Health Of Residents Research Articles

Poverty Traps and Mortality From Liver Diseases in the United States.

Poverty traps, locations with multigenerational poverty, result from structural and economic factors that can affect health of residents within these locations. The aim of this study was to define poverty traps within the contiguous United States and their impact on outcomes from liver diseases or cancers. A systematic census-tract level analysis was used to spatially define regions that encompassed poverty traps. Clusters of prevalent poverty and mortality from chronic liver diseases or liver cancers were identified. Temporal trends and the relationship between race and ethnicity, type of space and escape from poverty traps on disease mortality within hot spots were determined. The proportion of census tracts enduring multigenerational poverty within counties was strongly associated with mortality from liver disease or cancer. There was a highly significant clustering of persistent poverty and increased mortality. Hot spots of high-mortality areas correlated with factors related to income, ethnicity, and access to health care. Location or noneconomic individual factors such as race and ethnicity were important determinants of disparities within hot spots. Distinct groups of poverty traps were defined. The highly characteristic demographics and disease outcomes within each of these groups underscored the need for location-specific interventions. Poverty traps are a major and important spatially determined risk factor for mortality from liver diseases and cancers. Targeted location-specific interventions and economic development aimed at addressing the underlying causes of poverty and enhancing prosperity will be required to reduce mortality from liver diseases within poverty traps.

Aerodynamic parameters of buildings at different floors in the immediate vicinity

AbstractThe immediate vicinity of buildings of different floors causes damages of the smoke and ventilation channels work of the low-rise buildings. This is dangerous for the resident's health and lives. To determine the impact of high-rise buildings on the operation of air channels of a nearby two-story building, experimental research has been carried out in a wind tunnel. Charts and analytical formulas have been designed for determining the buildings aerodynamic coefficients depending on wind directions and the channels height. An increase of the channel height results in an increase in static rarefaction in smoke and ventilation channels. Increasing rarefaction increases the efficiency of the natural ventilation system and ensures the residents health and life.

Item response theory in building environment engineering: A novel approach to identifying key residential environment items

The residential environment significantly influences residents’ health, quality of life, and well-being. Therefore, it is essential to assess the residential environment and implement improvement measures when problems are identified. In this context, the use of assessment tools such as BREEAM, LEED, and CASBEE has increased rapidly in recent years. Identifying key items with these assessment tools is crucial for prioritizing improvements to residential environment. This study introduces the novel application of item response theory (IRT) to building environment engineering data in order to identify key items from the CASBEE Residential Health Checklist. The strength of IRT lies in its ability to consider variations in scores for each item and the relative relationships between items, thereby enabling the identification of significantly influential key items. Examining Japanese residences, IRT identified 6 environmental items and 7 spatial items from a total of 44 items in the CASBEE Residential Health Checklist. Additionally, these environmental and spatial components were ranked by their explanatory power for the overall assessment of the residential environment. These findings contribute to prioritizing improvements in residential environments and provide a brief assessment method. IRT can be applied to other regions and building types, potentially enabling the identification of key items unique to each case. Thus, IRT is a versatile method with broad applicability for identifying key items in residential environment assessments.

The effectiveness of multidisciplinary interventions based on health belief model on musculoskeletal pain in the elderly living in nursing homes: a study protocol for a randomized controlled trial

BackgroundDue to the burden of musculoskeletal diseases in the elderly and the multifactorial nature of such conditions, controlling the pain caused by these disorders requires multidisciplinary approach. This approach requires the participation of the elderly in applying effective prevention measures. This study aims to design a multidisciplinary educational intervention based on health belief model (HBM) for elderly residents of nursing homes.MethodsThis is a parallel randomized clinical trial among elderly people aged 60 years and over living in a nursing home who suffer from musculoskeletal pain. Eligible participants will be divided into two groups including the intervention group who will receive a multidisciplinary intervention (vitamin D consumption, psycho-social stress management, and physiotherapy) and the control group who will receive usual care. Data collection instruments will include demographic data, the Depression, Anxiety, and Stress Scale (DASS), the visual analogue scale (VAS), and a self-designed questionnaire containing the HBM constructs. The interventions will be carried out by the educational team (general practitioner, psychologist, physiotherapist, and health education specialist). Interventions include changing the wrong beliefs of the elderly, taking 800 units of vitamin D daily, daily walking exercise by the elderly for at least 30 min and maintaining proper body posture during daily activities, muscle relaxation, relaxation techniques, regular exercise, examining their diet and eliminating stimulants (such as smoking and coffee), regular visits with friends and family, and deep breathing techniques. All questionnaires will be completed by the elderly before, after, 3, and 6 months after the intervention.DiscussionThe present study will evaluate the effect of an educational intervention based on a multifaceted pain control approach for elderly people who reside in nursing homes in order to reduce musculoskeletal pain in the elderly living in nursing homes. One of the features of this study is its focus on improving the health of elderly residents in nursing homes. Given the increase in the elderly population worldwide, the findings from the current trial might benefit elderly populations.Trial registrationIRCT20220904055881N1. Registered on 11 February 2023.

