新生儿病房的噪音有影响吗?探索性横断面多队列专业意见调查研究。

IF 2.3 4区 医学 Q2 PEDIATRICS
Georgia Parry, Zoë Hoare, Annie Hendry, Andrew Brand, Artur Abelian
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引用次数: 0

摘要

目的:研究新生儿工作人员如何感知噪声的临床影响,包括其对他们工作表现的影响及其对新生儿发病率的潜在贡献。设计:一项56项的调查在英国威尔士的所有9个新生儿单位进行了开发、试点和传播。分发由基于单位的研究冠军和每周反应监测支持。使用描述性和推断性统计以及归纳性专题分析来分析响应。参与者:临床工作人员共收到405份有效回复,其中包括260名护士、126名医生和19名专职卫生专业人员,占威尔士所有新生儿护士和医生的49.6%。受访者跨越了所有级别的资历和单位类型。主要结果指标:主要结果是认为噪音(1)对新生儿健康有直接负面影响和(2)通过损害工作人员绩效产生间接影响的工作人员的比例。次要结局包括特定的感知临床后果(如败血症、脑室内出血、坏死性小肠结肠炎)和实践中降噪策略的流行程度。结果:92%的工作人员报告噪音直接影响新生儿健康;76%的人认为,它通过对工作人员职能的影响间接造成伤害。近一半的医生和超过三分之一的护士认为这与严重的并发症有关。自由文本回复揭示了对临床危害、沟通受损和缺乏有效机构回应的关注主题。结论:新生儿专家认为噪音是一个临床显著的危险因素。这些发现支持了系统级降噪策略和通过旨在降低新生儿发病率的多中心介入性研究进行进一步评估的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Does noise on my neonatal unit matter? Exploratory cross-sectional multiple cohort professional opinion survey study.

Does noise on my neonatal unit matter? Exploratory cross-sectional multiple cohort professional opinion survey study.

Does noise on my neonatal unit matter? Exploratory cross-sectional multiple cohort professional opinion survey study.

Does noise on my neonatal unit matter? Exploratory cross-sectional multiple cohort professional opinion survey study.

Objectives: To examine how neonatal staff perceive the clinical impact of noise, including its influence on their performance and its potential contribution to neonatal morbidity.

Design: A 56-item survey was developed, piloted and disseminated across all nine neonatal units in Wales, UK. Distribution was supported by unit-based study champions and weekly response monitoring. Responses were analysed using descriptive and inferential statistics, as well as inductive thematic analysis.

Participants: A total of 405 valid responses were received from clinical staff, including 260 nurses, 126 doctors and 19 allied health professionals, representing 49.6% of all neonatal nurses and doctors in Wales. Respondents spanned all levels of seniority and unit types.

Main outcome measures: Primary outcomes were the proportion of staff who perceived noise as having (1) a direct negative impact on neonatal health and (2) an indirect impact via impaired staff performance. Secondary outcomes included specific perceived clinical consequences (e.g., sepsis, intraventricular haemorrhage, necrotising enterocolitis) and the prevalence of noise-mitigation strategies in practice.

Results: 92% of staff reported that noise directly affects neonatal health; 76% believed that it indirectly contributes to harm through its impact on staff functioning. Nearly half of doctors and over one-third of nurses linked this to serious complications. Free-text responses revealed themes of concern over clinical harm, impaired communication and lack of effective institutional response.

Conclusions: Neonatal professionals view noise as a clinically significant risk factor. These findings support the need for system-level noise-reduction strategies and further evaluation through multicentre interventional studies aimed at reducing neonatal morbidity.

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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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