scholarly journals The sound of potency: An observation study of nurses’ approach to sound in a pediatric intensive care unit

2017 ◽  
Vol 5 (2) ◽  
pp. 46
Author(s):  
Emma Mellgren ◽  
Janet Mattsson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
High Tech ◽  
Noise Levels ◽  
Observation Study ◽  
Care Environment ◽  
High Noise

Objective: The objective of this study was to investigate the nurses’ approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation.Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child’s well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden’s metropolitan regions in the winter of 2014-2015.Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse’s work. It is also apparent that this depends on the department’s caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment.Conclusions: Noise levels are not a priority in the department’s caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.

Patterns of Delirium in a Pediatric Intensive Care Unit and Associations With Noise Pollution

2021 ◽  
pp. 088506662110556
Author(s):  
Jeffrey R. Weatherhead ◽  
Matthew Niedner ◽  
Mary K. Dahmer ◽  
Nasuh Malas ◽  
Toni Owens ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Correlation Coefficient ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Noise Pollution ◽  
Noise Levels ◽  
Sound Levels ◽  
Risk Of Mortality ◽  
The Relationship

Objective Delirium is a common problem in the Pediatric Intensive Care Unit (PICU) and is associated with increased length of stay, cost and mortality. This study evaluated the relationship between noise pollution and delirium risk. Design: This is a Quality Improvement (QI) initiative at an academic PICU. Sound levels were monitored and patients were screened for delirium using the Cornell Assessment of Pediatric Delirium (CAPD). Setting PICU Patients: All PICU patients Interventions: None Measurements and Main Results: Over the 83-week study period (2015-2017), the median [IQR] CAPD score was 8 [3 to 14]. Nursing compliance with the CAPD was 72.2%. The proportion of patients screening positive for delirium (CAPD ≥ 9) was 45.9%. A total of 329 711 hly decibel (dB) measurements were collected and reported. Occupied rooms were louder than unoccupied rooms (51.8 [51.6-51.9] dB vs. 49.8 [49.7-49.9] dB, respectively, p < 0.001). Days (10 AM to 4 PM) were louder than nights (11 PM to 5 AM) (52.8 [52.7-53.0] dB vs. 50.7 [49.9-51.5] dB, respectively p < 0.001) in occupied rooms. Winter (Nov-Feb) months were louder than summer (May-Aug) months (52.0 [51.8-52.3] dB vs. 51.5 [51.3-51.7] dB, respectively, p < 0.002) in occupied rooms. Median weekly nighttime noise levels and CAPD scores demonstrated a correlation coefficient of 0.6 ( p < 0.001). Median weekly risk of mortality (ROM) and CAPD scores demonstrated a correlation coefficient of 0.15 ( p < 0.01). Conclusions: Significant noise pollution exists in the PICU with a moderate correlation between nighttime noise levels and CAPD scores. This could potentially implicate noise pollution as a risk factor for the development of delirium.

Caring for children in pediatric intensive care units

2013 ◽  
Vol 20 (5) ◽  
pp. 528-538 ◽  
Author(s):  
Janet Mattsson ◽  
Maria Forsner ◽  
Maaret Castrén ◽  
Maria Arman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Nursing Care ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Phenomenological Approach ◽  
Individual Child ◽  
Medical Needs ◽  
Pain And Suffering

Children in the pediatric intensive care unit are indisputably in a vulnerable position, dependent on nurses to acknowledge their needs. It is assumed that children should be approached from a holistic perspective in the caring situation to meet their caring needs. The aim of the study was to unfold the meaning of nursing care through nurses’ concerns when caring for children in the pediatric intensive care unit. To investigate the qualitative aspects of practice embedded in the caring situation, the interpretive phenomenological approach was adopted for the study. The findings revealed three patterns: medically oriented nursing—here, the nurses attend to just the medical needs, and nursing care is at its minimum, leaving the children’s needs unmet; parent-oriented nursing care—here, the nursing care emphasizes the parents’ needs in the situation, and the children are viewed as a part of the parent and not as an individual child with specific caring needs; and smooth operating nursing care orientation—here, the nursing care is focused on the child as a whole human being, adding value to the nursing care. The conclusion drawn suggests that nursing care does not always respond to the needs of the child, jeopardizing the well-being of the child and leaving them at risk for experiencing pain and suffering. The concerns present in nursing care has been shown to be the divider of the meaning of nursing care and need to become elucidated in order to improve the cultural influence of what can be seen as good nursing care within the pediatric intensive care unit.

