{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:57:23Z","timestamp":1788386243545,"version":"build-2803163510"},"reference-count":21,"publisher":"AACN Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>High noise levels in intensive care units are common. Increased noise levels can lead to sleep deprivation, increased pain perception, and delirium. The most common cause of reducible noise in intensive care units often is attributed to staff conversations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>In January 2015, the neurosurgical intensive care unit staff identified noise as a problem, referencing complaints from other disciplines and family members. Quiet times from 3 am to 5 am and from 3 pm to 5 pm were agreed upon. An improvement plan was developed with a goal to decrease noise levels by 10 decibels in 6 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Using a decibel meter, noise data were collected in 4 locations every 30 minutes during the chosen times for 8 days. Quiet time was implemented 1 week after staff, patient, and family education was completed. Decibel data were collected and evaluated after 60 days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>There were statistically significant reductions in noise levels at nurses\u2019 station left (P = .04) and the bed 9 entrance (P = .02). Noise levels were lower, but not significantly so, for nurses\u2019 station right (P = .12) and the bed 4 entrance (P = .06). Noise levels during quiet time decreased to an average of 10 to 15 decibels lower than baseline data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Sharing baseline data was effective to heighten noise awareness. During quiet time, limiting conversations, eliminating environmental noise, and dimming the lights as a reminder to be quiet are 3 simple strategies that can be implemented to lessen noise.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2018219","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T08:05:37Z","timestamp":1533110737000},"page":"38-44","source":"Crossref","is-referenced-by-count":30,"title":["Quiet Time: A Noise Reduction Initiative in a Neurosurgical Intensive Care Unit"],"prefix":"10.4037","volume":"38","author":[{"given":"Danielle","family":"Goeren","sequence":"first","affiliation":[{"name":"Danielle Goeren is a clinical ladder III staff nurse in the neurosurgical intensive care unit at North Shore University Hospital, Manhasset, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherley","family":"John","sequence":"additional","affiliation":[{"name":"Sherley John is a clinical ladder III staff nurse in the neurosurgical intensive care unit at North Shore University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Meskill","sequence":"additional","affiliation":[{"name":"Katie Meskill is a clinical ladder III staff nurse in the neurosurgical intensive care unit at North Shore University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Iacono","sequence":"additional","affiliation":[{"name":"Laura Iacono is a nurse manager in the neurosurgical intensive care unit at North Shore University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy","family":"Wahl","sequence":"additional","affiliation":[{"name":"Stacy Wahl is a night shift critical care nurse educator at North Shore University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerri","family":"Scanlon","sequence":"additional","affiliation":[{"name":"Kerri Scanlon is chief nursing officer at North Shore University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2019112612154424600_b1-0380038","volume-title":"Notes on Nursing: What It Is, and What It Is Not","author":"Nightingale","year":"1860","edition":"1st"},{"issue":"11","key":"2019112612154424600_b2-0380038","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/01.NAJ.0000362015.55128.54","article-title":"Quiet time","volume":"109","author":"Boehm","year":"2009","journal-title":"Am J Nurs"},{"issue":"2","key":"2019112612154424600_b3-0380038","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4037\/ajcc2001.10.2.74","article-title":"Quiet time: a nursing intervention to promote sleep in neurocritical care units","volume":"10","author":"Olson","year":"2001","journal-title":"Am J Crit Care"},{"issue":"4","key":"2019112612154424600_b4-0380038","doi-asserted-by":"crossref","first-page":"23","DOI":"10.7812\/TPP\/09-057","article-title":"Staff solutions for noise reduction in the workplace","volume":"13","author":"Connor","year":"2009","journal-title":"Perm J"},{"issue":"5","key":"2019112612154424600_b5-0380038","doi-asserted-by":"crossref","first-page":"522.e1","DOI":"10.1016\/j.jcrc.2011.09.003","article-title":"Noise in