Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review\

Koch, Susan, Haesler, Emily, Tiziani, Adriana and Wilson, Jacinda L. (2006) Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review\. Journal of Clinical Nursing, 15 10: 1267-1275. doi:10.1111/j.1365-2702.2006.01385.x


Author Koch, Susan
Haesler, Emily
Tiziani, Adriana
Wilson, Jacinda L.
Title Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review\
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
1365-2702
Publication date 2006-10-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2006.01385.x
Open Access Status Not Open Access
Volume 15
Issue 10
Start page 1267
End page 1275
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Aims and objectives: The objectives of this systematic review were to determine the most effective tools for the assessment and diagnosis of sleep problems, as well as identify the most effective strategies for the promotion of sleep within this population.

Background: Experiencing reduced sleep quality is often associated with normal ageing, however this may be exacerbated for residents of aged care facilities. External factors such as noise, light and night-time nursing may impact negatively upon sleeping patterns.

Methods: Eleven electronic databases and the reference lists and bibliographies of included studies were searched. Papers were grouped according to type of intervention or assessment tool and presented in a narrative summary.

Conclusions: The review identified many interventions to promote sleep. Multidisciplinary strategies such as combining a reduction in environmental noise, reduction of night-time nursing care and promotion of daytime activity, are likely to be most effective for promoting sleep in the population of interest. The use of sedating medications is cautioned, as their long-term efficacy in promoting sleep is questionable. Wrist actigraphy was found to be the most accurate objective sleep assessment tool. Relevance to clinical practice. Lack of sleep, disturbed sleep and the overuse of medications especially sedations reduce the quality of life for older people. Effective, safe sleep interventions should be promoted and practised by nurses.
Keyword Nursing
Older people
Sleep assessment
Sleep promotion
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 19 Dec 2013, 21:40:23 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work