Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study

Abstract Background Disturbed sleep among people living with dementia in nursing homes is widespread and is associated with diseases and all-cause mortality. This study examined the sleep of people living with dementia from their perspectives in nursing homes and that of the nurses who care for peop...

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Main Authors: Jonas Dörner, Johann-Moritz Hüsken, Kathrin Schmüdderich, Claudia Dinand, Martin N. Dichter, Margareta Halek
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04052-4
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author Jonas Dörner
Johann-Moritz Hüsken
Kathrin Schmüdderich
Claudia Dinand
Martin N. Dichter
Margareta Halek
author_facet Jonas Dörner
Johann-Moritz Hüsken
Kathrin Schmüdderich
Claudia Dinand
Martin N. Dichter
Margareta Halek
author_sort Jonas Dörner
collection DOAJ
description Abstract Background Disturbed sleep among people living with dementia in nursing homes is widespread and is associated with diseases and all-cause mortality. This study examined the sleep of people living with dementia from their perspectives in nursing homes and that of the nurses who care for people living with dementia. Methods A qualitative cross-sectional study was conducted. A total of 15 people living with dementia and 15 nurses in 11 German nursing homes were enrolled in this study. Data was collected between February and August 2021 through semistructured interviews, which were audio recorded and transcribed. Thematic analyses were performed by three independent researchers. Thematic mind maps and controversial findings were discussed with the Research Working Group of People with Dementia of the German Alzheimer Association. Results Thematic analysis identified five overarching themes from the nursing home participants regarding sleep patterns: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences of people living with dementia on sleep, (4) environmental factors on sleep, and (5) sleep strategies of people living with dementia. Analysis also identified five overarching themes from the nurses participants: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences on sleep, (4) environmental factors on sleep, and (5) interventions for sleep promotion. Conclusions The thematic analyses demonstrated that the perspectives of people living with dementia and nurses indicate the need to give more consideration to psychosocial factors and individual aspects of sleep in clinical practice. The results could also be helpful for the development of targeted assessment instruments and complex non-pharmacological interventions to promote sleep.
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spelling doaj.art-c01856c863014aec9e5648ee4edc168d2023-05-28T11:27:13ZengBMCBMC Geriatrics1471-23182023-05-0123111010.1186/s12877-023-04052-4Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview studyJonas Dörner0Johann-Moritz Hüsken1Kathrin Schmüdderich2Claudia Dinand3Martin N. Dichter4Margareta Halek5Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE)German Institute of Applied Nursing ResearchDeutsches Zentrum für Neurodegenerative Erkrankungen (DZNE)School of Nursing Science, Faculty of Health, Witten/Herdecke UniversityInstitute of Nursing Science, Medical Faculty and University Hospital of Cologne, University of CologneSchool of Nursing Science, Faculty of Health, Witten/Herdecke UniversityAbstract Background Disturbed sleep among people living with dementia in nursing homes is widespread and is associated with diseases and all-cause mortality. This study examined the sleep of people living with dementia from their perspectives in nursing homes and that of the nurses who care for people living with dementia. Methods A qualitative cross-sectional study was conducted. A total of 15 people living with dementia and 15 nurses in 11 German nursing homes were enrolled in this study. Data was collected between February and August 2021 through semistructured interviews, which were audio recorded and transcribed. Thematic analyses were performed by three independent researchers. Thematic mind maps and controversial findings were discussed with the Research Working Group of People with Dementia of the German Alzheimer Association. Results Thematic analysis identified five overarching themes from the nursing home participants regarding sleep patterns: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences of people living with dementia on sleep, (4) environmental factors on sleep, and (5) sleep strategies of people living with dementia. Analysis also identified five overarching themes from the nurses participants: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences on sleep, (4) environmental factors on sleep, and (5) interventions for sleep promotion. Conclusions The thematic analyses demonstrated that the perspectives of people living with dementia and nurses indicate the need to give more consideration to psychosocial factors and individual aspects of sleep in clinical practice. The results could also be helpful for the development of targeted assessment instruments and complex non-pharmacological interventions to promote sleep.https://doi.org/10.1186/s12877-023-04052-4DementiaSleepSleep disturbancesNursing homeQualitative studyThematic analysis
spellingShingle Jonas Dörner
Johann-Moritz Hüsken
Kathrin Schmüdderich
Claudia Dinand
Martin N. Dichter
Margareta Halek
Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
BMC Geriatrics
Dementia
Sleep
Sleep disturbances
Nursing home
Qualitative study
Thematic analysis
title Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
title_full Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
title_fullStr Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
title_full_unstemmed Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
title_short Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study
title_sort perspectives on sleep of people living with dementia in nursing homes a qualitative interview study
topic Dementia
Sleep
Sleep disturbances
Nursing home
Qualitative study
Thematic analysis
url https://doi.org/10.1186/s12877-023-04052-4
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