Assessing the risks associated with indoor and outdoor air quality in relation to the geographic placement of nursing home

Indoor air quality significantly impacts the well-being and health of elderly residents in nursing homes. This study was conducted to explore the connection between indoor and outdoor PM (Particulate Matter) concentrations in nursing homes and their association with the facilities' location and construction characteristics. The findings revealed that indoor PM2.5 and PM10 concentrations ranged from 0.2 to 124 μg/m3 and 2–188.4 μg/m3, respectively, which were approximately 12.67 and 1.25 times higher than their outdoor counterparts. A strong correlation (P < 0.05) was identified between indoor PM levels and various factors, including proximity to parks, passenger terminals, and gas stations, as well as building attributes such as single-glazed windows, ceramic floor coverings, and the use of radiators. The risk assessment indicated that carcinogenic risk factors were well within acceptable limits for all nursing homes. However, it's important to note that certain PM components, particularly polycyclic aromatic hydrocarbons (PAH), may have long-term adverse effects on the health of nursing home residents. Even though indoor PM levels met the standards established by the U.S. Environmental Protection Agency (USEPA) for particulate matter risk assessments, the study emphasized that even low levels of indoor air pollutants can affect the health and well-being of older adults, particularly considering the increased vulnerability associated with aging. Consequently, the study underscores the importance of nursing home location selection and the regular monitoring of particulate matter concentrations. These measures are essential for enhancing air quality within nursing homes, ultimately contributing to the improved well-being and health of their residents.

Visitors' recreational & leisure experiences in urban river corridors? A case study of Hutuo River in Shijiazhuang, China

Various physical environmental factors influence the recreational experience of urban river corridors, and understanding visitors' perceptions of these factors holds significant implications for promoting the health and well-being of urban residents. This study specifically focuses on the Hutuo River corridor in Shijiazhuang, China, and conducted a semi-structured questionnaire survey with 620 participants. The findings reveal that visitors mainly come here to socialize with family and friends in a natural environment and escape the city's hustle and bustle. Safety, management and maintenance, and overall conditions are the primary features visitors are concerned about in their experience. When addressing usage constraints, visitors highlight accessibility issues, including traffic congestion and overcrowding. Additional limitations encompass deficiencies in physical facilities, such as shortages of shared bicycles, convenience amenities, fitness facilities, and services catering to vulnerable groups. Moreover,challenges include unavailable toilet services and insufficient shaded areas along the riverbanks. Sociodemographic attributes such as gender, age, marital status,education level, monthly income, and residential distance significantly influence the recreational experience of urban river corridors, emphasizing the importance of considering diversity in urban planning and design. By comprehensively exploring the dynamics of urban river corridor utilization from a social-ecological perspective, our study's findings offer insights relevant to future design and maintenance endeavors.

Numerical Analysis of the Effects of Different Window-Opening Strategies on the Indoor Pollutant Dispersion in Street-Facing Buildings

The idling of automobiles at street intersections can lead to pollutant accumulation which impacts the health of residents in street-facing buildings. Previous research focused on pollutant dispersion within street canyons and did not consider the coupling of indoor and outdoor pollutants. This paper employs the computational fluid dynamics (CFD) method to simulate the dispersion characteristics of vehicle emission pollutants in street canyons, primarily investigating the indoor and outdoor pollutant dispersion patterns under various window opening configurations (single-sided ventilation, corner ventilation, and different positions of the glass under corner ventilation). Additionally, the study considers the impacts of the aspect ratio and ambient wind speed. Studies have shown that corner ventilation is effective in reducing indoor pollutant levels. When the two window glass positions are far away from the center of the intersection, the average CO mass fraction in the single-sided ventilation room is reduced by 87.1%. The average indoor CO mass fraction on the leeward side decreases with the increasing wind speed and aspect ratio. At a wind speed of 8 m/s, the average indoor CO mass fraction on the leeward side decreases to 2.45 × 10−8. At an aspect ratio of 2, the indoor CO mass fraction on the leeward side decreases with increasing floors before stabilizing at approximately 4.77 × 10−9. This study suggests optimal window opening strategies to reduce indoor pollutant levels in street-facing buildings at street intersections, offering guidance to indoor residents on window ventilation practices.

