Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units
2009
Critical Care
Journal Article
Issue 2
Volume 13
Pages 208–216
Author(s): Xie, H., Kang, J., Mills, G. H.
The World Health Organization recommends that noise levels in hospitals stay below 30 dBA at night to allow for better rest, yet excessive noise is prevalent in many healthcare settings, including intensive care units (ICUs). Research indicates that, since the 1960s, noise levels in hospitals increased by an average of 0.38 dBA (day) and 0.42 dBA (night) per year. Other research reports that the noise level in ICUs ranges from 50 to 75 dBA, with a night peak level soaring to 103 dBA. It’s easy to see why sleep disturbance is common among these vulnerable patients.
Added February 2014
Efficacy of controlling night-time noise and activities to improve patients’ sleep quality in a surgical intensive care unit
2011
Journal of Clinical Nursing
Journal Article
Issue 3-4
Volume 20
Pages 396–407
Author(s): Li, S., Wang, T., Wu, S. F. V., Liang, S., Tung, H.
In the intensive care unit (ICU), noises, continuous lighting, and constant care-related activities disrupt patients’ sleep. Patients also may struggle to sleep because they are in an unfamiliar environment, feel isolated, are in pain, have various tubes or other equipment to deal with, as well as just general treatment activities.
Added January 2014
Sound Spectral Analysis in the Intensive Care Nursery: Measuring High-Frequency Sound
2008
Journal of Pediatric Nursing
Journal Article
Issue 4
Volume 23
Pages 317-324
Author(s): Kellam, B., Bhatia, J.
Little is known about how high-frequency, prolonged intense noise effects auditory development in preterm infants. However, some research indicates that premature infants who are exposed to persistent noise might experience some interference with their development of frequency discrimination and problems with sound-pattern recognition.
Added January 2014
Neonatal Response to Control of Noise Inside the Incubator
2001
Pediatric Nursing
Journal Article
Issue 6
Volume 27
Pages 600-606
Author(s): Johnson, A. N.
Premature infants are at risk for long-term neurologic, cognitive, and behavioral problems. Therefore, supporting these medically fragile infants as they adapt to life outside the womb by decreasing possible environmental stressors, such as noise, is important. The American Academy of Pediatrics (AAP) Committee of Environmental Hazards recommends that neonatal intensive care unit (NICU) sound levels below 45 dB. Yet these babies are often in incubators, which are associated with higher sound levels from the equipment and surrounding environment.
Added January 2014
The sound environment in an ICU patient room—a content analysis of sound levels and patient experiences
2012
Intensive and Critical Care Nursing
Journal Article
Author(s): Johansson, L., Bergbom, I., Wayeb, K. P., Ryherd, E., Lindahl, B.
This study was a prestudy for the planning and design of a larger one, where the aim is to investigate the relationship between sound (objective and subjective) and adult intensive care unit (ICU) delirium and/or other factors. It used sound measurement, behavioral observation, and interview methods. The results provide a good list of sound/noise impact on patients and subsequent ICU design considerations.
Added January 2014
Can modifications to the bedroom environment improve the sleep of new parents? Two randomized controlled trials
2011
Research in Nursing & Health
Journal Article
Issue 1
Volume 34
Pages 7-19
Author(s): Lee, K. A., Gay, C. L.
One of the major challenges of new parenthood is adjusting to the sleep disruption that comes with caring for a newborn. Parents-to-be know that caring for an infant with random sleep and feeding patterns will mean sleep deprivation and fatigue, but few are prepared for the actual physical and emotional demands.
Added January 2014
Sleep promotion in the intensive care unit—A survey of nurses’ interventions
2011
Intensive and Critical Care Nursing
Journal Article
Issue 3
Volume 27
Pages 138-142
Author(s): Eliassen, K. M., Hopstock, L. A.
For patients in the intensive care unit (ICU), sleep deprivation could lead to a variety of physical and psychological issues (Friese, 2008) that impact the healing process and increase morbidity and mortality. There are many factors that contribute to poor sleep. This small-scale study investigates the perceptions of the sleep-promoting interventions that ICU nurses provide.
