Obstructive Sleep Apnea Syndrome Project with Dr. Andrea Flannery

Abstract: Obstructive sleep apnea (OSA) remains a significant yet underdiagnosed public health concern, with substantial implications for patient health and healthcare delivery. This project addressed a critical gap in nursing practice by implementing the STOP-BANG screening tool in a primary care environment. The PICOT question guided the initiative: For adult patients in a primary care clinic (P), did the use of the STOP-BANG tool by trained nursing staff (I) compared to the absence of systematic screening (C) improve the identification of patients at high risk for OSA (O) over eight weeks (T)? The project aimed to enhance OSA’s early detection and referral rates, leveraging a nurse-led approach to integrate evidence-based practices into routine workflows. A systematic implementation process was adopted, including targeted staff education, leadership support, and weekly audits to monitor adherence and outcomes. Preliminary findings indicated improved staff engagement, workflow efficiency, and consistent application of the STOP-BANG tool. The medical team played a pivotal role in helping to implement the tool while educating and advocating for patients, aligning with Dorothy Orem’s Self-Care Deficit Nursing Theory. The project’s success highlighted the potential of systematic screening to bridge gaps in care delivery and improve health outcomes. By addressing an underdiagnosed condition such as OSA, the initiative demonstrated the critical contributions of nursing to preventive care and population health. Future recommendations included expanding systematic screening to other conditions that were often undiagnosed, examining the potential of nurse-led initiatives to scale, and utilizing advanced technologies to optimize workflow efficiency and data collection. This project aligned with the eight Doctor of Nursing Practice (DNP) Essentials, underscoring the role of nursing leaders in promoting evidence-based practices, encouraging teamwork, and addressing healthcare disparities. Keywords: obstructive sleep apnea, STOP-BANG tool, nurse-led intervention, preventive care, population health, patient education.