Sources of noise and their effects on nurses in intensive care units: A cross sectional study

Kooshanfar, Zahra; Ashrafi, Sadra; Paryad, Ezzat; Salmanghasem, Yalda; Mohammadi, Tahereh; Leili, Ehsan Kazemnezhad; Golhosseini, Seyyed Mohammad Javad

doi:10.1016/j.ijans.2022.100403

Cited by 11 publications

(5 citation statements)

References 21 publications

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“…While there is evidence that healthcare professionals perceive the sound level in ICUs as too high, only few studies have attempted to evaluate what they consider as the most disturbing sound sources and how they perceive them [21,29,37]. Kooshanfar et al [38] determined the sources of noise and the related adverse effects from the perspective of nurses. However, while they asked nurses to rate the major sound sources inside and outside the ward, they did not explore how disturbing the sound sources were.…”

Section: Sound Perceptionmentioning

confidence: 99%

Perceived sounds and their reported level of disturbance in intensive care units: A multinational survey among healthcare professionals

et al. 2022

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Purpose The noise levels in intensive care units have been repeatedly reported to exceed the recommended guidelines and yield negative health outcomes among healthcare professionals. However, it is unclear which sound sources within this environment are perceived as disturbing. Therefore, this study aimed to evaluate how healthcare professionals in Germany, Switzerland, and Austria perceive the sound levels and the associated sound sources within their work environment and explore sound reduction strategies. Material and methods An online survey was conducted among 350 healthcare professionals working in intensive care units. The survey consisted of items on demographic and hospital data and questions about the perception of the sound levels [1 (strongly disagree) to 5 (strongly agree)], disturbance from sound sources [1 (not disturbing at all) to 5 (very disturbing)], and implementation potential, feasibility, and motivation to reduce sound reduction measures [1 (not high at all) to 5 (very high)]. Results Approximately 69.3% of the healthcare professionals perceived the sound levels in the ICUs as too high. Short-lasting human sounds (e.g. moans or laughs) [mean (M) ± standard deviation (SD) = 3.30 ± 0.81], devices and alarms (M ± SD = 2.67 ± 0.59), and short-lasting object sounds (M ± SD = 2.55 ± 0.68) were perceived as the most disturbing sounds. Reducing medical equipment alarms was considered to have greater implementation potential [M ± SD = 3.62 ± 0.92, t(334) = -7.30, p < 0.001], feasibility [M ± SD = 3.19 ± 0.93, t(334) = -11.02, p < 0.001], and motivation [M ± SD = 3.85 ± 0.89, t(334) = -10.10, p < 0.001] for reducing the sound levels. Conclusion This study showed that healthcare professionals perceive short-lasting human sounds as most disturbing and rated reducing medical equipment alarms as the best approach to reduce the sound levels in terms of potential, feasibility, and motivation for implementation.

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Section: Sound Perceptionmentioning

confidence: 99%

Perceived sounds and their reported level of disturbance in intensive care units: A multinational survey among healthcare professionals

et al. 2022

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“…Exposure to noise in the ICU may cause psychological reactions such as anxiety, stress, misjudgment, decreased work performance and concentration, and communication disturbance in ICU nurses [10], as well as physiological responses such as tension, headaches, fatigue [33], and increased heart rate [34]. Since noise in the ICU negatively afects not only the behavior of nurses but also overall health, including physiological, emotional, and cognitive health [35], it is necessary to implement robust approaches to reduce noise in the ICU.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units

