University of Hartford, West Hartford, CT, USA.
HERD. 2019 Oct;12(4):197-202. doi: 10.1177/1937586719839229. Epub 2019 Apr 4.
To determine whether using existing noise reduction strategies improves patients' overall satisfaction level during hospitalization on an adult outpatient cardiology unit and to assess whether noise reduction strategies were effective to decrease the ambient noise for both staff and patient environments.
Excessive noise is a worldwide problem facing hospitals today. Noise has been proven to be detrimental to staff and patient well-being and hospital environment satisfaction levels.
Staff noise perception online surveys, a poster presentation, and education of noise reduction strategies were completed. Two 6-week phases of pre- and postimplementation noise reduction strategies were initiated including closing of the doors, verbal and visual alarm reminders for staff, posting quiet signs, and limiting equipment through the unit. Patient telephone interviews regarding the noise environment during hospitalization in both phases and a follow-up staff noise perception online survey were completed.
Staff surveys identified noise as an issue on the unit with staff communication (90%) being the main source. This correlated with patient surveys of five rooms closest to the desk considering the unit "noisy." Post-implementation patient surveys noted that strategies created in helping the unit become "quiet/mostly quiet." Closing patient doors was most effective in noise reduction, increasing patient unit satisfaction.
The use of visual cues and staff education are effective in reducing noise levels. Decreased noise levels improved overall patient satisfaction with their hospital experience and created a less stressful work environment.
确定在成人门诊心脏病学病房中使用现有的降噪策略是否能提高患者住院期间的整体满意度,并评估降噪策略是否能有效降低员工和患者环境的环境噪声。
噪声过大是当今全球医院面临的问题。事实证明,噪声不利于员工和患者的健康,也会降低医院环境的满意度。
完成了员工噪声感知在线调查、海报展示和降噪策略教育。在包括关闭病房门、为员工提供口头和视觉警报提醒、张贴安静标志以及通过病房限制设备使用等在内的 6 周的预实施和实施后降噪策略的两个阶段中,都进行了噪声减少策略的实施。在这两个阶段中,通过患者电话访谈了解患者住院期间的噪声环境,并完成了员工噪声感知在线调查的随访。
员工调查确定了病房存在噪声问题,其中员工之间的沟通(90%)是主要噪声源。这与距离办公桌最近的五个病房的患者调查结果一致,这些患者认为病房“嘈杂”。实施后,患者调查指出,所制定的策略有助于病房变得“安静/大部分时间安静”。关闭患者病房的门是降低噪声最有效的方法,提高了患者对病房的满意度。
使用视觉提示和员工教育可有效降低噪声水平。降低噪声水平可提高患者对住院体验的整体满意度,并营造出压力较小的工作环境。