Gordon Christopher J, Fernandez Tracee, Chen Emily, Basheti Mariam, Rahimi Matthew, Saini Bandana
Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, Sydney, New South Wales, Australia.
J Adv Nurs. 2025 Jan;81(1):20-34. doi: 10.1111/jan.16249. Epub 2024 May 31.
To identify, synthesize and evaluate primary research on registered nurses' (RN) knowledge, attitudes and beliefs about sleep health and sleep health management of older adults living in residential aged care.
Integrative review.
Medline, Embase and CINAHL databases from inception to September 2023.
Databases were searched using a combination of key words, subject heading terms. All abstracts and full-text articles were screened by two researchers. Qualitative synthesis of the included articles was conducted. Inductive content analysis was used to identify themes and analyse data.
A total of 923 abstracts were screened resulting in a final yield of 13 articles. Three themes were identified: (i) RN experience with sleep-disturbed residents, (ii) the emotional burden of sleep disturbances on RN and, (iii) organizational barriers to promoting resident's healthy sleep. Inappropriate administration of benzodiazepines and psychotropic drugs to manage residents' sleep disturbances was a major issue and lack of resources in residential aged care to facilitate sleep. There were concerns on nursing activity that disturbed residents' sleep and striking a balance between facilitating sleep and meeting managerial expectations was challenging.
This review identified that nurses' decision-making has an integral role in the management of sleep health in residents in aged care. Whilst evidence-based guidelines for managing sleep in residential aged care are available, there is a lack of translation to practice. Understanding RN perspectives is critical to improving sleep health models of care in residential aged care.
This review found that RN are attuned to the implications of sleep disturbance in residential aged care but are constrained by current sleep health models of care.
Not applicable.
识别、综合并评估关于注册护士对居住在老年护理机构中的老年人睡眠健康及睡眠健康管理的知识、态度和信念的原始研究。
综合综述。
自建库至2023年9月的Medline、Embase和CINAHL数据库。
使用关键词和主题词相结合的方式检索数据库。所有摘要和全文文章由两名研究人员进行筛选。对纳入的文章进行定性综合。采用归纳性内容分析法识别主题并分析数据。
共筛选了923篇摘要，最终纳入13篇文章。确定了三个主题：（i）注册护士对睡眠受扰居民的护理经验；（ii）睡眠障碍给注册护士带来的情感负担；（iii）促进居民健康睡眠的组织障碍。不恰当地使用苯二氮䓬类药物和精神药物来处理居民的睡眠障碍是一个主要问题，并且老年护理机构缺乏促进睡眠的资源。人们担心护理活动会干扰居民睡眠，并且在促进睡眠和满足管理期望之间取得平衡具有挑战性。
本综述表明，护士的决策在老年护理机构居民睡眠健康管理中起着不可或缺的作用。虽然有基于证据的老年护理机构睡眠管理指南，但缺乏向实践的转化。了解注册护士的观点对于改善老年护理机构的睡眠健康护理模式至关重要。
本综述发现，注册护士意识到老年护理机构中睡眠障碍的影响，但受到当前睡眠健康护理模式的限制。
不适用。
