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Updated: Jun 17, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
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Establishing a Contextualized Intervention Program for Noise Reduction in a Neonatal Intensive Care Unit.

Semra Köse1, Raheleh Sabetsarvestani1, Emine Geçkil1

  • 1Faculty of Nursing, Necmettin Erbakan University, Konya, Turkey.

HERD
|August 14, 2024
PubMed
Summary

A noise reduction program in neonatal intensive care units (NICUs) significantly lowered noise levels, especially during morning and evening shifts. This intervention supports the healthy development of preterm infants by creating quieter environments.

Keywords:
neonatal intensive care unitsnoisenursingreduction

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Area of Science:

  • Neonatal Intensive Care Unit (NICU) environment
  • Healthcare acoustics
  • Infant developmental psychology

Background:

  • Neonatal intensive care units (NICUs) require controlled noise levels for preterm infant development.
  • Excessive noise in NICUs can negatively impact infant health and outcomes.
  • Establishing safe noise limits is crucial for optimal infant care.

Purpose of the Study:

  • To assess the impact of a contextualized intervention program on noise levels within a neonatal intensive care unit (NICU).
  • To determine the effectiveness of environmental, behavioral, and resource management strategies in reducing NICU noise.
  • To provide evidence for implementing noise reduction protocols in neonatal care settings.

Main Methods:

  • A single-center, before-and-after study design was utilized.
  • Intervention included environmental, behavioral, and resource management modifications.
  • Sound level measurements were taken at regular intervals before and after the intervention.

Main Results:

  • Significant reductions in noise levels were observed during weekday mornings and evenings in the second level of the NICU.
  • Weekday noise levels in the third level of the NICU were significantly lower after the intervention.
  • Weekend noise levels showed varied results, with no significant difference in the third measurement for morning recordings.

Conclusions:

  • The implemented contextualized noise reduction program effectively improved noise levels in the NICU.
  • The intervention demonstrated particular success in reducing noise during morning and evening shifts.
  • Findings support the adoption of similar noise-mitigation strategies in neonatal care environments.