This paper examines the measurement of sleep in nursing care settings, within the context of a pilot study which aimed to assess the effect of therapeutic back massage by nurses on the quality and pattern of sleep in older people in nursing homes and a community hospital. Sleep is an important factor in effective recovery and rehabilitation from illness and for the quality of life of older people in care settings. Issues are raised concerning the measurement of the sleep of older people for the purposes of evaluation research. New instruments are introduced, some building on existing tools. The value of self-reported and observed sleep data are discussed. Issues of the feasibility and rigour of these instruments are examined and recommendations are made for their further refinement and use.
Ancoli-Israel, S. , Kripe, D.F. , Mason, W. (1985) Sleep apnea and periodic measurements in an ageing sample . Journal of GerontologyQ40:4, 419-425 .
3.
Bahr, R.T. , Gress, L. (1985) The 24-hour cycle: rhythms of healthy sleep -Developing nursing strategies . Journal of Gerontological Nursing11:4, 14-17 .
4.
Becker, P.M. , Jamieson, A.U. (1992) Common sleep disorders in the elderly: Diagnosis and treatment . Geriatrics47: 41-52 .
5.
Bootzin, R.R. , Engle-Friedman, M. (1981) The assessment of insomnia . Behavioral Assessment3: 107-126 .
6.
Brabbins, C.J. , Dewey, M.E. , Copeland, J.R.M. , (1993) Insomnia in the elderly: Prevalence, gender differences and relationships with morbidity and mortality . International Journal of Geriatric Psychiatry8: 473-480 .
7.
Campbell, D.T. , Stanley, J.C. (1963) Experimental and Quasi-experimental Designs for Research. Boston: Houghton Mifflin Company .
8.
Clapin-French, E. (1986) Sleep patterns of aged persons in long-term care facilities . Journal of Advanced Nursing11: 57-66 .
9.
Closs, J. (1988a) Patients' sleep-wake rhythms in hospital (part 1) . Nursing Times 84:1, 48-50 .
10.
Closs, J. (1988b) A Nursing Study of Sleep on Surgical Wards. Report prepared for the Scottish Home and Health Department, available from the Nursing Research Unit, Department of Nursing Studies, University of Edinburgh .
11.
Coates, T.J. , Killen, J.D. , George, J. , et al. (1982) Estimating sleep parameters: A multitrait-multimethod analysis . Journal of Consulting and Clinical Psychology50: 3, 345-352 .
12.
Drew-Cooper, M. (1996) Can massage substitute for pharmacological sedation?Massage, Spring, 5-6 . [The official journal of the Massage Therapy Institute of Great Britain.]
13.
Dunn, C. , Sleep, J. , Collett, D. (1995) Sensing an improvement: An experimental study to evaluate the use of aromatherapy, massage and periods of rest in an intensive care unit . Journal of Advanced Nursing21: 34-40 .
14.
Ellis, B.W. , Johns, M.W. , Lancaster, R. (1981) The St. Mary's Hospital Sleep Questionnaire: A study of reliability . Sleep4: 1, 93-97 .
15.
Ersser, S.J. , Bentley, T. , Chappell, S. , et al. (1998) Sleep of Older People in Nursing Care Settings and the Impact of Back Massage on Sleep. A pilot study. A report by the Oxford Centre for Healthcare Research & Development (OCHRAD), Oxford Brookes University, 1998 (unpublished). Available from OCHRAD, Oxford Brookes University, 44 London Road, Headington, Oxford OX3 7PD .
16.
Foley, D.J. , Monjan, A.A. , Brown, S.L. , et al. (1995) Sleep complaints among elderly persons: An epidemiological study of three communities . Sleep18:6, 425-432 .
17.
Fraser, J. , Ross-Kerr, J. (1993) Psychophysiological effects of back massage on elderly institutionalised patients . Journal of Advanced Nursing18: 238-245 .
18.
Hayter, J. (1985) To nap or not to nap?Geriatric Nursing6: 104-106 .
19.
Jacobs, D. (1989) Twenty-four hour sleep-wake patterns in a nursing home population . Psychology and Ageing4:3, 352-356 .
20.
Johnston, J.E. (1994) Sleep problems in the elderly . Journal of the American Academy of Nurse Practitioners6: 161-166 .
21.
Miles, L.E. , Dement, W.C. (1980) Objective sleep patterns in elderly men and women . Sleep3:2, 131-150 .
22.
Monane, M. (1992) Insomnia in the elderly . Journal of Clinical Psychiatry53: 23-29 .
23.
Morgan, K. (1987) Sleep and Ageing. London: Croom Helm .
24.
Morin, C.M. , Gramling, S.E. (1989) Sleep patterns and ageing: Comparison of older adults with and without insomnia complaints . Psychology and Ageing4:3, 290-294 .
25.
Oswald, I. (1984) Good, poor and disordered sleep. In: Priest, R.G. (ed.) Sleep: An international monograph18-24. London: Update Books .
26.
Pollack, C.P. , Perlick, D. (1991) Sleep problems and institutionalisation of the elderly . Journal of Geriatric Psychiatry and Neurology4: 204-210 .
27.
Pollack, C.P. , Perlick, D. , Linsner, J.P. (1992) Daily sleep reports and circadian rest-activity cycles of elderly community residents with insomnia . Biological Psychiatry32: 1019-1027 .
28.
Pressman, M.R. , Fry, J.M. (1988) What is normal sleep in the elderly?Clinics in Geriatric Medicine4: 71-81 .
29.
Prinz, P.N. , Vitiello, M.V. , Raskind, M.A. (1990) Geriatrics: Sleep disorders and ageing . New England Journal of Medicine323:8, 520-526 .
30.
Regestein, Q.R. , Morris, J. (1987) Daily sleep patterns observed among institutionalised elderly residents . Journal of the American Geriatric Society35: 767-772 .
31.
Riedel, B.W. , Lichstein, K.L. , Dwyer, W.O. (1995) Sleep compression and sleep education for older insomniacs: Self-help versus therapist guidance . Psychology and Ageing10: 1, 54-63 .
32.
Shapiro, C. , Flanigan, M. (1993) Function of sleep . British Medical Journal306: 383-385 .
33.
Tetley, J. (1996) The place of massage in long term care institutions for the elderly . MassageSpring, 9 . [The official journal of the Massage Therapy Institute of Great Britain.]
34.
Vickers, A. (1996) Massage and Aroma therapy-A guide for health professionals. London: Chapman and Hall .
35.
Webb, W.B. (1965) Sleep characteristics of human subjects . Bulletin of the British Psychological Society18: 1-10 .
36.
Webb, W.B. (1989) Age-related changes in sleep . Clinics in Geriatric Medicine5: 2, 275-287 .
