Development and implementation of a noise reduction intervention programme: a pre‐ and postaudit of three hospital wards

Richardson, Annette; Thompson, Abigail; Coghill, Elaine; Chambers, I. R.; Turnock, Chris

doi:10.1111/j.1365-2702.2009.02897.x

Cited by 54 publications

(49 citation statements)

References 39 publications

(89 reference statements)

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“…In addition, the program provided suggestions for modifying the behavior causing the most frequently occurring noises. Richardson et al 26 have shown that a noise reduction intervention program can reduce peak noise levels on acute inpatient hospital wards. The program consisted of development of clinical guidelines and review of unit environment leading to development and delivery of a staff awareness and education program.…”

Section: Discussionmentioning

confidence: 98%

Noise in the Operating Room—What Do We Know? A Review of the Literature

Hasfeldt

Lærkner

Birkelund³

2010

Journal of PeriAnesthesia Nursing

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Section: Discussionmentioning

confidence: 98%

Noise in the Operating Room—What Do We Know? A Review of the Literature

Hasfeldt

Lærkner

Birkelund³

2010

Journal of PeriAnesthesia Nursing

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“…Previous studies indicated that initiating quiet times was successful in decreasing noise levels 20,23 and in improving patients' sleep quality. 2,33 Further, as mentioned earlier, low mean SPLs should not be interpreted as an indication that disturbing sounds are not present.…”

Section: Discussionmentioning

confidence: 99%

“…19 Noise in the ICU has many sources, including heating and cooling systems, overhead fluorescent lights, computer monitors, noise-generating beds, ventilators and other medical equipment, highintensity alarms to signal medical emergencies, staff and patient conversations, television sound, doors opening and closing, housekeeping and linen carts rolling on linoleum floors, overhead paging, telephones ringing, sink faucets running, and items being dropped. 16,20 Some specific levels include staff conversations, 59 to 90 dB(A) 20 ; ventilator sounds, 76 dB(A); cardiac monitors, 72 to 77 dB(A) 15 ; and infusion pumps, 73 to 78 dB(A). 21 Of these, staff conversations and equipment alarms are often cited as the most disturbing to patients.…”

Section: Methodsmentioning

confidence: 99%

Sound Intensity and Noise Evaluation in a Critical Care Unit

Lawson

Thompson

Saunders

et al. 2010

American Journal of Critical Care

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Background Sound levels in intensive care units can be high. Unfortunately, high levels of sound tend to result in poor sleep quality, which leads to slower healing, poorer immune response, and decreased cognitive function. Objectives To measure sound levels to which patients in intensive care units are typically exposed. Methods Peak sound pressure levels of alarms on medical devices set at different output levels were measured. Additionally, ambient sound pressure levels for durations of 10 to 24 hours were measured on 12 occasions in patients' rooms in the intensive care unit. Results Peak levels of equipment alarms measured inside a patient's room were high, and increased as the setting of the alarm level increased. The levels of these alarms when measured in an adjacent room did not increase with alarm output level. Mean sound levels inside the patient's room were generally less than 45 dB(A), but peak levels were often greater than 85 dB(C). Closing the door of the adjacent room did not decrease these peak levels. Peak and mean levels did not differ systematically during 24 hours of measurement. Conclusions High-intensity equipment alarms disturb patients' sleep but are critical in a medical emergency. However, nurses should not assume that raising the alarm output level will ensure that the alarm is audible from an adjacent room. Ambient noise measurements indicate high peak levels during both day and night. (American Journal of Critical Care. 2010;19:e88-e99)

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“…Several studies performed by the WHO (World Health Organization) reveals that hospital noise levels have been increasing consistently since 1960 (Ryherd, Waye & Ljunkvist, 2008). WHO have recommended that noise levels should not exceed 35 dB(A) in rooms where patients are treated or observed (Berglund et al 1999 as cited in Richardson et al, 2009) and 30 dB(A) in ward rooms (Ryherd, Okcu ,Hsu, & Mahapatra, 2011).…”

Section: Problem Statementmentioning

confidence: 98%

Hospital Noise and Patients’ Wellbeing

Cunha

Silva

2015

Procedia - Social and Behavioral Sciences

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Noise can produce an undesired physiological or psychological response in an individual and it has implications in chronic mental and physical health.This study´s purpose was to confirm the relationship between hospital noise and patients´ wellbeing, trough a descriptive design. It was performed in 84 patients (59.5 % male and 40.5 % female) admitted in three medical/surgical care units of a Portuguese hospital (CHBV, EPE). The questionnaire was composed by three parts: one regarding to socio-demographic and clinical data, other assessing the patient´s noise perception -the Environmental Comfort Questionnaire from Cunha and Silva (2012) -and the Positive and Negative Affect Schedule (PANAS) by Watson, Clark and Tellegen (1988), Portuguese version from Galinha and Pais-Ribeiro (2005).The results showed that: Clinical Sources of Noise (r=-0269, p=0.013), the Sum Score of the Environmental Comfort (r=-0254, p=0.020) and physiological and psychological effects caused by noise (r=-0362, p=0.001) are statistically significant related with patients´ subjective wellbeing.It is confirmed that subjective wellbeing is influenced by the hospital noise in general and, more specifically, the noise from clinical sources (e.g. monitors, infusion pumps and other equipments).It is also confirmed that some physiological and psychological disturbances in patients are related to hospital noise. Facing the results, it is imperative to promote the wellbeing of admitted patients by lowering the noise levels.

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Development and implementation of a noise reduction intervention programme: a pre‐ and postaudit of three hospital wards

Cited by 54 publications

References 39 publications

Noise in the Operating Room—What Do We Know? A Review of the Literature

Noise in the Operating Room—What Do We Know? A Review of the Literature

Sound Intensity and Noise Evaluation in a Critical Care Unit

Hospital Noise and Patients’ Wellbeing

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