Advance Directives Change Frequently in Nursing Home Residents

ObjectivesTo describe the rate, timing, and pattern of changes in advance directives (ADs) of do not resuscitate (DNR) and do not hospitalize (DNH) orders among new admissions to nursing homes (NHs). DesignA retrospective cohort study. Setting and ParticipantsAdmissions to all publicly funded NHs in Ontario, Canada, between January 1, 2013, and December 31, 2017. MethodsResidents were followed until discharged from incident NH stay, death, or were still present at the end of study (December 31, 2019). They were categorized into 3 mutually exclusive baseline composite AD groups: Full Code, DNR Only, and DNR+DNH. We used Poisson regression models to estimate the incidence rate ratios of AD change between different AD groups and different decision makers for personal care, adjusted for baseline clinical and sociodemographic variables. ResultsA total of 102,541 NH residents were eligible for inclusion. Residents with at least 1 AD change accounted for 46% of Full Code, 30% of DNR Only, and 25% of DNR+DNH group. Median time to first AD change ranged between 26 and 55 weeks. For Full Code and DNR Only residents, the most frequent change was to an AD 1 level lower in aggressiveness or intervention, whereas for DNR+DNH residents the most frequent change was to DNR Only. About 16% of residents had 2 or more AD changes during their stay. After controlling for covariates, residents with a DNR-only order or DNR+DNH orders at admission and those with a surrogate decision maker were associated with lower AD change rates. Conclusions and ImplicationsMeasuring AD adherence rates that are documented only at a particular time often underestimates the dynamics of AD changes during a resident's stay and results in an inaccurate measure of the effectiveness of AD on resident care. There should be more frequent reviews of ADs as they are quite dynamic. Mandatory review after an acute change in a resident's health would ensure that ADs are current.

Spatiotemporal Pattern and Influencing Factors of Thermal Environment Based on SEM Model: A Case Study in Xi'an Metropolitan Area

The urban thermal environment is an important indicator for evaluating the ecological environment of a city. It directly affects the health of residents and the sustainable development of the urban economy. However, there is currently a lack of analysis on the impact pathways of the thermal environment considering both natural and human factors. Based on the MODIS MYD11A2 land surface temperature data, meteorological data, and human activity data of Xi'an metropolitan area in 2020, ArcGIS spatial geostatistical analysis was used to study the temporal and spatial distribution pattern of the thermal environment in different seasons, and redundancy analysis was utilized to select the main factors affecting the thermal environment. Then, structural equation modeling was used to quantify the direct and indirect effects of the dominant factors on the urban thermal environment. The results showed that:① The surface temperature in the Xi'an urban area showed a spatial pattern of higher temperatures in the north and lower temperatures in the south, with a decrease in temperature from the city center to the surrounding areas. The most severe heat environment pollution occurred in the summer. ② The redundancy analysis (RDA) results indicated that the main factors that affected the thermal environment were air temperature, impermeable surfaces, vegetation, and precipitation. ③ The results of the structural equation modeling (SEM) indicated that meteorological, surface, and anthropogenic factors affected the urban thermal environment mainly through direct pathways, which were much more important than all indirect pathways. Factors such as temperature, impervious surfaces, and point of interest density had a significant positive effect on the thermal environment (0.10 and 0.33). On the other hand, factors such as water bodies, precipitation, and vegetation had a significant negative effect on the thermal environment (-0.29 and -0.25). Human activities had a greater direct impact on nocturnal surface temperatures than surface and meteorological factors. Increasing economic efficiency is beneficial for mitigating the urban heat island effect. The results of the study can provide a reference for studying local climate change in urban heat islands and for the construction of green and ecologically livable urban environments.

The impact of decentralization of health services at the municipal level on health outcomes: evidence from China.

