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Hung L, Wong KLY, Huang K, Cheung DSK, Yeo MS, Kim SJ. Use of headphones for the delivery of music programs for people with dementia in long-term care homes: a scoping review protocol. BMJ Open 2024; 14:e082892. [PMID: 38684263 PMCID: PMC11086536 DOI: 10.1136/bmjopen-2023-082892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/02/2024] Open
Abstract
INTRODUCTION Dementia affects the quality of life. Excessive noise in care environments can exacerbate stress and related symptoms. Headphone-based music interventions may help improve the quality of life for people with dementia in long-term care homes. This review aims to explore and synthesise research on headphone-based music interventions for people with dementia in long-term care homes, focusing on enablers and barriers to implementing headphone-based music interventions. METHODS AND ANALYSIS Joanna Briggs Institute guidance for scoping review and Preferred Reporting Items for Scoping Reviews and Meta-analyses extension for Scoping Reviews will guide the review and report process. CINAHL, MEDLINE, Embase, Web of Science, Scopus, AgeLine, PsycINFO and ProQuest databases will be searched for relevant literature from June 2010 to January 2024, supplemented by hand searches and Google for grey literature. Two research assistants will independently screen citations, followed by a full-text review. Data will be extracted using a data extraction tool. We will present the data in a table with narratives that answer the questions of the scoping review. ETHICS AND DISSEMINATION This scoping review does not require ethics approval and participation consent, as all data will be publicly available. The scoping review results will be disseminated through conference presentations and an open-access publication in a peer-reviewed journal. The findings will provide practical insights into the adoption and efficacy of headphone-based music programmes for dementia in long-term care homes, contributing to education, practice, policy and future research.
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Affiliation(s)
- Lillian Hung
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Karen Lok Yi Wong
- The University of British Columbia, Vancouver, British Columbia, Canada
| | - Kitty Huang
- School of Nursing, The Hong Kong Polytechnic University, Kowloon City, Kowloon, Hong Kong
| | - Daphne Sze Ki Cheung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon City, Kowloon, Hong Kong
| | - Myung Sun Yeo
- Music Therapy Education, Ewha Womans University, Seoul, Korea (the Republic of)
| | - Soo Ji Kim
- Music Therapy Education, Ewha Womans University, Seoul, Korea (the Republic of)
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Xie M, Deng Z, Xiang Z. Acoustic characteristics of bedrooms in two types of long-term care facilities in China. Heliyon 2024; 10:e27121. [PMID: 38486778 PMCID: PMC10937692 DOI: 10.1016/j.heliyon.2024.e27121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 02/16/2024] [Accepted: 02/23/2024] [Indexed: 03/17/2024] Open
Abstract
The aim of this study was to quantitatively determine the acoustic characteristics of bedrooms in two types of long-term care facilities in China. Objective acoustic conditions, including noise levels and reverberation times, were measured through a series of acoustic measurements in twelve bedrooms in two nursing homes and three adult care homes in Kunming city, China. The impacts of noise and sound preferences were evaluated through a questionnaire survey administered to residents and nursing staff. In terms of the sound field, the background noise levels in most measured bedrooms exceeded the WHO's recommended value (30 dBA) by approximately 10-15 dBA. Compared to those in adult care homes, the noise levels in nursing homes were approximately 5-7 dBA higher during the daytime and 2-3 dBA higher during the nighttime due to frequent nursing activities. Moreover, noise levels were 5-15 dBA higher in roadside bedrooms. The reverberation time of five bedrooms reached 0.8 s at low frequency (125 Hz) due to their large space and absence of sound-absorbing materials. The questionnaire showed that noise sources were mainly perceived as coming from corridors and out-of-windows by residents and nursing staff. Traffic noise, residents' yelling in pain (just in nursing homes) and footsteps were considered the most noticeable noises, which may have had negative effects on participants' sleep quality, health, and emotional state. Moreover, the residents in roadside bedrooms reported that noise had a greater impact on their sleep (p < 0.01). Compared to artificial and mechanical sounds, participants preferred nature sounds, such as streams and birds, which were significantly (p < 0.01) positively correlated with age.
