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Sleep Restoration in the Active Duty Population


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Background or Problem/Issue: Nearly 40 of military service members sleep less than the recommended seven to eight hours each night. Lack of sleep has been shown to have a profound negative effect on physical and emotional health, cognitive function, overall safety, work productivity, and readiness. No clinical practice guidelines for assessing or managing sleep disturbances currently exists. Clinical Question: In first-line medical professionals, how does self-reported knowledge of sleep disturbance identification and management compare to what the literature describes as best practices in managing sleep disturbances among active duty service members? Project Design: A questionnaire evaluating knowledge, practices, and limitations of medics, licensed practical nurses, registered nurses, physician assistants, advanced practice registered nurses, physicians, social workers, and clinical pharmacists was administered at seven different clinics on two different Army installations. Results: Fewer than 30 of participants received sleep disturbance assessment and management training, when they did, most cited online or in-service education as the source of training. Although a sleep disturbance complaint or sleep-related comorbidity was most likely to trigger asleep disturbance assessment, fewer than 55 of medics, and 13 of RNs conducted a sleep assessment. All respondents were aware that sleep was a problem for service members, and assessment barriers included lack of training, resources, and guidelines.



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