Noise reduction in the ICU: a best practice implementation project.
| Autor: | Souza RCDS; Hospital Sirio Libanes.; Nursing School, Universidade de São Paulo (EEUSP)., Calache ALSC; Nursing School, Universidade de São Paulo (EEUSP)., Oliveira EG; Hospital Sirio Libanes., Nascimento JCD; Hospital Sirio Libanes., Silva NDD; Hospital Sirio Libanes., Poveda VB; Nursing School, Universidade de São Paulo (EEUSP).; The Brazilian Centre for Evidence-informed Healthcare: a JBI Centre of Excellence (JBI Brazil), Sao Paulo, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | JBI evidence implementation [JBI Evid Implement] 2022 Dec 01; Vol. 20 (4), pp. 385-393. Date of Electronic Publication: 2022 Dec 01. |
| DOI: | 10.1097/XEB.0000000000000311 |
| Abstrakt: | Introduction: Sleep deprivation is a relevant problem among patients hospitalized in ICUs. Further, noise is the most critical disruptive factor according to patients. Objective: To implement scientific evidence-based best practices for noise control in an adult ICU. Methods: This was an evidence-based implementation project of best practices in noise control, conducted in a high-complexity hospital's adult ICU. The intervention consisted of three steps: baseline audit and identification of barriers, implementation of best practices, and a follow-up audit. Results: No compliance with best practices was detected in the baseline audit. After the implementation phase, the unit reached compliance levels of 78-88% for most of these criteria only one criterion related to noise level did not match the expected compliance. Conclusion: Adherence to best practices regarding noise control was satisfactory, achieving more than 70% compliance in the six audit criteria. Only the noise level did not reach the threshold recommended by the WHO - a difficulty reported in other studies. Relevance to Clinical Practice: Best practices related to noise control are essential for managing sleep deprivation in ICUs and include changes in the behaviour of involved professionals. (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the University of Adelaide, JBI.) |
| Databáze: | MEDLINE |
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