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Updated: Jun 8, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
[Noise and sounds in the neonatal unit]
Maria Vera Lúcia Moreira Leitão Cardoso1, Edna Maria Camelo Chaves, Maria Gorette Andrade Bezerra
1Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE. mvlmlc@hotmail.com
Noise levels in neonatal units (NU) often exceed recommended standards. This study found conversations and handwashing equipment in the morning, and equipment changes at night, were primary noise sources, impacting infant well-being.
Area of Science:
- Environmental Health
- Neonatal Care
- Acoustics
Context:
- Neonatal units (NU) are critical care environments for vulnerable infants.
- High noise levels in healthcare settings can negatively impact patient outcomes.
- This study was conducted in a public institution in Fortaleza-Ceará, Brazil.
Purpose:
- To identify the primary sources of noise in a neonatal unit.
- To measure the sound pressure level in decibels (dB) within the NU.
- To compare measured noise levels against established ABNT (Brazilian Association of Technical Standards) recommendations.
Summary:
- A descriptive study measured decibel sound pressure levels in a neonatal unit across morning, afternoon, and night shifts.
- Noise levels peaked during the morning (80.4 dB) due to conversations and handwashing equipment, and at night (78.1 dB) due to equipment changes.
- The average noise level recorded in the NU exceeded the ABNT-recommended limits.
Impact:
- Findings highlight the need for noise reduction strategies in neonatal intensive care units.
- Elevated noise levels may pose risks to neonatal development and well-being.
- Results provide data for improving acoustic environments in critical care settings.
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