Effect of Noise Management Program by Nurses on Noise Levels in a Neonatal Intensive Care Unit

Authors

  • Tippawan Vongkampan Faculty of Nursing, Chiang Mai University
  • Jutamas Chotibang Faculty of Nursing, Chiang Mai University
  • Pimpaporn Klunklin Faculty of Nursing, Chiang Mai University

Keywords:

Noise, Neonatal intensive care unit, Noise management program

Abstract

This quasi-experimental research aimed to study the effect of noise management program by nurses on noise levels in a neonatal intensive care unit (NICU). The samples were 14 registered nurses who provided daily nursing care in NICU of Somdech Phra Nangchao Sirikit Hospital. The research instruments consisted of the noise management program by nurses, the demographic data form, the observational form with reliability as 1, and the noise level recording form. The implementation and data collection were conducted from January to March, 2020. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test.

The research results revealed that 1) after implementing the noise management program by nurses, the mean noise level of total daily nursing care was statistically significantly lower than that of before implementing the program (t = 9.263, p < .001); and 2) after implementing the noise management program by nurses, the mean noise levels of body wipe, vital signs measurement, suctioning, and nursing duty sending were statistically significantly lower than those of before implementing the program (t = 7.385, p < .001; t = 3.873, p < .01; t = 3.884, p < .01 and t = 2.320, p < .05, respectively).

This research suggests that nurses who provided daily nursing care in NICU should apply the noise management program by nurses for caring of preterm infants in order to prevent the potential disadvantages among preterm infants.

References

กองยุทธศาสตร์และแผนงาน สำนักงานปลัดกระทรวงสาธารณสุข. (2560). สถิติสาธารณสุข พ.ศ. 2560. สืบค้นจาก http://bps.moph.go.th/new_bps/sites/default/files/stratistics60.pdf

ดลก์พร มาตยาบุญ, พิมพาภรณ์ กลั่นกลิ่น, และมาลี เอื้ออำนวย. (2559). การปฏิบัติของพยาบาลและปัจจัยที่เกี่ยวข้องในการดูแลเพื่อส่งเสริมพัฒนาการทารกเกิดก่อนกำหนด. พยาบาลสาร, 43(4), 1–11.

นงค์คราญ วิเศษกุล. (2562). การพัฒนาสื่อการเรียนการสอนทางการพยาบาล: แนวคิดและการประยุกต์ใช้. คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่.

รุ่งทิพย์ คงแดง. (2550). ผลของโปรแกรมการส่งเสริมการใช้หลักฐานเชิงประจักษ์ต่อความรู้และการปฏิบัติของพยาบาลในการจัดการความปวดเฉียบพลันในทารกแรกเกิด (วิทยานิพนธ์ปริญญามหาบัณฑิต). มหาวิทยาลัยเชียงใหม่.

สุคนธา วัฒนพงษ์, จิตตาภรณ์ จิตรีเชื้อ, และนงเยาว์ เกษตร์ภิบาล. (2559). ผลของหลายกลยุทธ์ต่อการปฏิบัติการป้องกันและอุบัติการณ์การสัมผัสเลือดและสารคัดหลั่งของพยาบาลห้องคลอด. พยาบาลสาร, 43(2), 57–67.

Aita, M., & Goulet, C. (2003). Assessment of neonatal nurses’ behaviors that prevent overstimulation in preterm infants. Intensive & Critical Care Nursing, 19(2), 109–118. doi:10.1016/s0964-3397 (03)00023-5

American Academy of Pediatrics. (1997). Noise: A hazard for the fetus and newborn. Retrieved from http://www.aap.org

Blackburn, S. (1998). Environmental impact of the NICU on developmental outcomes. Journal of Pediatric Nursing, 13(5), 279–289. doi:10.1016/S0882-5963(98)80013-4

Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). St. Louis, MO: Saunders Elsevier.

Carvalhais, C., Santos, J., da Silva, M. V., & Xavier, A. (2015). Is there sufficient training of health care staff on noise reduction in neonatal intensive care units? a pilot study from neonoise project. Journal of Toxicology and Environmental Health, Part A, 78(13–14), 897–903. doi:10.1080/15287394.2015.1051204

Chang, Y. J., Pan, Y. J., Lin, Y. J., Chang, Y. Z., & Lin, C. H. (2006). A noise-sensor light alarm reduces noise in the newborn intensive care unit. American Journal of Perinatology, 23(5), 265–271. doi:10.1055/s-2006-941455

Laudert, S., Liu, W. F., Blackington, S., Perkins, B., Martin, S., Macmillan-York, E., … Handyside, J. (2007). Implementing potentially better practices to support the neurodevelopment of infants in the NICU. Journal of Perinatology, 27(Suppl. 2), 75–93. doi:10.1038/sj.jp.7211843

Lubbe, W., Van der Walt, C., & Klopper, H. (2012). NICU environment–what should it be like?. Journal of Neonatal Nursing, 18(3), 90–93. doi:10.1016/j.jnn.2012.03.006

McMahon, E., Wintermark, P., & Lahav, A. (2012). Auditory brain development in premature infants: The importance of early experience. Annals of the New York Academy of Sciences, 1252(1), 17–24. doi:10.1111/j.1749-6632.2012.06445.x

Milette, I. (2010). Decreasing noise level in our NICU: The impact of a noise awareness educational program. Advances in Neonatal Care, 10(6), 343–351. doi:10.1097/ANC.0b013e318fc8108

Nogueira, M. de F. H., Di Piero, K. C., Ramos, E. G., de Souza, M. N., & Dutra, M. V. P. (2011). Noise measurement in NICUs and incubators with newborns: A systematic literature review. Revista Latino-Americana de Enfermagem, 19(1), 212–221. doi:10.1590/s0104-11692011000100028

Philbin, M. K. (2000). The influence of auditory experience on the behavior of preterm newborns. Journal of Perinatology, 20(8 Pt 2), 77–87. doi:10.1038/sj.jp.7200453

Santos, J., Carvalhais, C., Xavier, A., & Silva, M. V. (2018). Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units. Archives of Environmental & Occupational Health, 73(2), 121–127. doi:10.1080/19338244.2017.1304883

Swansburg, R. C. (2002). Communication. In R. C. Swansburg & R. J. Swansburg (Eds.), Introduction to management and leadership for nurse managers (pp. 502–514). Boston: Jones and Bartlett Publishers.

Tappen, R. M. (Ed.). (2001). Nursing leadership and management: Concepts and practice. Philadelphia: F. A. Davis.

Wachman, E. M., & Lahav, A. (2011). The effects of noise on preterm infants in the NICU. Archives of Disease in Childhood – Fetal and Neonatal Edition, 96(4), 305–309. doi:10.1136/adc.2009.182014

World Health Organization. (2009). Engineering noise control. Retrieved from http://www.who.int/occupational_health/publications/noise10.pdf

Downloads

Published

2022-06-15

How to Cite

Vongkampan, T., Chotibang, J., & Klunklin, P. (2022). Effect of Noise Management Program by Nurses on Noise Levels in a Neonatal Intensive Care Unit. Journal of Phrapokklao Nursing College, Chanthaburi, 33(1), 38–50. Retrieved from https://he01.tci-thaijo.org/index.php/pnc/article/view/255159

Issue

Section

Research Report (รายงานการวิจัย)