Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants

Almadhoob, Abdulraoof; Ohlsson, Arne

doi:10.1002/14651858.cd010333.pub2

Cited by 80 publications

(91 citation statements)

References 55 publications

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“…The results of our study support the findings of Ha et al, (2017 (Almadhoob and Ohlsson, 2015). The amount of parental presence and physical closeness is associated with physiological stability, better-organized sleep, less stress to the infant and better provision of breast milk (Boundy et al, 2016).…”

Section: Best Beginningssupporting

confidence: 91%

Abstracts

Raftery

Tosh

Siebelt

et al. 2020

Maternal & Child Nutrition

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Malnutrition in women and children in Bangladesh is one of the highest in the world with 33% of <5 children underweight and 36% stunted (NIPORT 2014). Imbalanced diet and inappropriate feeding practices are the major determinants of child undernutrition. Poverty, low income, and price hikes restrict poor families from accessing sufficient and diversified nutritious foods, which leads to their food and nutrition insecurity (Ghose 2014). To generate positive impacts on nutritional outcomes, agricultural interventions require more focus on nutrition and need to be linked to nutrition specific interventions (Haselow et al 2016). Improving homestead fruit and vegetable production integrating with enhanced communications about nutrition would lead to improved dietary diversity and nutritional status of children (Mulmi 2017). Combining agriculture with behaviour change communication and nutrition-sensitive interventions would improve diet and feeding quality to reduce child undernutrition. Such integrated intervention requires rigorous design and implementation strategy to generate an impact.This study aims to assess the feasibility and acceptability of an intervention package that combines nutrition-specific (nutrition counselling) and nutrition-sensitive (counselling and support for agriculture, and unconditional cash transfers) delivered on a mobile phone platform for improving maternal and child feeding behaviours among low-income families in rural Bangladesh. We conducted a mixed-methods feasibility study. The intervention included counselling on homestead gardening techniques and infant feeding by agriculture and nutrition workers using smartphone apps. Women received weekly individual counselling at home and group counselling fortnightly. Each participating woman received an unconditional monthly incentive of BDT 1200 cash transfer through a mobile banking system called bKash. The intervention took place for 6 months. We collected data through in-depth interviews and a cross sectional surveys of the participants and their family members.The women were interested in both agriculture and nutrition counselling and understood the messages clearly.They established homestead garden of seasonal vegetables successfully that included preparing beds, planting seedlings, nurturing the plans, and harvesting. Seasonal rainfall and damage by hens and ducks were major challenges but most of the families were able to find a solution. Most of the women preferred to consume own produced vegetables and spending the cash provided on purchasing nutritious foods such as fruits, egg, and milk for their children as advised in the counselling. The project implementation staff and the bKash agent did not report any difficulties in using the mobile banking system for cash transfer. Combining nutrition-specific and nutrition-sensitive interventions is a feasible and acceptable approach to the community to improve maternal and infant feeding practices. Using mobile phone technologies can provide additional benefit for the intervention to rea...

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Section: Best Beginningssupporting

confidence: 91%

Abstracts

Raftery

Tosh

Siebelt

et al. 2020

Maternal & Child Nutrition

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“…Several actions could be taken in order to minimize exposure to noise in NICU. Almadhoob & Ohlsson [14], stated that by minimizing the sound levels that reach the neonate, the resulting stress on the cardiovascular, respiratory, neurological and endocrine systems can be diminished, thereby promoting growth and reducing adverse neonatal outcomes, as well as, improving staff performance and parental satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…More information regarding auditory and non-auditory health effects of noise has been reported by Basner et al [5]. Furthermore, noise as a stressor does not only influence negatively the healing process of patients (in this case premature infants) but also puts pressure on the workers which can result in a higher error occurrence [12][13][14]. In fact, there has been very little research on the influences of acoustic conditions on healthcare staff [15].…”

Section: Introductionmentioning

confidence: 99%

Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units

Baptista

Carvalhais

Xavier

et al. 2017

Archives of Environmental & Occupational Health

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In NICU, systematic exposure to sound pressure levels above the recommended can affect both ACCEPTED MANUSCRIPT ACCEPTED MANUSCRIPT 2 neonates and staff. This study aimed to evaluate the sound pressure levels in three Portuguese NICU and the noise perception of staff. The measurements were performed with a sound level meter, considering the location of the main sources of noise and the layout of the units. A questionnaire was applied to assess noise perception of professionals. The staff classified the environment (regarding noise) as -slightly uncomfortable‖ (41.1%) and 48.4% considered it as -acceptable‖. In addition, the majority (55.5%) considered -equipment‖ as the most annoying source of noise. The results showed that noise levels were excessive in all the evaluated areas of the NICUs, exceeding international guidelines, with the levels ranging between 48.7 dBA to 71.7 dBA. Overall, there is a need for more research in order to verify the effectiveness of some actions and strategies to reduce the impact of noise in NICU.

