School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Sleep and Circadian Research Group, Woolcock Institute of Medical Research, Sydney, New South Wales, Australia.
J Adv Nurs. 2023 Jun;79(6):2236-2249. doi: 10.1111/jan.15577. Epub 2023 Feb 9.
To explore community nurses sleep health practices and their perspectives on improving sleep health care provision.
An exploratory study utilizing the qualitative description methodology.
Semi-structured interviews were conducted with community nurses from May 2019 - October 2021. Interviews were audio-recorded, transcribed, and subjected to an inductive thematic analysis using a constructivist-interpretive paradigm.
Twenty-three Australian community nurses were interviewed. Participants frequently encountered sleep disturbances/disorders in their patients. Data analysis yielded three main themes: (1) Sleep health in the community serviced, (2) sleep health awareness and management, and (3) community nurses' A to Z of improving sleep health. The most common sleep disorder presentations were insomnia and sleep apnea. Although most community sleep apnea cases were appropriately managed, insomnia was often mismanaged. Participants described their sleep health knowledge as deficient, with the majority advocating for increased sleep-related education tailored to their profession. Other important factors needed for improving sleep health provision were standardized patient treatment/referral pathways, increased interprofessional collaboration, and sufficient time for patient consults.
Community nurses service a patient population that requires increased sleep health care. However, they are currently underequipped to do so, leading to suboptimal treatment provision. Providing community nurses with the appropriate resources, such as increased sleep-related education and standardized treatment frameworks, could enable them to better manage sleep disturbance/disorder presentations, such as insomnia.
Little is known about how community nurses care for patients with sleep disturbance/sleep disorders. This study found that contemporary sleep health care was lacking due to knowledge deficits, competing challenges, and a need for standardized care pathways. These findings can inform the development of targeted education/training and standardized guidelines for community nurses providing sleep health care to patients as well as the design of future practice models of care provision.
Previous research by authors has involved extensive engagement with patients and health professionals, such as community pharmacists, general practitioners, and naturopaths who play a role in sleep health in the primary health care sector. These previous research projects built a significant understanding of the patient and health practitioner experience and have provided the background to the concept and design of this study.
探讨社区护士的睡眠健康实践以及他们对改善睡眠保健服务的看法。
利用定性描述方法进行的探索性研究。
2019 年 5 月至 2021 年 10 月，对社区护士进行了半结构式访谈。访谈进行了录音、转录，并采用建构主义-解释范式进行了归纳主题分析。
对 23 名澳大利亚社区护士进行了访谈。参与者经常在患者中遇到睡眠障碍/疾病。数据分析产生了三个主要主题：（1）社区服务中的睡眠健康，（2）睡眠健康意识和管理，以及（3）社区护士改善睡眠健康的 A 到 Z。最常见的睡眠障碍表现为失眠和睡眠呼吸暂停。尽管大多数社区睡眠呼吸暂停病例得到了适当的管理，但失眠症往往管理不当。参与者表示他们的睡眠健康知识不足，大多数人主张增加针对他们职业的睡眠相关教育。改善睡眠保健服务的其他重要因素包括标准化的患者治疗/转诊途径、增加跨专业合作以及为患者咨询提供足够的时间。
社区护士为需要更多睡眠保健的患者提供服务。然而，他们目前的能力不足，导致治疗效果不佳。为社区护士提供适当的资源，如增加睡眠相关教育和标准化治疗框架，可以使他们更好地管理失眠等睡眠障碍/疾病的表现。
对于社区护士如何照顾患有睡眠障碍/睡眠障碍的患者知之甚少。本研究发现，由于知识不足、竞争挑战和需要标准化护理途径，当代睡眠保健服务不足。这些发现可以为社区护士提供睡眠保健服务以及设计未来的护理服务提供模式提供针对性的教育/培训和标准化指南。
作者之前的研究涉及与患者和卫生专业人员的广泛接触，例如在初级卫生保健部门发挥作用的社区药剂师、全科医生和顺势疗法医生。这些先前的研究项目对患者和卫生从业者的经验有了深刻的了解，并为该研究的概念和设计提供了背景。
