Sleep quality assessment of adults in care settings using non-wearable sleep trackers: Scoping review

Abstract

Aims: This review aimed to explore and map the literature on sleep quality assessments of adults in care settings using non-wearable sleep trackers.

Background: Sleep-monitoring technology is advancing, and sleep quality assessments using non-wearable sleep trackers can provide objective evidence for quality care.

Design: This was a scoping review.

Data sources: Four electronic databases (PubMed, CINAHL, PsycInfo and Embase) were searched on 23 September 2022.

Review methods: This review followed the Joanna Briggs Institute's methodology and used the PRISMA-ScR checklist.

Results: Thirty studies met our inclusion criteria. Sleep quality was assessed at home and in acute, non-acute and long-term care facilities. Physiological (heart rate and respiratory rate) and sleep parameters were assessed alone or in combination during patient care using non-wearable sleep trackers. Sleep parameters representing sleep quality varied across studies. Real-time monitoring with non-wearable sleep-tracking devices effectively shortened the length of hospital stay. However, studies investigating caregivers and nursing outcomes are lacking in the literature.

Conclusion: Sleep quality assessments using non-wearable sleep trackers may facilitate the provision of quality care in home-based and clinical care settings. Future studies should focus on caregivers and care outcomes that could contribute to evidence-based nursing practice for sleep care in adults.

Keywords: actigraphy; adult; monitoring; nursing; review; sleep; sleep quality; technology.