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Effect of a Quality Improvement Project to Reduce Noise in a Pediatric Unit

Maher Soubra1, Yara Abou Harb, Sara Hatoum

  • 1Maher Soubra is a Pediatric Surgeon, Director of Clinical and Patient Affairs, Director of Specialty Clinics, American University of Beirut Medical Center, Beirut, Lebanon. Yara Abou Harb is Deputy Director for Patient Affairs, American University of Beirut Medical Center, Beirut, Lebanon. Sara Hatoum is a Patient Advocate, American University of Beirut Medical Center, Beirut, Lebanon. Nadine Yazbeck is an Assistant Professor, General Pediatrics, Pediatric Gastroenterology and Nutrition, American University of Beirut Medical Center, Beirut, Lebanon. Mirna Khoury is a Nurse Manager, Pediatric unit, American University of Beirut Medical Center, Beirut, Lebanon. Elie Bou Mansour is a Senior Electronic Technician, Plant Engineering Department, American University of Beirut Medical Center, Beirut, Lebanon. Lina Kurdahi Badr is a Professor, Azusa Pacific University, Azusa, CA. The author can be reached via e-mail at linakbadr@hotmail.com.

MCN. the American Journal of Maternal Child Nursing
|January 31, 2018
PubMed

Insights

Implementing a noise reduction program in a pediatric unit significantly decreased noise levels by 8 decibels. This initiative, despite no change in patient satisfaction, shows potential for improving hospitalized children's well-being.

Area of Science:

  • Healthcare Management
  • Environmental Health
  • Pediatric Care

Background:

  • High noise levels in clinical settings negatively impact patient outcomes, including stress, sleep disruption, and delayed healing.
  • These adverse effects are particularly concerning in pediatric units, where vulnerable children require a healing environment.

Purpose of the Study:

  • To assess the impact of a multidisciplinary noise reduction program on a pediatric unit in a developing country.
  • To evaluate changes in noise levels and patient satisfaction following program implementation.

Main Methods:

  • A 15-month quality improvement project in a pediatric unit.
  • A three-phase study involving noise level measurement, implementation of a noise reduction program, and patient satisfaction assessment.

Main Results:

  • A statistically significant decrease of 8 A-weighted decibels in noise levels was observed post-intervention (t = 6.44, p < 0.000).
  • No significant difference was found in patient satisfaction ratings before and after the program.

Conclusions:

  • Noise levels in the pediatric unit were initially above recommended guidelines.
  • The implemented noise reduction program proved effective and sustainable in lowering noise levels.
  • Reducing noise levels holds potential for enhancing the psychological and physiological well-being of hospitalized children.
Abstract

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