’s sleep duration, quality, and pattern using a scale and questions. They can also provide education and counseling services regarding sleep hygiene, relaxation techniques, and medication usage. Lastly, they can develop an individualized action plan aimed at improving sleep quality and quantity.
- How can nurses evaluate sleep problems? Nurses can evaluate sleep issues by conducting an interview with the patient or their family to assess sleep quality, quantity and pattern. They can also observe the patient’s behavior during sleep, assess environmental factors and evaluate physiologic factors, such as glycemic control, hormone levels, and nutrition.
Nursing diagnosis readiness for enhanced sleep is an important tool for helping patients improve their sleep quality and health. The process of assessing a patient’s sleep includes evaluating subjective and objective criteria, suggesting lifestyle changes and evaluating medication compliance. The NOC outcomes and NIC interventions related to readiness for enhanced sleep should also be taken into account when developing an action plan aimed at improving sleep quality. Nursing activities related to this diagnosis may include assessing, educating, counseling and developing an individualized action plan. Ultimately, nurses can help patients to achieve a more restful and invigorating sleep by implementing the right strategies, interventions and treatments.