Under the system of health decentralization, there are differences in the level of expenditure decentralization at different levels of government, and their impact on residents' health may also be different. This paper is one of the first to evaluate the effect of decentralization of health services at the municipal level from a multi-dimensional health perspective. This paper uses the data of expenditure decentralization of health services at the municipal level to match the panel data from the China Household Panel Survey (CFPS) from 2010 to 2018, and uses the logit model, ordered logit model and two-way fixed effects model to empirically analyze the impact of health decentralization at the municipal level on health outcomes. Based on the perspective of multi-dimensional health, from the three aspects of physical health, depression status and cognitive ability, the six sub-indicators of self-rated health, BMI standards, depression scores (summation method), depression scores (factor method), phrase test scores and mathematics test scores are discussed separately. The results show that the decentralization of health services at the municipal level has a significant promotion effect on the multi-dimensional health of residents. The decentralization of health services at the municipal level has important theoretical significance for promoting the reasonable division of medical and health powers and expenditure responsibilities between provincial and municipal governments, improving the efficiency of health expenditure funds, and establishing a fiscal system that matches financial resources.

Household health and medical care consumption decisions considering intertemporal uncertainty

To assist residents in exploring the optimal household health and medical care consumption decision-making strategies in an intertemporal uncertain environment, a consumption decision model based on a three-dimensional (3D) path planning PSO-GA-ACO was constructed. The results showed significant differences in the average optimal paths for household health and medical care consumption decisions among residents with different consumption preferences during the three different periods of the Covid-19 pandemic. During the Covid-19 period, the gap in household health and medical care consumption narrowed among residents with different consumption preferences, especially between steady and impulsive consumers. When comparing the post-Covid-19 period with the pandemic period, the monthly health and medical care consumption amounts decreased for both conservative and impulsive consumers, while it continued to rise for steady consumers. The 3D path planning PSO-GA-ACO algorithm improved the speed and accuracy of searching for optimal solutions and better described the decision-making behavior of household health and medical consumption compared to the traditional 3D path planning algorithms PSO, GA, and ACO. This study not only provides optimal household health and medical care consumption decision-making strategies for residents facing complex and uncertain environments but also offers scientific evidence for healthcare manufacturers and suppliers to take effective production and supply actions.

Urban environmental monitoring and health risk assessment introducing a fuzzy intelligent computing model.

To enhance the precision of evaluating the impact of urban environments on resident health, this study introduces a novel fuzzy intelligent computing model designed to address health risk concerns using multi-media environmental monitoring data. Three cities were selected for the study: Beijing (B City), Kunming (K City), and Wuxi (W City), representing high, low, and moderate pollution levels, respectively. The study employs a Fuzzy Inference System (FIS) as the chosen fuzzy intelligent computing model, synthesizing multi-media environmental monitoring data for the purpose of urban health risk assessment. (1) The model reliably estimates health risks across diverse cities and environmental conditions. (2) There is a positive correlation between PM2.5 concentrations and health risks, though the impact of noise levels varies by city. In cities B, K, and W, the respective correlation coefficients are 0.65, 0.55, and 0.7. (3) The Root Mean Square Error (RMSE) values for cities B, K, and W, are 0.0132, 0.0125, and 0.0118, respectively, indicating that the model has high accuracy. The R2 values for the three cities are 0.8963, 0.9127, and 0.9254, respectively, demonstrating the model's high explanatory power. The residual values for the three cities are 0.0087, 0.0075, and 0.0069, respectively, indicating small residuals and demonstrating robustness and adaptability. (4) The model's p-values for the Indoor Air Quality Index (IAQI), Thermal Comfort Index (TCI), and Noise Pollution Index (NPI) all satisfy p < 0.05 for the three cities, affirming the model's credibility in estimating health risks under varied urban environments. These results showcase the model's ability to adapt to diverse geographical conditions and aid in the accurate assessment of existing risks in urban settings. This study significantly advances environmental health risk assessment by integrating multidimensional data, enhancing the formulation of comprehensive environmental protection and health management strategies, and providing scientific support for sustainable urban planning.

Construction Noise Reduction Research on Rail Transit Projects: A Case Study in China

With the advancement of China’s construction industry and the rapid pace of urbanization, there has been heightened concern about and demand for improved construction environments. Rail transit projects commonly experience noise levels that exceed standard limits, resulting in a significant challenge posed by construction noise pollution. This issue not only disrupts the normal operations of construction sites but also profoundly impacts the mental well-being, auditory health, and nervous system of both construction workers and nearby residents. Consequently, effectively addressing construction noise pollution has emerged as a pressing issue. This study systematically reviewed domestic and international construction noise standards, integrating field research and noise monitoring data from construction sites. It provided a detailed analysis of the sources and hazards of construction noise and explored the source and propagation characteristics of construction noise from rail transit projects. The feasibility of controlling construction noise from various perspectives was investigated. Finally, the study analyzed the causes of construction noise exceeding standard limits, proposed layout strategies and control methods tailored to the stages of construction, and offered comprehensive noise control recommendations, culminating in a complete control process. This study fills a gap in research related to construction noise for rail transit projects, provides a valuable foundation for developing construction noise control objectives, and offers practical guidance on the implementation of measurement and control methods. These insights will help advance the field of construction noise control and management, and provide valuable insights for similar domestic rail transit projects.