Added January 2014
Does music influence stress in mechanically ventilated patients?
2013
Intensive and Critical Care Nursing
Journal Article
Issue 3
Volume 29
Pages 121-127
Author(s): Chlan, L.L., Engeland, W.C., Savik, K.
Many critically ill patients find that mechanical ventilator is stressful. Often, healthcare providers manage that stress with sedatives. However, as with most medications, the drugs may have side effects. For this and other reasons, many healthcare professionals prefer to try nonpharmacologic interventions first before administering sedative agents.
Added December 2013
Achieving EBD Goals Through Flooring Selection & Design
Author(s): Nanda, Upali, Malone, Eileen, Joseph, Anjali
Added April 2013
Designed sound and music environment in postanaesthesia care units—–a multicentre study of patients and staff
2005
Intensive and Critical Care Nursing
Journal Article
Issue 4
Volume 21
Pages 220-225
Author(s): Thorgaard, P., Ertmann, E., Hansen, V., Noerregaard, A., Spanggard, L.
Music is arguably the non-pharmocological intervention with the most evidence to support it. It has been succesfully used to ease patient pain perception, anxiety and distress for many pre and post procedure settings. However, a majority of the studies implement music intervention at one on one level (providing patients with headphones etc to listen to music). Little research has investigated the design significance of improving the sound environment through music.
Added October 2012
Effects of music therapy on women’s physiologic measures, anxiety, and satisfaction during cesarean delivery.
2005
Research in Nursing and Health
Journal Article
Issue 6
Volume 28
Pages 453-461
Author(s): Chang, S-C., Chen, C-H.
Due to many factors Taiwan has a high rate of cesarean birth deliveries. Childbirth causes high stress in women. In case of cesarean birth such stress increases because it is a major surgery. For many women cesarean birth has negative emotional consequences. Music therapy, the systematic application of music to aid in the treatment of physiological and psychological aspects of an illness or disability, has been shown in multiple studies to help reduce anxiety and stress, distract attention and increase threshold of pain during painful procedures. Music therapy has the potential to help women recover from cesarean deliveries.
Added October 2012
Relaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial
2002
Gastrointestinal Endoscopy
Journal Article
Issue 1
Volume 55
Pages 33-36
Author(s): Lee, D.W.H, Chan, K, Poon, C, Ko, C, Chan, K, Sin, K, Chan, A.C.W
Colonoscopy is an unpleasant and stressful procedure which often requires a high doseage of sedatives for the patients. Additionally patient noncompliance with recommendations for colonoscopy procedures can become a challenge in surveilance programs for screening cancer. This study explores the effectiveness of a non-pharmocological intervention, like relaxation music, on patient-controlled sedation.
Added October 2012
Influence of intensive coronary care acoustics on the quality of care and physiological state of patients
2005
International Journal of Cardiology
Journal Article
Issue 2
Volume 98
Pages 267-270
Author(s): Hagerman, I., Rasmanis, G., Blomkvist, V. , Ulrich, R. , Eriksen, C. A., Theorell, T.
Unexpected noise has long been recognized to have a negative influence in the rehabilitation of patients. The study was performed in an academic hospital, where patients with acute chest pain were evaluated in the intensive coronary heart unit (CCU).
Added October 2012
Effect of Environmental Design on Reducing Nursing and Medication Errors in Acute Care Settings
Author(s): Mahmood, A. , Habib, C.
Added October 2012
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
Author(s): Joseph, A., Taylor, E. M. , Quan, X., Jelen, M.
Added October 2012
Resident Safety Risk Assessment
Author(s):
Added October 2012
Critical Issues in Healthcare Environments
Author(s): Cohen, Uriel , Allison, David
Added October 2012
Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace
2006
The Center for Health Design
Report
Author(s): Joseph, A.
Added October 2012
Health Promotion by Design in Long-Term Care Settings
Author(s): Joseph, A.
Added October 2012
Nursing unit configuration and its relationship to noise and nurse walking behavior: An AIDS/HIV unit case study
2003
AIA Academy Journal
Web Page
Issue 5/26/2004
Volume 2004
Author(s): Shepley, M.M., Davies, K.
Added October 2012