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Affiliation(s)
- Mingxuan Xie
- Faculty of Architecture and City Planning, Kunming University of Science and Technology, Kunming, Yunnan, 650500, China
| | - Zhixiao Deng
- Faculty of Architecture and City Planning, Kunming University of Science and Technology, Kunming, Yunnan, 650500, China
| | - Zhengnan Xiang
- Faculty of Architecture and City Planning, Kunming University of Science and Technology, Kunming, Yunnan, 650500, China
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Ghaffar RSA, Sheikh M, Kidwai M, Sanaullah A, Salman M, Ilyas A, Ahmed N, Lal A. Impact of high-speed handpiece noise-induced dental anxiety on heart rate: analyzing experienced and non-experienced patients - a comparative study. BMC Oral Health 2024; 24:265. [PMID: 38389070 PMCID: PMC10885409 DOI: 10.1186/s12903-024-04017-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 02/12/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Dental anxiety is very much common among the patients and could be due to different factors like the behavior of the dentist, past experiences, Needle phobia, or word of mouth from other patients. According to recent studies, a strong association between sound and anxiety has been found, so this observational study has been conducted to find out the link between the activation of anxiety with the sound of a handpiece between experienced patients, who have already gone through the dental treatments and non-experienced patients. METHODS Total of 297 participants were part of this study. These participants were divided into 2 groups according to the experienced and non-experienced dental patients. The researcher first filled out the CORAH Dental Anxiety Scale (DAS) form to mark the anxiety level of the patients, and then noted the readings of the heart rate in 3 intervals which were before during, and after the treatment with the pulse oximeter. Later the data was analysed using the SPSS independent t-test. RESULTS Results show that patients in group 1 who have gone through the dental treatment before were less anxious and had a lesser effect on their heart rate than the patient who were having the treatment for the first time who were in group 2. Another interesting factor was noticed that in both the groups female were found to be more anxious than male participants. Participants with younger age were found to be more anxious than older age patient in both groups CONCLUSIONS: The sound of the handpiece can provoke anxiety in the patient, affecting the heart and increasing the heart rate. Participants who were experienced were found to be less anxious than the participants who were inexperienced.
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Affiliation(s)
| | - Mahnoor Sheikh
- Altamash Institute of Dental Medicine, Karachi, Pakistan
| | - Muneeza Kidwai
- Altamash Institute of Dental Medicine, Karachi, Pakistan
| | - Anas Sanaullah
- Altamash Institute of Dental Medicine, Karachi, Pakistan
| | | | - Anum Ilyas
- Altamash Institute of Dental Medicine, Karachi, Pakistan
| | - Naseer Ahmed
- Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
| | - Abhishek Lal
- Department of Medicine, The Aga Khan University, Karachi, Pakistan
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Taskin O, Disel NR, Yilmaz M. Amidst the clamor: Effects of emergency department noise on Physicians' health and attention. Am J Emerg Med 2024; 76:87-92. [PMID: 38006637 DOI: 10.1016/j.ajem.2023.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/27/2023] [Accepted: 11/07/2023] [Indexed: 11/27/2023] Open
Abstract
OBJECTIVE This study aims to assess effects of noise on physicians' stress levels and attention capacities within an emergency department. METHODS In this prospective cross-sectional study, 15 physicians from a state hospital emergency department with 300,000 annual visits provided demographics, work factors, and physiologic data. Attention was evaluated through smartphone-based Stroop tests, while noise and heart rates were monitored via smartwatches. RESULTS Median physician age was 26, with 16 months' emergency department experience. Average sound intensity was 68.80 dB. Despite noise, physicians in green/yellow areas showed increased Stroop scores (p = 0.002). Heart rate responses correlated with noise changes. End-of-shift surveys highlighted physicians' adaptability and resilience to high noise levels. CONCLUSION Noisy emergency departments pose health risks to physicians, but noise-related stress did not significantly affect attention, beneficial for patient care.
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Affiliation(s)
- Omer Taskin
- Emergency Service, Yuregir State Hospital, Adana, Turkey.
| | - Nezihat Rana Disel
- Department of Emergency Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Mustafa Yilmaz
- Department of Emergency Medicine, Faculty of Medicine, Firat University, Elazig, Turkey
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Antoniadou M, Tziovara P, Antoniadou C. The Effect of Sound in the Dental Office: Practices and Recommendations for Quality Assurance-A Narrative Review. Dent J (Basel) 2022; 10:dj10120228. [PMID: 36547044 PMCID: PMC9776681 DOI: 10.3390/dj10120228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022] Open
Abstract
Sound is inextricably linked to the human senses and is therefore directly related to the general health of the individual. The aim of the present study is to collect data on the effect of two dimensions of sound, music, and noise from an emotional and functional point of view in the dental office and to perform a thorough review of the relevant literature. We collected articles from the databases PubMed and Google Scholar through keywords that were related to noise and music in healthcare. Important information was also extracted from articles on the web and official websites. Screening of the relevant literature was performed according to accuracy and reliability of the methodology tested. A total of 261 articles were associated to sound and music in healthcare. Ninety-six of them were the most well documented and were thus included in our article. Most of the articles associate noise with negative emotions and a negative impact on performance, while music is associated with positive emotions ranging from emotional state to therapeutic approaches. Few results were found regarding ways to reduce noise in a health facility. If there is a difficulty to find effective methods of reducing the daily noise-inducing sounds in the dental office, we must focus on ways to incorporate music into it as a means of relaxation and therapy.
