O074 “We just have to be there; we just have to listen”: Experiences of staff supporting older adults with sleep disturbances in aged residential care

Abstract Introduction Deterioration of sleep is acknowledged as a key factor associated with older adults, particularly those with dementia, (transitioning into formal care. However, further research is required concerning sleep status within such facilities. Methods Semi-structured interviews were conducted with 11 Care Partners from two New Zealand care homes. Interviews covered types of sleep disturbances encountered; the impact of sleep disturbances for residents, co-residents, staff and wider networks; and strategies for supporting sleep. Recordings were transcribed, coded, and analysed thematically. Results Many sleep ‘disturbances’ were not considered abnormal in the context of aged care. These included confusion between night and day, fatigue associated with illness, continence needs, and/or confusions or hallucinations at night. Sleeplessness was largely discussed in relation to residents feeling lonely, confused, or depressed as well as fears around falling asleep. The challenge of moving into a new living and sleeping environment was also raised as key, along with the ‘domino affect’ that sleep disturbances can have for other residents. Strategies to support sleep (and wakefulness) were presented in relation to key frameworks around person-centred care. This included acknowledging residents’ sleep and routine preferences whilst balancing opportunities for social connection, maintaining regular fluid and nutritional needs, and reducing the risk of falls. Overarching was the sense of being patient and present for the residents ‘around the clock’. Discussion Findings provide psychosocial insights into the nature of sleep in the context of aged care. Highlighting staff’s beliefs and attitudes around problematic sleep, current strategies, and future needs.