Unit 15 Assignment – Clinical Preparation Tool

Sleep and Wake Disorders comprehensive nursing essay example

DSM: Insomnia Disorder

Instrument: The Minimal Insomnia Symptom Scale (MISS)

Article: Measurement properties of the Minimal Insomnia Symptom Scale as an insomnia screening tool for adults and the elderly. (Sleep and Wake Disorders comprehensive nursing essay example)

Appropriateness for Dx: The MISS is a three-item psychometrically sound insomnia disorder screening tool (Westergren et al., 2015). The MISS is appropriate for assessing insomnia-like symptoms in the general population (in pediatric and adult populations). Besides, the instrument can be administered differently, i.e., via computer or paper and in multiple languages. The MISS can assess a range of functional abilities affected by insomnia disorder, distinguishing individuals with insomnia-like clinical symptoms and those without (Broman et al., 2008).(Sleep and Wake Disorders comprehensive nursing essay example)

Response to Therapy/Treatment: The MISS can assess response to changes in sleeping patterns and disturbance (Westergren et al., 2015). The changes in a patient’s scores determine the severity of insomnia disorder and establish a pharmacological and psychological treatment guide. The MISS instrument is significantly adopted for its ease of use and brevity (Broman, Smedje, Mallon, & Hetta, 2008).(Sleep and Wake Disorders comprehensive nursing essay example)

Psychometrics: The Minimal Insomnia Symptom Scale (MISS) is a 3-item self-administered tool for evaluating sleep disturbance and measures three aspects of insomnia, including difficulties falling asleep, night awakenings, and not being rested from sleep (Westergren et al., 2015). Besides, exhibits good measurement properties can be verified by confirming the self-reported catalogues of insomnia criteria. Consequently, the MISS has high internal validity and reliability (Hellström, Hagell, Fagerström, & Willman, 2010). (Sleep and Wake Disorders comprehensive nursing essay example)

Limitations: The primary limitation of the MISS tool is its shortness. Thus, it cannot fully describe various symptoms associated with sleep difficulties in individuals (Westergren et al., 2015). In this regard, a more comprehensive instrument can be applied once insomnia-like symptoms are detected through the MISS. Consequently, the MISS cannot be the primary and sole diagnosis tool for insomnia disorder. Furthermore, the MISS items rely on individual’s assessment of their sleeping difficulties and can be affected by subjective bias since there are no quantitative measures and information on the occurrence frequency of reported symptoms.  (Sleep and Wake Disorders comprehensive nursing essay example)