Nuisances sonores en réanimation néonatale : impact d’un outil de monitorage

Degorre, C.; Ghyselen, L.; Barcat, Lucile; Dégrugilliers, Loïc; Kongolo, G; Léké, A.; Tourneux, P.

doi:10.1016/j.arcped.2016.10.023

Cited by 10 publications

(5 citation statements)

References 23 publications

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“…Furthermore, the maximum noise levels recorded exceeded the recommended maximum of 65 dBA in all but 2 of the night shifts. Area noise levels more than the AAP recommendations have been reported across other studies ( Darcy et al 2008 ; Brown 2009 ; Degorre et al 2017 ; Ahamed et al 2018 ), and the excessive noise levels have been largely attributable to equipment use and staff behaviour within the NICU environment ( Lasky and Williams 2009 ; Degorre et al 2017 ). Average measured noise levels inside the NICU on a normal working day have previously been recorded as 77 ± 5 dB ( Salama et al 2011 ).…”

Section: Discussionmentioning

confidence: 76%

Evaluation of noise levels and noise sources in an Irish neonatal intensive care unit

McCallig,

Pakrashi,

Durkin

2024

Annals of Work Exposures and Health

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Objectives This study: (i) quantified the typical noise levels in an Irish neonatal intensive care unit (NICU) and compared the values to recommendations by the American Academy of Paediatrics (AAP) and the European Standards for Care for Newborn Health (EFCNI) and to occupational exposure limit value and exposure action values; and (ii) qualified the perception of noise levels and the sources of noise across the various stakeholders within a typical NICU. Methods A noise survey was conducted in an Irish NICU. Observations identified practices and behaviours in the NICU that potentially had an impact on noise levels. Noise levels were compared to occupational exposure limits and AAP and EFCNI standards. A noise perception survey was conducted to identify noise sources and awareness of noise levels in the NICU. Results were analysed using SPSS Statistics to determine statistical significance. Results Noise levels recorded were consistent with previous similar studies and in all cases, the average noise levels recorded exceeded the 45 dBA as recommended by the AAP and EFCNI. There was a statistically significant difference (P < 0.01) between noise levels recorded on the day shift compared to the night shift. The perception of noise levels reported by nurses versus parents was found to be statistically significant (P = 0.001). 38.3% of all respondents reported having received no information or training with regard to noise in the NICU. There was a statistically significant difference in the perception of who is most likely to be affected by noise in the NICU, with nurses reporting those most likely to be affected by noise were patients, and parents reporting those most likely to be affected were staff (P = 0.003). Conclusions This study supports the hypothesis that noise levels within the NICU are of concern and require regular assessment and monitoring. Training and awareness programmes are an important component to ensuring all persons in the NICU recognise their potential impact on noise levels in the NICU and in reducing the risk for patients and staff.

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Section: Discussionmentioning

confidence: 76%

Evaluation of noise levels and noise sources in an Irish neonatal intensive care unit

McCallig,

Pakrashi,

Durkin

2024

Annals of Work Exposures and Health

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“…We found that the majority of health professionals (73%) acknowledge possessing adequate knowledge about the topic of noise, but, similarly to the study by Daniele et al (2012), the majority (58%) has little knowledge about the recommended dB values for the NICU. Nevertheless, the majority of the professionals (98%) consider that the unit exceeds the recommended noise levels and is seemingly aware of the need for intervention of noise control/ reduction in the unit (Degorre et al, 2017;Santana et al, 2015). We found that 23.1% of the professionals indicate that most of the times there is a concern about the noise and 65.4% reported that sometimes they worry.…”

Section: Discussionmentioning

confidence: 84%

“…As stated by Santana et al (2015), only with a policy of continued education and the involvement of all professionals will the effects occur in the NICU environment. Degorre et al (2017) report that the lack of systematic monitoring of noise level does not allow its control and does not promote the implementation and maintenance of measures for the reduction of noise levels. The interest in this study relates to the importance of promoting an environment that boosts the physiological stability of the NB and decreases the environment's negative impact, optimizing his/her growth and development and simultaneously providing the well-being of families and health professionals.…”

Section: Introductionmentioning

confidence: 99%

Noise in neonatology: perception of health professionals

2019

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Background: The negative impact of noise in the newborn in neonatology units, as well as in the parents and health professionals, is known, so it is essential to raise awareness of the reduction and control of this stressor agent. Objectives: To identify the perception of health professionals about noise in neonatology. Methodology: Qualitative-quantitative and descriptive study. A non-probabilistic sample of 52 health professionals. An ad-hoc questionnaire designed for this purpose was used. Results: The majority of professionals considers neonatology units noisy and uncomfortable in performing functions and believes that noise has adverse effects, although there is little knowledge about the decibel values recommended for the neonatal unit. Conclusion: The perception of health professionals about noise indicates the need to implement a noise reduction program. We consider the training and involvement of the team relevant, so professionals can be active and inciting in the adoption of measures that promote an acoustically healthy environment for the newborn and the well-being of parents and health professionals.

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“…Furthermore, the presence of newborns' parents, who are allowed to stay in the NICU, contributes to increased noise levels, but, encouraging conversations between parents and their newborns is beneficial for family bonding and the development of the newborn [39,44,48,49].…”

Section: Discussionmentioning

confidence: 99%

Excessive Noise in Neonatal Units and the Occupational Stress Experienced by Healthcare Professionals: An Assessment of Burnout and Measurement of Cortisol Levels

et al. 2023

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Excessive noise in the work environment has been associated with extra-auditory symptoms, which can have harmful long-term effects on individuals. The purpose of this study was to identify noise levels in neonatal intensive care units and investigate their impact on the occurrence of stress among healthcare professionals, using cortisol levels as a biomarker for Burnout Syndrome. This descriptive, observational, and cross-sectional study was conducted in four public teaching hospitals in Fortaleza, Ceará, Brazil. Sound pressure levels in the environment were measured, and questionnaires were administered to collect sociodemographic data and assess perceptions of the work environment and Burnout symptoms. Saliva samples were collected at the beginning and end of work shifts for cortisol quantification. The average sound pressure ranged from 59.9 to 66.4 dB(A), exceeding the recommended levels set by Brazilian and international legislation. Among the 256 participants, the average age was 39.4 years, with 95% being female. The majority (70.9%) were nurses, and 22.7% were physicians. There was no significant association found between noise and Burnout Syndrome, nor with changes in cortisol levels. However, a significant association was observed between the perception of excessive noise and the sensation of a stressful work shift (p = 0.012). All evaluated professionals displayed symptoms of Burnout. The high sound pressure levels indicated that the assessed environments did not meet the recommended standards for acoustic comfort, and this was associated with the participants’ perception of stressful work shifts. While Burnout symptoms were evident in our participants, it was not possible to confirm a correlation with high noise levels.

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Nuisances sonores en réanimation néonatale : impact d’un outil de monitorage

Cited by 10 publications

References 23 publications

Evaluation of noise levels and noise sources in an Irish neonatal intensive care unit

Evaluation of noise levels and noise sources in an Irish neonatal intensive care unit

Noise in neonatology: perception of health professionals

Excessive Noise in Neonatal Units and the Occupational Stress Experienced by Healthcare Professionals: An Assessment of Burnout and Measurement of Cortisol Levels

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