Abstract：
OBJECTIVE: 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.
METHODS: Integrative review.
METHODS: Medline, Embase and CINAHL databases from inception to September 2023.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
CONCLUSIONS: 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.
UNASSIGNED: Not applicable.
METHODS: Integrative review.
METHODS: Medline, Embase and CINAHL databases from inception to September 2023.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
CONCLUSIONS: 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.
UNASSIGNED: Not applicable.
摘要：
目的：确定，综合和评估注册护士（RN）知识的初步研究，居住在老年护理中的老年人对睡眠健康和睡眠健康管理的态度和信念。
方法：综合综述。
方法：Medline，Embase和CINAHL数据库从成立到2023年9月。
方法：使用组合关键词搜索数据库，主题标题术语。所有摘要和全文文章均由两名研究人员筛选。对纳入的文章进行了定性综合。归纳内容分析用于识别主题和分析数据。
结果：共筛选了923篇摘要，最终产生13篇文章。确定了三个主题：(I)睡眠障碍居民的RN体验，（ii）睡眠障碍对RN的情感负担，(iii)促进居民健康睡眠的组织障碍。不适当地使用苯二氮卓类药物和精神药物来管理居民的睡眠障碍是一个主要问题，并且在老年居民护理中缺乏促进睡眠的资源。有人担心护理活动会干扰居民的睡眠，并在促进睡眠和满足管理期望之间取得平衡具有挑战性。
结论：本综述认为，护士的决策在老年护理居民的睡眠健康管理中具有不可或缺的作用。虽然有基于证据的老年护理睡眠管理指南，缺乏翻译实践。了解RN的观点对于改善老年护理的睡眠健康模式至关重要。
结论：本综述发现，RN与睡眠障碍在老年护理中的影响相协调，但受到当前睡眠健康护理模式的制约。
■不适用。
方法：综合综述。
方法：Medline，Embase和CINAHL数据库从成立到2023年9月。
方法：使用组合关键词搜索数据库，主题标题术语。所有摘要和全文文章均由两名研究人员筛选。对纳入的文章进行了定性综合。归纳内容分析用于识别主题和分析数据。
结果：共筛选了923篇摘要，最终产生13篇文章。确定了三个主题：(I)睡眠障碍居民的RN体验，（ii）睡眠障碍对RN的情感负担，(iii)促进居民健康睡眠的组织障碍。不适当地使用苯二氮卓类药物和精神药物来管理居民的睡眠障碍是一个主要问题，并且在老年居民护理中缺乏促进睡眠的资源。有人担心护理活动会干扰居民的睡眠，并在促进睡眠和满足管理期望之间取得平衡具有挑战性。
结论：本综述认为，护士的决策在老年护理居民的睡眠健康管理中具有不可或缺的作用。虽然有基于证据的老年护理睡眠管理指南，缺乏翻译实践。了解RN的观点对于改善老年护理的睡眠健康模式至关重要。
结论：本综述发现，RN与睡眠障碍在老年护理中的影响相协调，但受到当前睡眠健康护理模式的制约。
■不适用。