Noise levels in a pediatric intensive care unit: an observational and correlational study

2013 ◽  
Vol 12 (3) ◽  
Author(s):  
Fernanda M. do Carmo da S. Neves de Oliveira ◽  
Márcia Barbosa de Paiva ◽  
Maria Aparecida de Luca Nascimento ◽  
Vivian Marinho Rezende ◽  
Alexandre Sousa da Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Correlational Study ◽  
Noise Levels

Group Meetings in a Pediatric Intensive Care Unit

PEDIATRICS ◽  
1974 ◽  
Vol 53 (3) ◽  
pp. 371-374
Author(s):  
Lawrence A. Rosini ◽  
Mary C. Howell ◽  
I. David Todres ◽  
John Dorman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Work Relationships ◽  
Critical Importance ◽  
Group Discussions ◽  
Individual Personality ◽  
Group Meetings

Work relationships among staff in a pediatric intensive care unit (ICU) are probably of critical importance to patient care, as well as to staff well-being. Group discussions were introduced in one ICU to encourage the staff to raise issues about work relationships and about the effectiveness of the care they were providing. Three kinds of issues recurred: work roles and functions, leadership and decision making, and conflict arising from stereotypic assumptions about opposed groups. The frequency of conflicts rooted in these issues demonstrated their origin in factors over and above individual "personality problems." While there were clear limitations to what such group meetings could accomplish, they did provide a forum for the expression of tensions and anxieties, the identification and resolution of some conflict, and the initiation of needed policy change. The authors encourage further experimentation with this practice, and studies of its effectiveness.

Impact of COVID-19 Pandemic on Pediatric Intensive Care Unit (PICU) Visiting Policies: A Worldwide Survey

2021 ◽  
Author(s):  
Anna Camporesi ◽  
Anna Zanin ◽  
Constantinos Kanaris ◽  
Marco Gemma ◽  
Vanessa Soares Lanziotti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Parental Participation ◽  
South American ◽  
Web Based ◽  
Family Time ◽  
Early Mobility

AbstractThe purpose of this study was to evaluate pediatric intensive care unit (PICU) visiting policies around the world and how the coronavirus disease 2019 (COVID-19) pandemic has affected these policies, due to concerns relating to a viral transmission. A web-based international survey was designed and disseminated through social networks, emails, or direct messages. Two hundred forty-one answers were received. From these, 26 were excluded (13 due to missing location and 13 duplicated answers), resulting in a final number of 215 answers. Europe accounted for 35% of responses (n = 77), South America 22.4% (n = 49), North America 19% (n = 41), Asia 16.5% (n = 36), Central America 2.7% (n = 6), Oceania, and Africa 2.2% each (n = 5 each). Before the pandemic, reported admission/visiting policies already varied between continents. Family time schedules remained similar to the pre-pandemic period in half of European, Central, and South American units and have changed in 60% of Asian, African, North American, and Oceanian units. Access to PICUs has been granted for patients and caregivers tested negative for severe acute respiratory syndrome coronavirus 2 (SARS COV-2) in only part of studied PICUs. Isolation precautions for the visitors were intensified at the onset of the pandemic. Changes in visiting policies were observed in most PICUs worldwide during the COVID-19 pandemic, with some PICUs prohibiting any visitation by families. These changes can decrease possibilities of parental participation in emotional support and reduction of sedation needs, early mobility, and shared decision-making process and impact negatively both children and parental well-being and even patients' outcomes.

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