{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T02:59:42Z","timestamp":1794711582189,"version":"4.9.1"},"reference-count":74,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,10,9]],"date-time":"2008-10-09T00:00:00Z","timestamp":1223510400000},"content-version":"vor","delay-in-days":3144,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2000,3]]},"abstract":"<jats:p> <jats:bold>Hospital noise pollution: an environmental stress model to guide research and clinical interventions<\/jats:bold> <\/jats:p><jats:p>This commentary provides an expanded environmental stress model. Conceptual relationships between ambient stressors, ambient stress, and health are detailed. A three\u2010part intervention, enhancement of person\u2013environment compatibility, is specified. Details are provided on how this approach to reducing environmental pollution\/hazards and sustaining these changes may be influenced by sociopolitical values, technological advances, and motivation for control over hazards. Personal variables thought to mediate the impact of environmental stress on health, including intrinsic sensitivity to specific hazards, personality, restricted capacities, other stress, culture, personal preferences, stage of life, gender, and perceived social support, are highlighted. Research results on the stress and health effects of hospital noise on patients and nurses are summarized to provide support for the model. Future directions for research are recommended. Implications of the model for nursing, including an environmental activist role in an interdisciplinary effort to plan and implement noise abatement interventions, are described.<\/jats:p>","DOI":"10.1046\/j.1365-2648.2000.01307.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T03:45:07Z","timestamp":1047440707000},"page":"520-528","source":"Crossref","is-referenced-by-count":90,"title":["Hospital noise pollution: an environmental stress model to guide research and clinical interventions"],"prefix":"10.1111","volume":"31","author":[{"given":"Margaret","family":"Topf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,10,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1542\/peds.78.6.1123","article-title":"Individualized behavior and environment care of the very low birthweight preterm infant at high risk for bronchopulmonary dysplasia: neonatal intensive care unit and develolpmental outcome","volume":"78","author":"Als H.","year":"1986","journal-title":"Pediatrics"},{"key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1001\/jama.1994.03520110033025","article-title":"Individualized developmental care for the very low\u2010birth\u2010weight preterm infant","volume":"272","author":"Als H.","year":"1994","journal-title":"Journal of the American Medical Association"},{"key":"e_1_2_5_4_2","unstructured":"AltmanI.&ChurchmanA. eds (1994)Women and the Environment: Advances in Theory and Research(Vol. 13). 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