Article ; Online: Assessment of Neonatal Intensive Care Unit Sound Exposure Using a Smartphone Application.
American journal of perinatology
2020 Volume 39, Issue 2, Page(s) 189–194
Abstract: Objective: This study aimed to determine the impact of neonatal intensive care unit (NICU) design and environmental factors on neonatal sound exposures. We hypothesized that monitoring with a smartphone application would identify modifiable ... ...
| Abstract | Objective: This study aimed to determine the impact of neonatal intensive care unit (NICU) design and environmental factors on neonatal sound exposures. We hypothesized that monitoring with a smartphone application would identify modifiable environmental factors in different NICU design formats. Study design: Minimum, maximum, and peak decibel (dB) recordings were obtained using the Decibel X phone app, and the presence of noise sources was recorded in each patient space at three NICUs over a 6-month period (December 2017 to May 2018). Data were analyzed by Student's Results: All recordings in the three NICUs exceeded the American Academy of Pediatrics (AAP) recommended <45 dB level. The maximum and peak dB were highest in the open pod format level III NICU. Conversations/music alone and combined with other factors contributed to increased sound exposure. Sound exposure varied by day/night shift, with higher day exposures at the level III hybrid and open pod NICUs and higher night exposures at the level IV SFR NICU. Conclusion: Although sound exposure varied by NICU design, all recordings exceeded the AAP recommendation due, in part, to potentially modifiable environmental factors. A smartphone application may be useful for auditing NICU sound exposure in quality improvements efforts to minimize environmental sound exposure. Key points: · Smartphone application was used to assess NICU sound exposure.. · All cases of sound exposure exceed recommendations.. · A smartphone application was used to identify modifiable factors.. |
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| MeSH term(s) | Communication ; Environmental Monitoring ; Equipment and Supplies, Hospital ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal/organization & administration ; Maryland ; Mobile Applications ; Noise, Occupational/adverse effects ; Personnel Staffing and Scheduling ; Smartphone |
| Language | English |
| Publishing date | 2020-07-23 |
| Publishing country | United States |
| Document type | Journal Article ; Multicenter Study |
| ZDB-ID | 605671-4 |
| ISSN | 1098-8785 ; 0735-1631 |
| ISSN (online) | 1098-8785 |
| ISSN | 0735-1631 |
| DOI | 10.1055/s-0040-1714679 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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