Effects of Nature-Based Solutions on Mental Well-Being—The Case of Urban Parks in Marivan, Iran

Abstract The importance of urban parks for improving the quality of life of residents is becoming increasingly clear as people interact less and less with nature. Urban parks should be designed to have a profound impact on the mental health and well-being of citizens through the provision of high-quality facilities and services. Nevertheless, there are differences in the influencing factors in urban parks. Nowadays, urban parks as the lungs of cities are considered important destinations for citizens to get rid of stress and mental fatigue. Therefore, it is important to understand what factors contribute to people feeling mentally better and improving their well-being. Based on people’s experiences and opinions, the present study aims to investigate how urban parks as nature-based solutions in Marivan City, Iran, especially the green infrastructure and its elements in Shano and Zaribar Parks, contribute to respondent’s mental health and overall well-being. The necessary data for this study were collected from 277 respondents using a questionnaire. The questionnaire was randomly distributed both in person and online. The questions were categorized based on 3 indicators directly related to mental health and well-being: perceptual, visual, and functional. Data were analyzed using structural equation modeling in Smart-PLS software. Results indicate that the perceptual, visual, and functional indicators in Marivan’s urban parks have a significant impact on the mental health and well-being of residents. Among these indicators, the visual indicator has shown the highest level of influence.

Improving staff wellness via an after-hours healthy sustainable meals program: A general surgery residency pilot.

Healthcare worker wellness is foundational to delivering quality care. Yet, healthcare facilities often lack access to healthy and sustainable food overnight and on weekends. Healthy, low-carbon meals were provided free of charge after hours to on-call General Surgery residents at the University of British Columbia and the impact on resident well-being assessed using pre- and post-intervention surveys. Financial and time stress reduced significantly with the provision of meals (P's < .01), while emotional and physical stress levels did not change. Average meal expenses decreased from $33 to $10 (P < .001). Increasing food access on call is an impactful intervention to improve resident health and well-being.

Determining the effects of green space usage on health inequalities among residents of shrinking cities based on a social capital perspective

Long-term population loss and economic downturns have led to shrinking cities generally lacking social vitality and losing public spaces, such as green spaces. Previous studies have demonstrated the importance of green spaces for the social capital and health of residents, but the impacts of green space usage on health inequalities in the context of urban shrinkage have not been fully explored. In addition, residents who live in shrinking cities in northeastern China are more likely to suffer health problems due to their location in a severely cold region. Therefore, we selected 17 urban green spaces in Hegang, a typical shrinking city, as the research objects. We collected a total of 544 valid questionnaires through random distribution. These data were used to evaluate four green space usage characteristics of residents comprising transportation costs, usage frequency, usage duration, and participation in activities, as well as two social capital dimensions that are directly related to health comprising social networks and reciprocity and trust. We conducted correlation analysis, multivariate analysis of variance, and analysis of covariance to explore the impacts of green space usage on two categories of social capital for residents with different attributes and the consequences of health inequalities. The results showed that: (1) women, middle-aged and elderly people, and the low- and middle-income classes were less able to access social capital through the usage of green spaces; (2) the frequency of green space usage and intensity of participation in social activities were key dimensions that affected inequality; and (3) the usage of green spaces reinforced inequalities in the level of reciprocity and trust among residents. Based on our findings, we recommend that local governments in shrinking cities pay more attention to green spaces and squares in inner city areas to improve the accessibility and usability of these open spaces. Governments should focus on regenerating green spaces located near older neighborhoods to increase opportunities for residents to make new social connections and reduce inequalities in public services and health, especially for improving the social well-being of older populations with a lower socioeconomic status.

