The Noise Pollution Solution - AACN

46 Pages·2014·2.17 MB·English

by  Mark Howard

The Noise Pollution Solution
Marica Baricuatro, RN, BSN, CCRN
Soumaly Rattanasavanh, RN, BSN, CCRN
Lisa Thackerson, RN, ADN, CNRN
Maricelle Thornton, RN, BSN

Coach: Lisa Votti, RN-BC, MSN

Purpose and Goals

Decrease noise pollution at night in the intensive care unit
(ICU) in order to increase patient satisfaction.
Background

Sleep disturbances can lead to:1
 Slower healing
 Increased pain perception
 Increased need for pain medications/sedatives
 Poorer immune response
 Delirium1-2
Background

 Exposure to sounds at 85 decibels (dB) or greater without
ear protection for 8 hours may cause hearing loss, and
exposure to sounds at 112 dB for less than 1 minute also
may lead to hearing loss.3
 Staff working in a noisy environment are vulnerable to
exhaustion, burnout, depression, and irritability.4
Factors That Disrupt Sleep in an ICU5

 Work routines
 Environmental factors
 Mechanical ventilation
 Use of benzodiazepines
 Frequent safety/nurse checks
Sleeping in a Noisy Environment

More than 80% of ICU nurses perceived the patient
to be sleeping if:5
 Patient’s eyes were closed
 Vital signs decreased
 Patient slept moderately well
 Noise predominant factor affecting sleep
Sleeping in a Noisy Environment

 It takes 90 to 100 minutes to complete non-rapid eye
movement and rapid eye movement cycles to reach restful
states.5
 Hospital environmental noises contribute to sleep
disturbance.
 Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS) scores were low (July 2012 to
January 2013): 0% to 66.67%.6
Activities and Key Dates

 July 24, 2013, and July 25, 2013
 Introduce AACN CSI Academy team members and brief
introduction to project
 July 29, 2013
 Pretest
 In-service
 Posttest
 August 5, 2013
 Kickoff
 February 2, 2014, and February 11, 2014
 In-service