Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary C. Garner

Abstract

AbstractBipolar disorder (BD) affects more than 1% of the world’s population regardless of race, sex, ethnicity, or socioeconomic status. BD is a severe and chronic mental illness characterized by insomnia, depressed and elevated mood, racing thoughts, mood swings, anxiety and depression, and suicide. Insomnia is prevalent in BD and occurs across all stages of BD, yet no guidelines exist. The clinical practice guideline entitled the Insomnia Assessment Guideline for Bipolar Disorder (IAGBD) was developed using best-practice evidence from the published literature. The IAGBD is a step-by-step process for assessing insomnia in bipolar patients. Clinicians follow a series of questions in the guideline to obtain the necessary information for evaluating and treating insomnia in bipolar patients. The IAGBD designed to measure different domains such as physical health, psychological health, social relationships, and environment. A series of questions focusing on each domain of the clinical guideline from the American College of Physicians were used as a guide for the development of IAGBD. The parts identified in the IAGBD are the areas that clinicians can use to gather information from patients to plan their care appropriately. Each domain on the IAGBD has targeted questions that clinicians can ask patients to obtain responses regarding the severity of their symptoms. The IAGBD is not for patients’ personal use. This evidence-based approach will need to be piloted and refined based on validation with a psychometrician. The project study fulfilled Walden University’s social change mission in clinical practice by gathering information and creating assessment guidelines on insomnia for BD that may translate into improved therapies for those experiencing this mental health disorder.

Download

Included in

Nursing Commons

Share

 
COinS