The effects of noise levels on nurses in intensive care units

Terzi̇, Banu; Azizoğlu, Fatma; Polat, Şehrinaz; Kaya, Nurten; İşsever, Halim

doi:10.1111/nicc.12414

Cited by 50 publications

(56 citation statements)

References 32 publications

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“…Mean SAI scores were significantly higher at a shift time of 4:00 pm to 12:00 am when noise levels in the ICU were 61 to 70.99 dB compared with noise levels of 60.99 dB(A) and below and 71 dB and above ( P < .01) (Table 3). 10 …”

Section: Resultsmentioning

confidence: 99%

“…Cvach reported a significant increase in noise levels in hospitals since the 1960s 4 . Several studies have also reported that noise levels in intensive care far exceed World Health Organization (WHO) thresholds 5‐10 …”

Section: Introductionmentioning

confidence: 99%

“…Nurses in intensive care are also exposed to excessive noise. This indirectly threatens patient care and adversely impacts healing 10,19,20 …”

Section: Introductionmentioning

confidence: 99%

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The effects of noise levels on pain, anxiety, and sleep in patients

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Kulakaç

Sayılan

2020

Nursing in Critical Care

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Background Intensive care is a noisy environment for patients and one that affects pain, anxiety levels, and sleep quality. Aims and objectives To determine the relationship between noise levels and pain, anxiety, and sleep levels in patients in intensive care units. Design A descriptive and observational study design was used. Methods This study was conducted between June and December 2018 in a public hospital and included 111 patients admitted to surgical critical care for at least 24 hours. Three Benetech Gm1351 manual sound level metres were used to measure noise. A Patient Information Form, a pain Visual Analog Scale (VAS), the Spielberger State‐Trait Anxiety Inventory, and the Richards Campbell Sleep Questionnaire (RCSQ) were used for data collection. Results The mean age of the patients was 57.29 years. The mean noise level detected in the intensive care unit was 66.52 dB (dB). Patients' mean pain VAS score was 3.79 ± 1.72, the mean State Anxiety Inventory score was 39.74 ± 2.98, and the mean total RCSQ score was 25.10 ± 13.17. Our findings show that patients in the intensive care unit are exposed to high noise levels and that, while this has no effect on pain, it significantly impacts anxiety and quality of sleep. Conclusions Noise levels in intensive care units significantly exceed recommended thresholds, and this adversely affects patients' anxiety levels and sleep quality. It is important for suitably restful conditions to be provided for patients, to be aware of the potential for anxiety, and for these factors to be borne in mind when planning nursing interventions. Relevance to clinical practice Further studies on the effects of noise levels on pain, anxiety, and sleep levels in patients admitted to intensive care units are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effects of noise levels on pain, anxiety, and sleep in patients

Sayılan

Kulakaç

Sayılan

2020

Nursing in Critical Care

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“…A recent study could show that the staff's job satisfaction and anxiety levels were significantly associated with noise measurements at their ICU. 47 Attempts to implement behavioral changes to reduce noise levels are certainly necessary, but alone, they have thus far been ineffective. 48 Behavioral-based interventions may only be effective when supplemented by innovative tools, and there is a growing number of technological and architectural solutions that can aid the implementation of acoustics in the hospital setting as a prophylactic or therapeutic measure.…”

Section: Sound and Icu Environmentmentioning

confidence: 99%

Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

Luetz

Grunow

Mörgeli

et al. 2019

Semin Respir Crit Care Med

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Delirium, the most common form of acute brain dysfunction affecting up to 80% of intensive care unit (ICU) patients, has been shown to predict long-term cognitive impairment, one of the domains in “Post-ICU Syndrome” (PICS). The ICU environment affects several potentially modifiable risk factors for delirium, such as disorientation and disruption, of the sleep–wake cycle. Innovative solutions aim to transform standard concepts of ICU room design to limit potential stressors, and utilizing the patient care space as a treatment tool, exerting positive, therapeutic effects. The main areas affected by most architectural and interior design modifications are sound environment, light control, floor planning, and room arrangement. Implementation of corresponding solutions is challenging considering the significant medical and technical demands of ICUs. This article discusses innovative concepts and promising approaches in ICU design that may be used to prevent stress and to support the healing process of patients, potentially limiting the impact of delirium and PICS.

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“…Terzi et al . () surveyed 150 nurses, in a variety of critical care units to assess the impact of noise levels on the nurses' satisfaction and emotional well‐being. Using a wide range of appropriate instruments, including a self‐report inventory and symptom checklist, the results identified that noise levels were the highest in neonatal, neurological, and cardiovascular units, exceeding 71 dB(A) or above (40 dB is normal).…”

mentioning

confidence: 99%