Previous studies have demonstrated a high prevalence of sleep disturbance among elderly people which can exacerbate during a period of hospitalization. Whilst studies on patients' sleep experiences have largely been conducted in acute care settings, relatively little is known about the sleep experiences of elderly patients hospitalized in extended care settings. This paper aims to provide a literature review on the sleep experiences of older patients admitted into hospitals, with reference also made to studies conducted in the community in order to substantiate the existence of sleep disruptions before elderly people are admitted into hospitals. Electronic databases and specific search terms from 1980 to 2004 were used to conduct the literature search. Nurses play a crucial role in ensuring that patients get a good night's sleep and will need an in-depth understanding of older patients' sleep experiences to effectively manage different sleeping patterns and sleep needs in the clinical areas.