Redesigning nighttime care for personal care residents.

D. J. O'Rourke, K. S. Klaasen, Jeff A Sloan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This study investigated the effects of non-disruptive nighttime care for residents in a personal care setting. The sample consisted of 18 personal care home residents in an urban, 388-bed, long-term care facility located in Winnipeg, Manitoba, Canada. The study used a quasi-experimental, single-arm design, exposing all residents to both intervention and control conditions. Independent variables were the current nighttime routine of regular rounds to turn and change residents, and a non-disruptive plan of care in which residents were checked hourly by staff and necessary care was provided when they were awake. Outcome variables included total sleep from evening bedtime to morning awakening, longest period of uninterrupted sleep at night, amount of time spent sleeping during the day, self-reported restfulness of cognitively intact residents, and skin condition. Findings suggested that the non-disruptive nighttime care routine increased total sleep by an average of 30 minutes a night for each resident. The amount of uninterrupted sleep increased by approximately 45 minutes with the new routine. No significant differences were noted in the amount of time spent sleeping during the day. There was no evidence of skin breakdown during any phase of the study. Clinical implications of this study demonstrate a need for gerontological nurses to re-evaluate nighttime care routines in personal care settings.

Original languageEnglish (US)
Pages (from-to)30-37
Number of pages8
JournalJournal of Gerontological Nursing
Volume27
Issue number7
StatePublished - Jul 2001
Externally publishedYes

Fingerprint

Sleep
Manitoba
Skin
Long-Term Care
Home Care Services
Canada
Nurses

ASJC Scopus subject areas

  • Gerontology

Cite this

Redesigning nighttime care for personal care residents. / O'Rourke, D. J.; Klaasen, K. S.; Sloan, Jeff A.

In: Journal of Gerontological Nursing, Vol. 27, No. 7, 07.2001, p. 30-37.

Research output: Contribution to journalArticle

O'Rourke, DJ, Klaasen, KS & Sloan, JA 2001, 'Redesigning nighttime care for personal care residents.', Journal of Gerontological Nursing, vol. 27, no. 7, pp. 30-37.
O'Rourke, D. J. ; Klaasen, K. S. ; Sloan, Jeff A. / Redesigning nighttime care for personal care residents. In: Journal of Gerontological Nursing. 2001 ; Vol. 27, No. 7. pp. 30-37.
@article{d4e338007857404991282c751a14e754,
title = "Redesigning nighttime care for personal care residents.",
abstract = "This study investigated the effects of non-disruptive nighttime care for residents in a personal care setting. The sample consisted of 18 personal care home residents in an urban, 388-bed, long-term care facility located in Winnipeg, Manitoba, Canada. The study used a quasi-experimental, single-arm design, exposing all residents to both intervention and control conditions. Independent variables were the current nighttime routine of regular rounds to turn and change residents, and a non-disruptive plan of care in which residents were checked hourly by staff and necessary care was provided when they were awake. Outcome variables included total sleep from evening bedtime to morning awakening, longest period of uninterrupted sleep at night, amount of time spent sleeping during the day, self-reported restfulness of cognitively intact residents, and skin condition. Findings suggested that the non-disruptive nighttime care routine increased total sleep by an average of 30 minutes a night for each resident. The amount of uninterrupted sleep increased by approximately 45 minutes with the new routine. No significant differences were noted in the amount of time spent sleeping during the day. There was no evidence of skin breakdown during any phase of the study. Clinical implications of this study demonstrate a need for gerontological nurses to re-evaluate nighttime care routines in personal care settings.",
author = "O'Rourke, {D. J.} and Klaasen, {K. S.} and Sloan, {Jeff A}",
year = "2001",
month = "7",
language = "English (US)",
volume = "27",
pages = "30--37",
journal = "Journal of Gerontological Nursing",
issn = "0098-9134",
publisher = "Slack Incorporated",
number = "7",

}

TY - JOUR

T1 - Redesigning nighttime care for personal care residents.

AU - O'Rourke, D. J.

AU - Klaasen, K. S.

AU - Sloan, Jeff A

PY - 2001/7

Y1 - 2001/7

N2 - This study investigated the effects of non-disruptive nighttime care for residents in a personal care setting. The sample consisted of 18 personal care home residents in an urban, 388-bed, long-term care facility located in Winnipeg, Manitoba, Canada. The study used a quasi-experimental, single-arm design, exposing all residents to both intervention and control conditions. Independent variables were the current nighttime routine of regular rounds to turn and change residents, and a non-disruptive plan of care in which residents were checked hourly by staff and necessary care was provided when they were awake. Outcome variables included total sleep from evening bedtime to morning awakening, longest period of uninterrupted sleep at night, amount of time spent sleeping during the day, self-reported restfulness of cognitively intact residents, and skin condition. Findings suggested that the non-disruptive nighttime care routine increased total sleep by an average of 30 minutes a night for each resident. The amount of uninterrupted sleep increased by approximately 45 minutes with the new routine. No significant differences were noted in the amount of time spent sleeping during the day. There was no evidence of skin breakdown during any phase of the study. Clinical implications of this study demonstrate a need for gerontological nurses to re-evaluate nighttime care routines in personal care settings.

AB - This study investigated the effects of non-disruptive nighttime care for residents in a personal care setting. The sample consisted of 18 personal care home residents in an urban, 388-bed, long-term care facility located in Winnipeg, Manitoba, Canada. The study used a quasi-experimental, single-arm design, exposing all residents to both intervention and control conditions. Independent variables were the current nighttime routine of regular rounds to turn and change residents, and a non-disruptive plan of care in which residents were checked hourly by staff and necessary care was provided when they were awake. Outcome variables included total sleep from evening bedtime to morning awakening, longest period of uninterrupted sleep at night, amount of time spent sleeping during the day, self-reported restfulness of cognitively intact residents, and skin condition. Findings suggested that the non-disruptive nighttime care routine increased total sleep by an average of 30 minutes a night for each resident. The amount of uninterrupted sleep increased by approximately 45 minutes with the new routine. No significant differences were noted in the amount of time spent sleeping during the day. There was no evidence of skin breakdown during any phase of the study. Clinical implications of this study demonstrate a need for gerontological nurses to re-evaluate nighttime care routines in personal care settings.

UR - http://www.scopus.com/inward/record.url?scp=0035411488&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035411488&partnerID=8YFLogxK

M3 - Article

C2 - 11817458

AN - SCOPUS:0035411488

VL - 27

SP - 30

EP - 37

JO - Journal of Gerontological Nursing

JF - Journal of Gerontological Nursing

SN - 0098-9134

IS - 7

ER -