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“…1,2 Apesar de o monitoramento de ruídos não compor as áreas prioritárias do Programa Nacional de Segurança do Paciente 2 , tem-se demonstrado a importância de seu controle em Unidades de Terapia Intensiva Neonatal (UTI-Neo), haja vista que o ruído inadequado nesses ambientes,durante a prestação do cuidado, pode acarretar danos aos neonatos, sendo eles de natureza física, social e/ou psicológica. 3,4 Acima de tudo, o cuidado em Neonatologia tem focado em minimizar o manuseio e proporcionar um ambiente silencioso para os recém-nascidos. Os recém-nascidos prematuros, em especial, correm risco de desenvolverem distúrbios cognitivos, motores e comportamentais em comparação aos recém-nascidos a termo, e nas UTI-Neo, estão submetidos a estresses decorrentes do ruído de alta intensidade.…”

Section: Introductionunclassified

Management of Changes for Noise Control in Neonatal Intensive Therapy: Experience Report

Barsam¹,

Teixeira²,

Oliveira³

et al. 2019

Reme Revista Mineira De Enfermagem

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RESUMOO objetivo deste estudo foi relatar uma experiência sobre planejamento participativo e gerenciamento de mudanças para controle de ruído em uma unidade de terapia intensiva neonatal de um hospital público de ensino no Triângulo Mineiro. Trata-se de um projeto de pesquisa que tem a extensão universitária como uma de suas interfaces. A motivação para seu desenvolvimento foi apoiar os objetivos estratégicos do hospital, para garantir a qualidade assistencial e a segurança do paciente frente à articulação entre ensino-pesquisa-extensão e assistência. O arcabouço teórico-metodológico que orientou a condução da experiência foi o quadro lógico, historicamente derivado de métodos de planejamento que garantiam espaços para o trabalho em equipe e a participação dos diversos interessados no projeto. O gerenciamento da mudança foi conduzido por grupo gestor com expertise na temática, representado por trabalhadores locais e docentes/pesquisadores. As atividades ocorreram entre abril e maio/2017. O diagnóstico da situação-problema contou com mensuração prévia às intervenções do ruído no local (nível entre 62-82 dB), sendo a percepção do ruído no setor alta e muito alta, segundo 88,3% dos trabalhadores. Os resultados alcançados foram: engajamento de legitimadores e autoridades do hospital na proposição; sensibilização e capacitação dos trabalhadores, docentes/pesquisadores, residentes e acadêmicos para o controle de ruídos; e implantação de medidas para controle do ruído. Mudanças foram articuladas conjuntamente entre trabalhadores, representantes da universidade e chefias: na infraestrutura do ambiente, no manuseio direto do recém-nascido e na postura da equipe. Faz-se necessário seguimento longitudinal sobre como as iniciativas impactaram na redução do ruído e no bem-estar dos trabalhadores. Palavras-chave: Monitoramento do Ruído; Unidades de Terapia Intensiva Neonatal; Planejamento Participativo. ABSTR ACTThe objective of this study was to report an experiment on participatory planning and management of changes for noise control in a neonatal intensive care unit of a public teaching hospital in the Triângulo Mineiro. This is a research project that had the university outreach activities as one of its interfaces. The motivation for its development was to support the hospital's strategic objectives to guarantee the quality of patient care and patient safety before the articulation between teaching-research-outreach activities and care provision. The theoretical-methodological framework that guided the conduction of the experience was the logical framework, historically derived from planning methods that guaranteed spaces for teamwork and the participation of the various stakeholders in the project. The management of changes was conducted by a managerial group with expertise in the theme, represented by local workers and teachers/researchers. Activities took place between April and May/2017. The diagnosis of the problem-situation counted on a measurement of the noise in the place before

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Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants

Abstract: Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants (Review)

Cited by 80 publications

References 55 publications

Abstracts

Abstracts

Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units

Management of Changes for Noise Control in Neonatal Intensive Therapy: Experience Report

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