Noise Reduction On An Inpatient Surgical Nursing Unit To Promote Healthy Sleep Hygiene

Noise Reduction On An Inpatient Surgical Nursing Unit To Promote Healthy Sleep Hygiene


Name: Candice Catlett

Rank: 1LT

Presenter/Poster: Poster

Year: 2017


Description of the Project: Based on the TRICARE Inpatient Satisfaction Survey (TRISS) and our internal patient satisfaction surveys, patients on our Orthopedic/Trauma Unit at San Antonio Military Medical Center reported decreased satisfaction with the amount of noise during the night on the ward.
EBP Question/PICOT: Will implementation of a noise reduction program at night improve patient satisfaction from 15 October 2016 to 15 January 2017?
Background: Noise reduction programs that take a whole system approach, specifically staff education, environmental control and organization of care has demonstrated positively on patient satisfaction and patient healing.
Method of Implementation: A noise survey was developed was distributed from October 15 to November 30, 2016. Patients reported decreased satisfaction with noise levels at night; strongly correlating with the TRISS results. Staff members were in-serviced on the effects of noise and the benefits of a noise reduction program for patient healing and behavior modification. Environmental control, organization of care techniques and “Quiet Kits” were implemented. Post- noise reduction surveys were collected after the noise reduction program was implemented.
Project Finding: From October 15, 2016 to November 30, 2016, 85 patients on 4 West participated in a pre-noise survey to identify level of satisfaction regarding noise at night. Results indicated that 47 patients were unsatisfied with noise levels at night, 40 were awakened by staff conversation, 45 reported that low lighting was used not used by staff and 46 wanted the staff to be quieter during the night. After the noise reduction program was implemented, a post- survey was collected from 1 December, 2016 to 15 January 2017 in which 65 patients participated. In contrast, results showed increased patient satisfaction. The noise reduction program was a success to promoting healthy sleep.
Implications for Military Nursing: A noise reduction program has demonstrated that implementing changes enhances the patient experience. Creating a culture of quiet contributes to peaceful, healing and conductive environment that enhances the wellbeing of patients as well as increased patient satisfaction and anxiety. We will also follow up on our TRISS to see if patient satisfaction has improved.