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conferenceseries
.com
Volume 04
Journal of Neonatal & Pediatric Medicine
Neonatal Nursing Congress 2018
May 14-15, 2018
May 14-15, 2018 Singapore
30
th
Global Experts Meeting on
Neonatal Nursing &
Maternal Healthcare
A quality improvement study to evaluate the effectiveness of noise reduction package in reducing the
level of noise and stress of health care providers in NICU, PGIMER, Chandigarh
Sandhya Ghai, Khongwar C E, Kaur S, Kalyan G, Sundaram V and Munjal S
Postgraduate Institute of Medical Education and Research, India
Background:
Noise affects people psychologically and physiologically. The environment affects the delicate brain of the preterm
deleteriously; thus, noise in NICU is a special concern. The AAP, 2007 recommends noise in NICU≤45 dB.
Aims:
To decrease the average noise in NICU by 25% from the pre-intervention levels over eight weeks and to decrease the level
of stress of health care personal working in NICU by 25% over eight weeks.
Methods:
Noise reduction programwas implemented by taking baseline measurements using a digital sound level meter, Casella
cell 63X at random locations. Multiple and intensive discussions was conducted with staffs of NICU and the QI group consisting
of active clinicians and nurses regarding their views on noise and its effects on stress level and to formulate strategies to reduce
the noise level such as sensitization program, quiet hours and so on. Interventions were grouped in Eisenhower matrix and a
multiphase plan-do-study-act cycle was run. Regular feedbacks after each cycle were provided to motivate strategy adherence.
Results:
Descriptive and inferential statistics using SPSS and QI Macros 2017 was employed to analyze the data. The overall
decrease in the mean of the equivalent level is 7.03%, 7.72% and 7.74%, and a significant decrease in the peak level is 11%, 7.02%
and 12.45% in the morning, evening and night shift, respectively. Major sources of noise reported to be from equipment’s, alarms
and human voice. Stress score significantly decreased with a mean difference of 6.45 and p<0.001.
Conclusion:
Findings of the study have substantial inferences for neonatal care as well as the general health of the health care
providers and pinpoints the significance of noise monitoring in NICU. Constant reinforcement and regular interaction between
the QI team and the staffs of NICU is essential to bring change in behavior and culture and to reach the recommended goal.
Biography
Sandhya Ghai is working as a Principal at National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
She has received Doctorate degree from Panjab University, Chandigarh. She published more than 100 papers in national and international journals. She was
awarded with Best Educationist Award and is a life member of many organizations.
sandhya.ghai@yahoo.comSandhya Ghai
et.al., Neonat Pediatr Med 2018, Volume 4
DOI: 10.4172/2572-4983-C1-002