Diffusion characteristics of vertical oxygenic-thermal coupled jet and indoor oxygenic-thermal environment regulation in high-altitude areas

The Qinghai-Tibet Plateau has typical climatic phenomena such as low temperatures and oxygen deficiency, which have a great impact on the health of local residents. In order to improve the indoor oxygenic-thermal environment, this paper explored the flow characteristics of a vertical oxygenic-thermal coupled jet by CFD numerical simulation and experimental verification in high-altitude areas. The results found that the oxygenic-thermal diffusion range moved up by 0.17m–1.02 m in the vertical direction as the jet temperature increased by 3K–9K, and this process could enhance the synergistic effect of the oxygenic-thermal diffusion, while the oxygen flow supply reduced this effect, and the diffusion range shifted down by 0.87m–1.90 m as the jet oxygen concentration increased by 20%–60%. The indoor airflow uniformity with ΔT = 3K was more desirable than that with ΔT = 9K, and a high oxygen concentration was detrimental to temperature elevation, so a slight variation in temperature and concentration could be selected when meeting the demand for indoor heating and oxygen supply. The air inlet position has a more significant effect on the thermal environmental distribution than the oxygen environment, and the coupled airflow non-uniformity coefficient is minimized when the air inlet is located at the top center of the room. This study would provide some recommendations for regulating the indoor oxygenic-thermal environment in high-altitude areas under vertical jet mode.

Heart failure in China: epidemiology and current management.

The Annual Report on Cardiovascular Health and Diseases in China (2022) intricate landscape of cardiovascular health in China. In connection with the previous section, this sixth section of the report offers a comprehensive analysis of heart failure (HF) in China. HF is one of the most important cardiovascular disease in the 21st century. Its mortality is equivalent to that of cancer. It is an important public health problem that seriously affects the health of Chinese residents. In recent years, with the deepening of understanding, the change of treatment principles, the innovation of treatment methods and the update of treatment guidelines, the in-hospital mortality of HF patients has declined, and the long-term prognosis is also improving. However, there are still differences in the management level of HF among different hospitals in China. How to improve the standardized diagnosis and treatment level of HF in China remains an important challenge.

Findings of a Community Health Needs Assessment Survey in Al Najaf Governorate Iraq: A Snapshot of Al Marashda's Health Status.

Community health assessment (CHA) is a well-known method for identifying and analyzing community health needs. This CHA survey aimed to identify and analyze community health needs and assets to prioritize these needs and to plan and act upon significant unmet community health needs. The CHA was planned based on the suggested standard of the North Carolina Guide including eight phases from July to December 2023. The CHA survey was performed among Al-Marashda region residents in the Al-Manathera district. The sample size of our study was 184 interviews of 12536 population. The primary data, which included demographic information, quality of life statements, and community improvement, were collected from the community using a questionnaire through opinion surveys and focus groups, while the secondary data which included the social, health, and economic status of Al-Marashda region residents were obtained from district and governorate sources. Analysis of whole data sources allowed 10 areas of community concern to be identified. Findings from the CHA survey showed that diabetes and high blood pressure, poverty and unemployment, and air pollution were the most common public health problems as priorities. The high-priority problems of Al-Marashda are in common with the noncommunicable diseases (NCDs) priority in Al Najaf. However, poverty and air pollution are specific to the Al-Marashda region. Public health authorities and the city governorate are advised to consider, support, and develop community diagnosis documents to implement appropriate interventions.

Nurses' attitudes, beliefs and knowledge of sleep health in residential aged care: An integrative literature review.

To identify, synthesize and evaluate primary research on registered nurses' (RN) knowledge, attitudes and beliefs about sleep health and sleep health management of older adults living in residential aged care. Integrative review. Medline, Embase and CINAHL databases from inception to September 2023. Databases were searched using a combination of key words, subject heading terms. All abstracts and full-text articles were screened by two researchers. Qualitative synthesis of the included articles was conducted. Inductive content analysis was used to identify themes and analyse data. A total of 923 abstracts were screened resulting in a final yield of 13 articles. Three themes were identified: (i) RN experience with sleep-disturbed residents, (ii) the emotional burden of sleep disturbances on RN and, (iii) organizational barriers to promoting resident's healthy sleep. Inappropriate administration of benzodiazepines and psychotropic drugs to manage residents' sleep disturbances was a major issue and lack of resources in residential aged care to facilitate sleep. There were concerns on nursing activity that disturbed residents' sleep and striking a balance between facilitating sleep and meeting managerial expectations was challenging. This review identified that nurses' decision-making has an integral role in the management of sleep health in residents in aged care. Whilst evidence-based guidelines for managing sleep in residential aged care are available, there is a lack of translation to practice. Understanding RN perspectives is critical to improving sleep health models of care in residential aged care. This review found that RN are attuned to the implications of sleep disturbance in residential aged care but are constrained by current sleep health models of care. Not applicable.