Effect of Noise Reduction Guideline Implementation on Nurses’ Noise Control Behaviour and on Noise Levels in the Neonatal Intensive Care Unit
Keywords:
guideline, noise levels, noise control behaviour, neonatal intensive care unitAbstract
Objective: To compare the nurses’ mean score on noise control behaviour and the noise levels in the neonatal intensive care unit (NICU) before and after the implementation of the noise reduction guideline
Design: One group quasi-experimental research with a pre-test and a post-test
Methodology: The subjects were 18 registered nurses operating in the neonatal intensive care units of Bamrasnaradura Infectious Diseases Institute and Panyananthaphikkhu Chonprathan Medical Center. The subjects’ implementation of the noise reduction guideline was promoted through education, mentorship, equipment support, poster reminders, and feedback. Three kinds of data were collected. First, the noise level in each of the NICUs was measured in two positions for two consecutive days, 24 hours per day. Second, information on each of the NICUs’ environment was recorded. Third, the nurses’ noise control behaviour was observed from two months before the implementation to two months after. Descriptive statistics, paired t-test and Wilcoxon signed-rank test were used for data analysis.
Results: The subjects’ average post-implementation noise control behaviour score was significantly higher than their pre-implementation score (p < .05). The median noise levels in each critical care room (position 1) and the intermediate care room (position 2) were significantly reduced after the implementation (p < .01).
Recommendations: It is recommended that all of the healthcare professionals operating in the NICU be encouraged to apply this guideline to enhance their noise control capability and reduce noise levels in the NICU.
Downloads
References
American Academy of Pediatrics. Noise: A hazard for the fetus and newborn. Pediatrics. 1997; 100(4):724-27.
Carvalhais C, Santos J, da Silva, MV, Xavier A. Is there sufficient training of health care staff on noise reduction in neonatal intensive care units?. A pilot study from neonoise project. J Toxicol Environ Health A. 2015;78(13-14):897-903.
Santos J, Carvalhais C, Xavier A, Silva MV. Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units. Arch Environ Occup Health. 2018;73(2):121-27.
Plubphon W. Effects of noise reduction cap on stress responses of premature infants in the neonatal intensive care units. [master’ s thesis]. Chiang Mai, Thailand: Chiang Mai University; 2009. (in Thai)
Roberts CT, Dawson JA, Alquoka E, Carew PJ, Donath SM, Davis PG, et al. Are high flow nasal cannulae noisier than bubble CPAP for preterm infants?. Arch Dis Child Fetal Neonatal Ed. 2014;99(4):291-96.
Casavant SG, Bernier K, Andrews S, Bourgoin A. Noise in the neonatal intensive care unit: what does the evidence tell us?. Adv Neonatal Care. 2017; 17(4):265-73.
Almadhoob A, Ohlsson A. Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants. Cochrane Database Sysc Rev. 2015;1: doi: 10.1002/14651858.CD010333. PubMed PMID: 25633155.
Romeu J, Cotrina L, Perapoch J, Lines M. Assessment of environmental noise and its effect on neonates in a neonatal intensive care unit. Applied Acoustics. 2016;111:161-69.
McMahon E, Wintermark P, Lahav A. Auditory brain development in premature infants: the importance of early experience. Ann N Y Acad Sci. 2012;1252(1): 17-24.
Edwards A, Austin T. Noise in the NICU: how prevalent is it and is it a problem?. Infant. 2016;12(5):161-65.
Khalesi N, Khosravi N, Ranjbar A, Godarzi Z, Karimi A. The effectiveness of earmuffs on the physiologic and behavioral stability in preterm infants. Int J Pediatr Otorhinolaryngol. 2017;98:43-7.
Cardoso SMS, Kozlowski LDC, Lacerda AB, Marques JM, Ribas A. Newborn physiological responses to noise in the neonatal unit. Braz J Otorhinolaryngol. 2015;81(6):583-88.
Valizadeh S, Hosseini MB., Alavi N, Asadollahi M, Kashefimehr S. Assessment of sound levels in a neonatal intensive care unit in Tabriz, Iran. J Caring Sci. 2013;2(1):19-26.
Disher TC, Benoit B, Inglis D, Burgess S.A, Ellsmere B, Hewitt B E, et al. Striving for optimum noise-decreasing strategies in critical care. J Perinat Neonatal Nurs. 2017;31(1):58-66.
Joshi G, Tada N. Analysis of noise level in neonatal intensive care unit and post natal ward of a tertiary care hospital in an urban city. Int J Contemp Pediatr. 2016;3(4):1358-61.
Weich TM, Ourique AC, Tochetto TM, Franceschi CM. Effectiveness of a noise control program in a neonatal intensive care unit. Rev Bra Ter Intensiva. 2011;23(3):327-34.
Parra J, de Suremain A, Berne Audeoud F, Ego A, Debillon T. Sound levels in a neonatal intensive care unit significantly exceeded recommendations, especially inside incubators. Acta Paediatr. 2017;106(12): 1909-14.
Carvalhais C, Silva MV, Xavier A, Santos J. Newborns safety at neonatal intensive care units: are they exposed to excessive noise during routine health care procedures?. Glob Environ, Health Saf. 2017;1:1-3.
Santos BRD, Orsi KCSC, Balieiro MMFG, Sato MH, Kakehashi TY, Pinheiro EM. Effect of quiet time to reduce noise at the neonatal intensive care unit. Esc Anna Nery. 2015;19(1):102-6.
Kodyee S, Urharmnuay M, Klunklin P. Effect of noise reduction cap usage on sleep-wake states of hospitalized preterm infants. Nursing Journal. 2017; 44(2):57-6.(in Thai)
Biabanakigoortani A, Namnabati M, Abdeyazdan Z, Badii Z. Effect of peer education on the noise management in Iranian neonatal intensive care unit. Iran J Nurs Midwifery Res. 2016;21(3):317-21.
Tilokskulchai F. Evidence-based nursing: principle and method. 6th ed. Bangkok: Pre-one; 2012.(in Thai)
Medves J, Godfrey C, Turner C, Paterson M, Harrison M, MacKenzie L, et al. Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team‐based practice. Int J Evid Based Healthc. 2010;8(2):79-89.
Li SA, Jeffs L, Barwick M, Stevens B. Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review. Syst Rev. 2018; 7(1):72.
Rycroft-Malone J. The PARIHS framework-a framework for guiding the implementation of evidence-based practice. J Nurs Care Qual. 2014;19(4):297-304.
Wang D, Aubertin C, Barrowman N, Moreau K, Dunn S, Harrold J. Examining the effects of a targeted noise reduction program in a neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2014;99(3):203-8.
Sudsaneha, S. Effect of quiet time implementation on sleep-wake states of premature infants in the neonatal intensive care unit. [master’s thesis]. Bangkok: Mahidol University; 2005. (in Thai)
Reeves-Messner T, Spilker A. Shh...babies growing: A clinical practice guideline for reducing noise level in the neonatal intensive care unit. J Neonatal Nurs. 2017;23(4):199-203.
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. 3rd ed. Philadelphia; Wolters Kluwer Health; 2015
Calikusu Incekar M, Balci S. The effect of training on noise reduction in neonatal intensive care units. J Spec Pediatr Nurs. 2017;22(3):e12181. doi:10. 1111/jspn.12181. PubMed PMID:28407443.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Thai Journal of Nursing Council
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
