Sources of Sound Exposure in Pediatric Critical Care.
Background: Sound levels in the pediatric intensive care unit (PICU) are often above recommended levels, but few researchers have identified the sound sources contributing to high levels. Objectives: To identify sources of PICU sound exposure. Methods: This was a secondary analysis of continuous bed...
| Publicado en: | American Journal of Critical Care Vol. 33; no. 3; pp. 202 - 210 |
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| Autores principales: | , |
| Formato: | CEU research Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176925607&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176925607 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: May2024 vid: 33 iid: 3 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 176925607 176925607 176925607 10.4037/ajcc2024688 176925607 ppf: 202 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Sources of Sound Exposure in Pediatric Critical Care. aug: au: Kalvas, Laura Beth Harrison, Tondi M. affil: postdoctoral fellow, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania sug: subj: Critical Care Pediatric Care Noise Intensive Care Units, Pediatric Environmental Exposure Secondary Analysis Human Dosimeter Descriptive Statistics Equipment and Supplies Shiftwork Sleep Quality Critical Care Nurses Nonexperimental Studies Convenience Sample Critically Ill Patients Videorecording Funding Source Education, Continuing (Credit) ab: Background: Sound levels in the pediatric intensive care unit (PICU) are often above recommended levels, but few researchers have identified the sound sources contributing to high levels. Objectives: To identify sources of PICU sound exposure. Methods: This was a secondary analysis of continuous bedside video and dosimeter data (n = 220.7 hours). A reliable coding scheme developed to identify sound sources in the adult ICU was modified for pediatrics. Proportions of sound sources were compared between times of high (≥45 dB) and low (<45 dB) sound, during day (7 AM to 6:59 PM) and night (7 PM to 6:59 AM) shifts, and during sound peaks (≥70 dB). Results: Overall, family vocalizations (38% of observation time, n = 83.9 hours), clinician vocalizations (32%, n = 70.6 hours), and child nonverbal vocalizations (29.4%, n = 64.9 hours) were the main human sound sources. Media sounds (57.7%, n = 127.3 hours), general activity (40.7%, n = 89.8 hours), and medical equipment (31.3%, n = 69.1 hours) were the main environmental sound sources. Media sounds occurred in more than half of video hours. Child nonverbal (71.6%, n = 10.2 hours) and family vocalizations (63.2%, n = 9 hours) were highly prevalent during sound peaks. General activity (32.1%, n = 33.2 hours), clinician vocalizations (22.5%, n = 23.3 hours), and medical equipment sounds (20.6, n = 21.3 hours) were prevalent during night shifts. Conclusions: Clinicians should partner with families to limit nighttime PICU noise pollution. Large-scale studies using this reliable coding scheme are needed to understand the PICU sound environment. pubtype: Academic Journal doctype: CEU research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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