This dissertation, composed of three manuscripts, provides a foundation for sleep disorders screening in primary care. The first manuscript presents a concept analysis of sleep to guide nurses’ understanding of how sleep impacts patients. The first manuscript is currently under review in the Nursing Forum journal. A framework for sleep disorders screening in primary care is presented, and followed by a systematic review of the literature to identify questionnaires that might be suitable to screen for sleep disorders in primary care. Several candidate questionnaires are identified, but none of those meet both thoroughness and brevity criteria postulated as necessary for use in primary care practices. The second manuscript is currently under review in Sleep Medicine Reviews. The third manuscript introduces the sleep disorders screening checklist (SDS-CL), previously used for research. The SDS-CL meets both thoroughness and brevity criteria but has not yet been validated for primary care application. Psychometric properties of the SDS-CL are evaluated with data from a sample of n=694 adults representative of the primary care population. Psychometric properties of the SDS-CL are favorable for primary care application. The third manuscript is currently being prepared for submission to a journal focusing on primary or preventive care medicine. Finally, future studies are recommended.
|Advisor:||Jungquist, Carla R.|
|Commitee:||Dickerson, Suzanne S., Wu, Yow-wu B.|
|School:||State University of New York at Buffalo|
|School Location:||United States -- New York|
|Source:||DAI-B 76/11(E), Dissertation Abstracts International|
|Subjects:||Medicine, Nursing, Public health|
|Keywords:||Adults, Diagnosis, Primary care physicians, Screening, Sleep disorders|
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