It is vital to state that the identification of a research problem leads to the formulation of a research question, which is key to investigating a particular phenomenon (Maidl, Leske & Garcia, 2014). Although it is difficult to identify a clinical research question, this paper has developed one regarding the Neurotrauma ICU patients. The research question is: Does the enforcement of scheduled hours of time to rest decrease the multiple of incidences of delirium in adult critical care patients in the ICU? In fact, Delirium has been directly associated with higher medical costs, increased risk of death, and extended stays. However, a lack of sleep and delirium has not been proven. This is despite the fact that some knowledge exists, which indicates that deprivation of sleep has adverse effects on cognitive functioning. Moreover, stays for more days in hospitals increased medical costs, and high mortality rates are linked to delirium.

The significance of the research question to the nursing practice is to help nurse practitioners to develop changes that increase the level of sleep. In fact, this question guides the nurses in preventing and managing sleep deprivation in ICU patients. As a result, incidences of delirium in ICU patients will reduce.

From the literature reviews, it is clear that the studies conducted are consistent. Most of the studies have concentrated on the incidences of derilium and the ICU quite a time. The conclusions that were drawn were similar, and both indicated that the ICU patients value ICU quite time. This is for the reason that quiet time is associated with a decreased level of delirium. According to the scholars, the visitors, and the nurses also play significant roles because they are also stakeholders. They also have influence in the production of noise, implying that it is crucial to establishing patients’ perception concerning the matter. Notably, some researchers have noted that noise is not the only sleep disruptor. According to Xie, Kang, and Mills (2009), other factors other than noise cause the same effects. The writers have established noise masking as the best approach for improving the sleep of the ICU patients (Weinhouse et al., 2009: Xie et al., 2009). It is essential to state that the fact that Xie and colleagues (2009) found that noise is not the only cause of delirium implies that there is a need to conduct further studies to investigate other stresses.

Noise masking is a nursing evidence-based practice that can be done using the modern technology. This is where a soothing background sound is introduced by the networked sound masking technology. The soothing background has been engineered to hide conversations and noise while the patient remains comfortable and unobtrusive. This networking system improves the sleeping conditions because of its ability to decrease the amount of change between the background sound levels and peaks.

Evidently, there are no major effects that are associated with noise masking. What should be noted is that failure to disseminate the practice may result in negative outcomes for ICU patients and staff. Concerning the patients, it affects the patients’ recovery time. This is because exposure to noise raises the heart rates. Additionally, high levels of sound increase blood pressure levels, which may lead to higher risks of cardiac problems. Studies have shown that chronic noise increases the risk of cardiac attack by fifty percent for men and seventy-five percent for women. Concerning the staff, noise increases stress, which can hinder the effective performance of the staff members. Moreover, noise disruption and distraction may lead to medication errors.

The first strategy that will be used is to increase reach to many audiences. This will be achieved through the utilization of social media platforms. Another strategy that the nurse will use is to increase the motivation to utilize and apply noise masking. In fact, it is expected that the healthcare service providers will increase interest in the use of noise masking through championing, asking for patients; opinions and social network. It is important to increase the ability to use and apply noise masking. It is crucial to state that nurses should combine many dissemination strategies to address noise as a cause of delirium.

I would communicate this message to my colleagues utilizing many ways. The first method I will use is the media. The information regarding noise masking will be accessed through social media platforms, although, it will also be broadcasted. Accessible forums, such as online and open access will be used.

After disseminating the information, then, I will start by asking the management to provide the relevant materials and equipment that are necessary for the implementation of noise masking practice. After the materials and equipment, I will call the staff members to assist me in distributing the masks to the patients and encourage them to use. This will be done after the patients’ consent has been sought.

Regarding the opposition I may face, I will neither fear nor hesitate to continue implementing noise masking. I will be stern with my actions and explain to the opposers the significant role played by the practice and the adverse effects that are associated withafailure to implement the evidence-based practice. If the concerns raised would be difficult to be addressed orally, then, I will refer the concerned to read the article reviewed regarding the significant role played by noise masking. Thus, it is hoped that the practice will be successful and useful in many hospitals and will be critical to reducing delirium.