hospital intensive care units\u2014a critical review of a critical topic","volume":"27","author":"Konkani","year":"2012","journal-title":"J Crit Care"},{"issue":"1","key":"2019112612154424600_b6-0380038","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/CCM.0000000000001378","article-title":"Noise levels in surgical ICUs are consistently above recommended standards","volume":"44","author":"Tainter","year":"2016","journal-title":"Crit Care Med"},{"issue":"4","key":"2019112612154424600_b7-0380038","doi-asserted-by":"crossref","first-page":"1875","DOI":"10.1121\/1.4868367","article-title":"Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording","volume":"135","author":"Park","year":"2014","journal-title":"J Acoust Soc Am"},{"key":"2019112612154424600_b8-0380038","unstructured":"Environmental Protection Agency. Information on levels of environmental noise requisite to protect public health and welfare with an adequate margin of safety. 1974. https:\/\/nepis.epa.gov\/Exe\/ZyNET.exe\/2000L3LN.TXT?Zy-ActionD=ZyDocument&Client=EPA&Index=Prior+to+1976&Docs=&Query=&Time=&EndTime=&SearchMethod=1&TocRestrict=n&Toc=&TocEntry=&QField=&QFieldYear=&QFieldMonth=&QFieldDay=&IntQFieldOp=0&ExtQFieldOp=0&XmlQuery=&File=D%3A%5Czyfiles%5CIndex%20Data%5C70thru75%5CTxt%5C00000001%5C2000L3LN.txt&User=ANONYMOUS&Password=anonymous&SortMethod=h%7C-&MaximumDocuments=1&FuzzyDegree=0&ImageQuality=r75g8\/r75g8\/x150y150g16\/i425&Display=hpfr&DefSeekPage=x&SearchBack=ZyActionL&Back=ZyActionS&BackDesc=Results%20page&MaximumPages=1&ZyEntry=1&SeekPage=x&ZyPURL. Accessed April 18, 2018."},{"key":"2019112612154424600_b9-0380038","unstructured":"US Department of Labor. Occupational safety and health standards. Occupational noise exposure. https:\/\/www.osha.gov\/pls\/oshaweb\/owadisp.show_document?p_table=standards&p_id=9735. Accessed July 19, 2015."},{"key":"2019112612154424600_b10-0380038","unstructured":"Berglund\n              B\n            , LindvallT, SchwelaDH, eds. Guidelines for Community Noise. Chapter 4: Guidelines Values. 1999. http:\/\/www.who.int\/docstore\/peh\/noise\/Comnoise-4.pdf. Accessed March 18, 2017."},{"key":"2019112612154424600_b11-0380038","unstructured":"American Academy of Audiology. Levels of noise in decibels (dB). https:\/\/audiology-web.s3.amazonaws.com\/migrated\/NoiseChart16\u00d720.pdf_5399b28aaef0d9.27446344.pdf. Accessed July 19, 2015."},{"key":"2019112612154424600_b12-0380038","unstructured":"Barr\n              J\n            , FraserGL, PuntilloK, . Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;263\u2013306. http:\/\/www.learnicu.org\/SiteCollectionDocuments\/Pain,%20Agitation,%20Delirium.pdf. Accessed March 17, 2017."},{"key":"2019112612154424600_b13-0380038","unstructured":"Narvaez\n              R\n            \n          . Quiet time project improves patient satisfaction. Nurse.com. https:\/\/www.nurse.com\/blog\/2011\/03\/21\/quiet-time-project-improves-patient-staff-satisfaction\/. Accessed July 19, 2015."},{"issue":"2","key":"2019112612154424600_b14-0380038","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/JNN.0000000000000122","article-title":"The effect of nocturnal patient care interventions on patient sleep and satisfaction with nursing care in neurosurgery intensive care unit","volume":"47","author":"Ugras","year":"2015","journal-title":"J Neurosci Nurs"},{"issue":"5","key":"2019112612154424600_b15-0380038","doi-asserted-by":"crossref","first-page":"396","DOI":"10.4037\/ajcc2015706","article-title":"Decreased stress levels in nurses: a benefit of quiet time","volume":"24","author":"Riemer","year":"2015","journal-title":"Am J Crit Care"},{"issue":"4","key":"2019112612154424600_b16-0380038","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/JNN.0b013e3181e26c20","article-title":"Benefits of quiet time for neuro-intensive care patients","volume":"42","author":"Dennis","year":"2010","journal-title":"J Neurosci Nurs"},{"key":"2019112612154424600_b17-0380038","unstructured":"NoiseMeters Inc. Frequency weightings \u2013 A-weighted, C-weighted or Z-weighted?https:\/\/www.noisemeters.com\/help\/faq\/frequency-weighting.asp. Accessed June 12, 2017."},{"key":"2019112612154424600_b18-0380038","article-title":"The impact of A-weighting sound pressure level measurements during the evaluation of noise exposure","author":"Pierre"},{"key":"2019112612154424600_b19-0380038","volume-title":"Handbook of Noise Ratings","author":"Pearsons","year":"1974"},{"key":"2019112612154424600_b20-0380038","unstructured":"Lester\n              MH\n            \n          . Strategies for noise surveys. http:\/\/www.who.int\/occupational_health\/publications\/noise7.pdf. 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