Kim,

Min

2023

Journal of Nursing Management

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The aim of this study was to identify factors affecting the noise management performance of adult intensive care unit (ICU) nurses in Korea. The ICU environment is exposed to various types of noises due to the use of medical devices for the treatment of critically ill patients. The noise has an adverse effect on nurses’ health and their nursing performance, which might potentially threaten patient safety. A cross-sectional study was conducted with a total of 148 nurses working in adult ICUs from two university hospitals in Korea. Data were collected using self-administered questionnaires, which included various aspects such as noise knowledge, response to noise, patient safety culture, and noise management performance. Multiple regression analysis revealed that teamwork (β = 0.33, p=0.004), patient safety policy, and procedure (β = 0.25, p=0.037), which were subscales of patient safety culture, as well as frequency of noise experience (β = 0.16, p=0.030) were significant factors affecting adult ICU nurses’ performance of noise management. This study provides a significant basis for promoting adult ICU nurses’ performance in noise management. A structured policy and procedure for noise management should be established for reducing noise in adult ICUs. In terms of nursing education, it is necessary to consider and develop team-based training programs to promote noise management performance in the ICU. Nurse managers and nursing organizations should consider how to create conditions in which nurses can recognize the importance of noise reduction and perform well in noise management.

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“…Noise is prevalent and inevitable in the ICU [1][2][3][4]. When noise exceeds the recommended level, it can be harmful to patients as well as healthcare professionals [1,5,6]. At the patient level, increased noise levels in the ICUs may result in sleep deprivation, decreased healing, increased pain perception, delirium, increased length of stay, annoyance, increased stress level, and impaired well-being.…”

Section: Introductionmentioning

confidence: 99%

“…At the healthcare professional level, increased noise may lead to increased medical errors, increased stress levels, and reduced performance [5,[7][8][9][10][11][12][13]. Research indicates that sound levels exceed the recommended noise level in ICUs [1,6,14,15]. Healthcare professionals contribute 30% to 60% of hospital noise [7].…”

Section: Introductionmentioning

confidence: 99%

Impact of Quiet Time on Psychological Outcomes of Neonatal Intensive Care Unit Nurses in Jeddah, Saudi Arabia: A Cross-Sectional Study

Ismail,

Imam,

Raguini

et al. 2023

Cureus

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Background and objective: Although quiet time is implemented in neonatal intensive care units (NICUs) for the benefit of infants, it may also positively impact the psychological outcomes of healthcare professionals. Several studies have examined the impact of quiet-time implementation on patients; however, there is a paucity of research assessing its impact on the psychological outcomes of NICU nurses, particularly in Saudi Arabia. Objective and methods: This study aimed to assess the impact of quiet time on the psychological outcomes (stress, anxiety, and depression) of NICU nurses in Jeddah, Saudi Arabia. A cross-sectional design was used for this study. A total of 87 NICU nurses from two hospitals participated in this study. One group did not practice quiet time, while the second group did. A questionnaire survey assessed participants’ demographic characteristics, and their depression, anxiety, and stress were assessed using the depression, anxiety, and stress scale-21 (DASS-21). The data were analyzed for frequency, percentage, mean, and standard deviation (SD). Bivariate analysis, independent t-tests, and one-way analysis of variance were used to test the differences between variables and groups. Pearson’s correlation coefficient ( r ) was used to analyze the relationships between continuous variables and perceived stress, anxiety, and depression. Results: A substantial number of NICU nurses perceived stress, anxiety, and depression; however, there were no significant differences in perceived stress, anxiety, and depression between the nurses who worked in NICUs that applied quiet time and NICUs that did not (P ≤ 0.05). Conclusion: This study found no statistically significant relationship between quiet-time implementation and perceived stress, anxiety, or depression among NICU nurses. Further research with a larger sample size or increased quiet-time implementation may be required.

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Sources of noise and their effects on nurses in intensive care units: A cross sectional study

Cited by 11 publications

References 21 publications

Perceived sounds and their reported level of disturbance in intensive care units: A multinational survey among healthcare professionals

Perceived sounds and their reported level of disturbance in intensive care units: A multinational survey among healthcare professionals

Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units

Impact of Quiet Time on Psychological Outcomes of Neonatal Intensive Care Unit Nurses in Jeddah, Saudi Arabia: A Cross-Sectional Study

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