Putting evidence into practice: evidence-based interventions for sleep-wake disturbances.

Margaretta S. Page, Ann M. Berger, Lauran B. Johnson

Research output: Contribution to journalReview articlepeer-review

56 Scopus citations


Symptom management is a vital aspect of the practice of oncology nursing. The Oncology Nursing Society has identified outcomes sensitive to nursing intervention, known as nursing-sensitive patient outcomes. This article presents information about sleep-wake disturbances that occur in patients with cancer and makes recommendations for evidence-based interventions to improve sleep for patients. Sleep-wake disturbances occur in 30%-75% of people with cancer and have a negative impact on other symptoms and quality of life. Despite the frequency and severity of sleep-wake disturbances, limited research has tested interventions to improve sleep-wake outcomes. Although no interventions currently receive the highest recommendations for implementation into practice, several nonpharmacologic interventions show initial positive findings in promoting high-quality sleep and daytime functioning. Oncology nurses can screen for sleep-wake disturbances and suggest tailored interventions. Four categories of promising interventions are cognitive-behavioral therapy, complementary therapies, psychoeducation and information, and exercise. Clinicians can use the Putting Evidence Into Practice (PEP) card and PEP resources at www.ons.org/outcomes to improve sleep-wake outcomes.

Original languageEnglish (US)
Pages (from-to)753-767
Number of pages15
JournalClinical journal of oncology nursing
Issue number6
StatePublished - Dec 2006
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)


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