Striving for Optimum Noise-Decreasing Strategies in Critical Care: Initial Measurements and Observations
| Autor: | Krista Jangaard, Tanya Bishop, Timothy Disher, Barbara Ellsmere, Marsha Campbell-Yeo, Darlene Inglis, Gavin C. Morrison, Stacy A. Burgess, Brenda Hewitt, Britney Benoit, Christopher L. Sheppard |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Neonatal intensive care unit Ambient noise level Context (language use) Nursing Staff Hospital Critical Care Nursing Pediatrics 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Intensive care Intensive Care Units Neonatal Maternity and Midwifery otorhinolaryngologic diseases Medicine Humans 030212 general & internal medicine Sound (geography) Equipment and Supplies Hospital Pediatric intensive care unit geography geography.geographical_feature_category business.industry Infant Newborn Environmental Exposure Focus Groups Focus group Noise Noise Occupational Female business Environmental Monitoring |
| Zdroj: | The Journal of perinatalneonatal nursing. 31(1) |
| ISSN: | 1550-5073 |
| Popis: | To identify baseline sound levels, patterns of sound levels, and potential barriers and facilitators to sound level reduction. The study setting was neonatal and pediatric intensive care units in a tertiary care hospital. Participants were staff in both units and parents of currently hospitalized children or infants. One 24-hour sound measurements and one 4-hour sound measurement linked to observed sound events were conducted in each area of the center's neonatal intensive care unit. Two of each measurement type were conducted in the pediatric intensive care unit. Focus groups were conducted with parents and staff. Transcripts were analyzed with descriptive content analysis and themes were compared against results from quantitative measurements. Sound levels exceeded recommended standards at nearly every time point. The most common code was related to talking. Themes from focus groups included the critical care context and sound levels, effects of sound levels, and reducing sound levels-the way forward. Results are consistent with work conducted in other critical care environments. Staff and families realize that high sound levels can be a problem, but feel that the culture and context are not supportive of a quiet care space. High levels of ambient sound suggest that the largest changes in sound levels are likely to come from design and equipment purchase decisions. L10 and Lmax appear to be the best outcomes for measurement of behavioral interventions. |
| Databáze: | OpenAIRE |
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