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Updated: Apr 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Shhh… I'm growing: noise in the NICU
Vickie Laubach1, Patricia Wilhelm1, Katie Carter1
1Neonatal Intensive Care Unit, Tripler Army Medical Center, 1 Jarrett White Road, MCHK-PE, Honolulu, HI 96859, USA.
Abstract:
Attempting to mitigate operational and structural noise is important in improving the outcomes of high-risk preterm infants. It was anticipated that a culture change in nursing behaviors to include "Quiet Time" would result in reducing the noise levels towards the National Recommended Safe Sound Level. This culture change alone was inadequate to meet NRL. Both operational and structural changes were also required in order to provide a safer neurophysiological environment for the rest and growth of the neonate.
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