Characterising the ambient sound environment for infants in intensive care wards

Shoemark, Helen; Harcourt, Edward R.; Arnup, Sarah; Hunt, Rod W

doi:10.1111/jpc.13084

Cited by 24 publications

(14 citation statements)

References 19 publications

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“…This in accordance with two similar studies in which higher activity in ICUs was associated with high ambient noise 23,24. Recent studies have identified equipment, including alarms, as the primary source of high and annoying noise levels,22,25 with the great challenge that control measures should be applied to minimize noise from monitors and ventilators. The findings of the present study are similar to those of Bayo et al,26 where recorded noise was 60–64 dB(A) during the morning and 55–59 dB(A) in the afternoon.…”

Section: Discussionsupporting

confidence: 90%

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<p>Assessment Of Ambient-Noise Exposure Among Female Nurses In Surgical Cardiac Intensive Care Unit</p>

Alduais

Salama

2019

JMDH

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PurposeTo measure noise levels in the Saud Albabtain Cardiac Center cardiac surgical intensive-care unit (CSICU) at different locations to find out the prevalence of noise-induced hearing loss among female nurses.MethodsAmbient CSICU noise was measured using a sound-level meter and personal noise dosimeter during morning and night shifts (12 hours each) for 30 days. An audiometry test and questionnaire were used to test nursing responses to noise levels.ResultsMean 12-hour average noise levels at the station during night shift were 60.3±7.1 dB(A) and inside rooms 62.48±8.02 dB(A). However, during morning shift 64.1±8.4 dB(A) in the rooms was recorded, while 68.8±8.2 dB(A) was recorded at the station, with a significant difference between the shifts (p<0.0001). ICU monitors recorded the highest noise-source levels of 82.7±5.3 dB(A). The lowest significant source was the suction machines, with an average of 67.1±12.5 dB(A). A significant correlation between decibel loss and nurse experience was observed.ConclusionNoise levels in the CSICU at Saud Albabtain Cardiac Center were higher than World Health Organization standards. CSICU nurses are exposed to noise levels that can affect their hearing capacity. Further research isneeded for effective medical device–alarm management.

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Section: Discussionsupporting

confidence: 90%

“…These studies support our findings, and revealthat ambient noise in the ICU exceeds WHO guidelines 1,20. Though it has been shown that levels significantly exceeded the recommended standards, values were 40–60 dB(A) with no significant day/night-shift variation 8,21,22…”

Section: Discussionmentioning

confidence: 97%

<p>Assessment Of Ambient-Noise Exposure Among Female Nurses In Surgical Cardiac Intensive Care Unit</p>

Alduais

Salama

2019

JMDH

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“…The physical NICU environment is an overwhelming source of stressful stimuli, similar to many ICU settings (Shoemark, Harcourt, Arnup, & Hunt, 2016). NICUs exhibit high volumes of background noise stemming from alarms, equipment, acute patient events, and staff conversations (Byers, Waugh, & Lowman, 2006;Szymczak & Shellhaas, 2014).…”

Section: Nature Of Stressorsmentioning

confidence: 99%

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Weber

Harrison

2019

Nursing Outlook

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In 2011, the American Academy of Pediatrics (AAP) published a technical report on the lifelong effects of early toxic stress on human development, and included a new framework for promoting pediatric health: the Ecobiodevelopmental Framework for Early Childhood Policies and Programs. We believe that hospitalization is a specific form of toxic stress for the neonatal patient, and that toxic stress must be addressed by the nursing profession in order to substantially improve outcomes for the critically-ill neonate. Approximately 4% of normal birthweight newborns and 85% of low birthweight newborns are hospitalized each year in the highly technological Neonatal Intensive Unit (NICU). Neonates are exposed to roughly 70 stressful procedures a day during hospitalization, which can permanently and negatively alter the infant's developing brain. Neurologic deficits can be partly attributed to the frequent, toxic, and cumulative exposure to stressors during NICU hospitalization. However, the AAP Report does not provide specific action steps necessary to address toxic stress in the NICU and realize the new vision for pediatric healthcare outlined therein. Therefore, this paper applies the concepts and vision laid out in the AAP Report to the care of the hospitalized neonate and provides action steps for true transformative change in neonatal intensive care. We review how the environment of the NICU is a significant source of toxic stress for hospitalized infants. We provide recommendations for caregiving practices that could significantly buffer the toxic stress experienced by hospitalized infants. We also identify areas of research inquiry that are needed to address gaps in nursing knowledge and to propel nursing science forward. Finally, we advocate for several public policies that are not fully addressed in the AAP Technical Report, but are vital to the health and development of all newborns.

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“…В то же время следует учитывать: как сенсорная депривация, так и чрезмерная (стрессовая) стимуляция могут оказать негативное воздействие на развивающуюся нервную систему [84]. Для недоношенных детей особенно важна защита от сенсорной перегрузки -от действия света, шума, болезненных манипуляций [85]. Важно избирать такие воздействия, которые если и не предотвращают задержки развития, то способны несколько смягчить ее и при этом не представляют опасности для ребенка, как это установлено в отношении программы щадящего и мягко развивающего ухода NIDCAP (neonatal individual development care assessed program) [86].…”

Section: оритн и векторы постнатального развития недоношенного младенцаunclassified

Predictors of Cognitive Defects and Its Prevention Capabilities in Premature Infants

Беляева¹,

Баранов²,

Намазова-Баранова³

et al. 2020

Pediatr. farmakol.

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The article summarizes the materials of modern publications on cognitive development of premature infants in connection with perinatal factors and parenting conditions. Leading risk predictors of cognitive defects in premature infants are severe dysmaturity by the time of birth (gestational age <27 weeks) and need for intensive care during the first weeks of life. The data of longitudinal researches of the premature infants’ development until reaching their adulthood is presented. The structure of cognitive defects in this population is studied. The most common problems were revealed in learning mathematics, operational memory and purposeful behavior and activity. Frequency of these cognitive defects is associated with both: stage of prematurity social problems of the family. Modern neurovisualization methods (diffusion weighted imaging and functional magnetic resonance imaging (MRI) of the brain) allows to identify the defects in child nervous system (Connectome) development already at the age of 18 months. It can be the substrate of cognitive defects, and it will allow to predict individual development pathway and implement direct corrections and interventions.

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Characterising the ambient sound environment for infants in intensive care wards

Abstract: The ongoing ambient sound suggests that the background sound environment of the new hospital is not different to the old hospital. However, there may be a reduction in the number of noise events.

Cited by 24 publications

References 19 publications

<p>Assessment Of Ambient-Noise Exposure Among Female Nurses In Surgical Cardiac Intensive Care Unit</p>

<p>Assessment Of Ambient-Noise Exposure Among Female Nurses In Surgical Cardiac Intensive Care Unit</p>

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Predictors of Cognitive Defects and Its Prevention Capabilities in Premature Infants

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