title: Shhh… I'm growing: noise in the NICU.
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.
authors.affiliation: Neonatal Intensive Care Unit, Tripler Army Medical Center, 1 Jarrett White Road, MCHK-PE, Honolulu, HI 96859, USA. Electronic address: alaub41324@aol.com.
authors.forename: Vickie
authors.initials: V
authors.lastname: Laubach
authors.affiliation: Neonatal Intensive Care Unit, Tripler Army Medical Center, 1 Jarrett White Road, MCHK-PE, Honolulu, HI 96859, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Wilhelm
authors.affiliation: Neonatal Intensive Care Unit, Tripler Army Medical Center, 1 Jarrett White Road, MCHK-PE, Honolulu, HI 96859, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Carter
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D009622:Noise; D009741:Nursing Staff, Hospital; D015279:Organizational Culture
keywords: Infants; Neonatal; Neonatal intensive care unit; Newborns; Noise; Preterm; Sound; Sound levels