Benefits of Quiet Time for Neuro-Intensive Care Patients
- 1 August 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Neuroscience Nursing
- Vol. 42 (4), 217-224
- https://doi.org/10.1097/jnn.0b013e3181e26c20
Abstract
The primary mission of any intensive care unit (ICU) is to provide critically ill patients with high-quality care and an atmosphere in which to recuperate. However, all too often, the intensive environment, which is often busy, chaotic, and noisy, may contribute to just the opposite. Patients overstimulated with noise, lights, and other distractions often suffer from sleep deprivation. Research in medicine and nursing has shown that sleep deprivation can have detrimental effects on an ailing patient. Therefore, a quiet time program was developed in the neuro-ICU to reduce noise and light levels, with the ultimate goal to allow sleep. Quiet time, a period of reduced controllable noise and light, took place twice daily coinciding with circadian rhythms. The study included 50 neuro-ICU patients, 35 observed during day hours and 15 observed during night hours. Noise and light levels were measured at multiple locations before, during, and after quiet time hours. Patients' sleep behavior was recorded every half hour, beginning 1/2 hour before quiet time until 30 minutes after. Analysis of data, adjusted for multiple testing and repeated measures on patients, demonstrated significantly lower noise and light levels during day shift quiet time. In addition, patients were significantly more likely to be observed sleeping during day shift quiet time hours.Keywords
This publication has 10 references indexed in Scilit:
- Increase Patient Safety by Creating a Quieter Hospital EnvironmentBiomedical Instrumentation & Technology, 2006
- “Itʼs the People that Make the Environment Good or Bad”AACN Advanced Critical Care, 2005
- Occupational Noise and Effects on Blood Pressure: Exploring the Relationship of Hypertension and Noise Exposure in WorkersAAOHN Journal, 2004
- Noise Control: A Nursing Team’s Approach to Sleep PromotionThe American Journal of Nursing, 2004
- Peace and quietNursing Management, 2003
- Psychoneuroimmunology in Critically Ill PatientsAACN Advanced Critical Care, 2003
- Interactive relationships between hospital patients’ noise-induced stress and other stress with sleepHeart & Lung, 2001
- Effects of guidelines implementation in a surgical intensive care unit to control nighttime light and noise levelsCritical Care Medicine, 2000
- Identification and Modification of Environmental Noise in an ICU SettingSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1998
- Pandemonium in the Modern HospitalThe New England Journal of Medicine, 1993