Assessment and diagnosis of insomnia for clinical and research practice: a scoping review protocol

Adriana Souza Szpalher,Luisa Maria Apolinário Da Silva Ramos,Priscilla Alfradique De Souza,Carleara Weiss,Rosane Barreto Cardoso,Natália Chantal Magalhães Da Silva

doi:10.33448/rsd-v10i4.13736

Abstract

Insomnia is one of the leading sleep disorders, affecting different age groups, influencing individual’s ability to perform daily life activities, and ultimately diminishing their quality of life. This scoping review aims to identify instruments applied for the diagnosis of insomnia in clinical and research settings to support the nursing process and the decision-making. This review is based on the scope review framework proposed by Peters et al. (2020). The research strategy outlined aims to find studies published in the CINAHL (EBSCOhost) electronic database, Scopus, PubMed and WoS Portals. Grey literature will be accessed through free search via Google and Google Scholar, CAPES Thesis Repository, the Organizations Sleep Brazilian Association and World Sleep Society. This scope review is expected to assist nurses in the clinical reasoning process for identifying Nursing Diagnosis “insomnia”. In addition to the contribution to the research area, a proposal to include an insomnia assessment instrument(s) as diagnostic indicators in the NANDA-I taxonomy is planned. It should be noted the low volume of publications of scope review protocols. This protocol has been registered with the Open Science Framework under DOI 10.17605/OSF.IO/8MRPG.

Highlights

Insomnia is one of the major sleep disorders, observed across different age groups (Alqudah et al, 2019; Altena et al., 2017)
Academy of Sleep Medicine (AASM), in which is divided into seven major categories, defines insomnia as difficulty in initiating or maintaining sleep; and a decrease in its duration and quality, which occurs despite the opportunity and adequate circumstances for sleeping, associated with dysfunctions during the day
Disorder, Short-Term Insomnia Disorder, Other Insomnia Disorder

Summary

Introduction

Insomnia is one of the major sleep disorders, observed across different age groups (Alqudah et al, 2019; Altena et al., 2017). The term sleep disorder refers to conditions affecting the quality, timing or duration of sleep and influence a person’s ability to perform routine activities properly. These disorders can contribute to other medical problems and some can be symptoms of underlying mental health problems (Duncan, & Sheppard, 2019; Grima, Bei, & Mansfield, 2019; Zdanowicz et al, 2020). The American Psychiatric Association (APA) (2013) uses the term chronic insomnia disorder (code F51.01 by the International Disease Code-10-CM), in the Sleep-Wake Disorders group, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, (DSM-5). It is characterized by waking up before the usual time with an inability to return to sleep, emphasizing the duration of symptoms and number of episodes

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