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Affiliation(s)
- Maria Antoniadou
- Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Correspondence: ; Tel.: +30-69-4434-2546
| | - Panagiota Tziovara
- Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece
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Conducive environments reduce sleep disturbances and improve sleep quality: a quality improvement project. JBI Evid Implement 2021; 19:105-117. [PMID: 33570338 DOI: 10.1097/xeb.0000000000000265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM The current implementation project aimed to improve patients' sleep quality in a hospital by implementing targeted interventions to reduce sleep disturbances. METHODS The Silent Night project was implemented in two general units of an academic tertiary hospital. The project comprised three phases: preimplementation, implementation, and postimplementation. Patient surveys were administered to obtain patients' perspectives on the sources of noise disturbances at night. Noise-monitoring machines were installed in two wards to obtain objective data on noise levels at night. Concurrently, data were collected on noise-generating activities that were observed. RESULTS The overall quality of sleep reported by patients improved by 17% (from 73.5 to 88.9%). Patients' survey reported reduced noise disturbances from direct care activities, environmental noise and medical equipment alarms. The mean noise level in the orthopedics unit reduced significantly from 57.04 to 55.22 dB with a corresponding decrease in noise generating activities by 60% (from 362 to 144). In the geriatric unit, the mean noise level increased from 51.36 to 53.12 dB but is within the National Environmental Agency's permissible noise level of 55 dB even though the noise generating activities reduced significantly by 92.2% (from 954 to 74). CONCLUSION The 'Silent Night' project has successfully reduced noise disturbances generating from environment and nursing care activities and improved patients' sleep quality in the hospital. Sharing sessions regarding sources of noise and the 'Silent Night' poster promoted the awareness of noise disturbances in healthcare professionals, visitors, and patients.
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Sampieri G, Namavarian A, Levin M, Philteos J, Lee JW, Koskinen A, Lin V, Lee J. Noise in Otolaryngology - Head and Neck Surgery operating rooms: a systematic review. J Otolaryngol Head Neck Surg 2021; 50:8. [PMID: 33573705 PMCID: PMC7879658 DOI: 10.1186/s40463-020-00487-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 12/21/2020] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. METHODS Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. RESULTS This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. CONCLUSIONS This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs.
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Affiliation(s)
| | | | - Marc Levin
- Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada
| | - Justine Philteos
- Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada
| | - Jong Wook Lee
- Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada
| | - Anni Koskinen
- Department of Otorhinolaryngology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Vincent Lin
- Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada
| | - John Lee
- Department of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
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Sarkar M, Rock P, Rowen L, Hong C. Increased Patient Satisfaction in the Postanesthesia Care Unit with the Implementation of a Controlled Noise Reduction Program. J Perianesth Nurs 2021; 36:3-7. [DOI: 10.1016/j.jopan.2020.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 04/28/2020] [Accepted: 05/02/2020] [Indexed: 11/25/2022]
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Leitsmann C, Uhlig A, Popeneciu IV, Boos M, Ahyai SA, Schmid M, Wachter R, Trojan L, Friedrich M. The Silent Operation Theatre Optimisation System (SOTOS ©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy. J Robot Surg 2020; 15:519-527. [PMID: 32776286 PMCID: PMC7416589 DOI: 10.1007/s11701-020-01135-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 08/03/2020] [Indexed: 11/25/2022]
Abstract
To reduce noise pollution and consequently stress during robot-assisted laparoscopic radical prostatectomy (RALP) the aim of our study was to evaluate the silent operation theatre optimisation system (SOTOS) in its effectiveness. In the operating room (OR) the noise level is between 80 and 85 decibel (dB). Noise corresponds to a major stress factor for surgical teams and especially surgeons. The use of the da Vinci surgical system entails an additional aspect of noise in the OR. The SOTOS surgical team used wired or wireless headphone/microphone combinations to communicate. We measured sound pressure levels in two different locations in the OR and the heart rate of every surgical team member as an indicator of the stress level. We further captured subjective acceptance of SOTOS as well as perioperative data such as surgical time. We prospectively randomised 32 RALP patients into two study arms. Sixteen surgeries were performed using SOTOS and 16 without (control). Overall, the mean sound pressure level in the SOTOS group was 3.6 dB lower compared to the control (p < 0.001). The highest sound pressure level measured was 96 dB in the control group. Mean heart rates were 81.3 beats/min for surgeons and 90.8 beats/min for circulating nurses. SOTOS had no statistically significant effect on mean heart rates of the operating team. Subjective acceptance of SOTO was high. Our prospective evaluation of SOTOS in RALP could show a significant noise reduction in the OR and a high acceptance by the surgical stuff.
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Affiliation(s)
- Conrad Leitsmann
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
| | - Annemarie Uhlig
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - I Valentin Popeneciu
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Margarete Boos
- Department of Social and Communication Psychology, Georg-Elias-Mueller-Institute of Psychology, University of Goettingen, Goettingen, Germany
| | - Sascha A Ahyai
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Marianne Schmid
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Rolf Wachter
- Clinic for Cardiology and Pneumology, University Medical Center Goettingen, Goettingen, Germany.,Clinic and Policlinic for Cardiology, University Hospital Leipzig, Leipzig, Germany
| | - Lutz Trojan
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Martin Friedrich
- Department of Thoracic and Cardiovascular Surgery, University Medical Center Goettingen, Goettingen, Germany
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Farghaly YA, Hemeida FAA, Salah S. Noise utilization as an approach for reducing energy consumption in street lighting. PLoS One 2019; 14:e0219373. [PMID: 31295299 PMCID: PMC6622490 DOI: 10.1371/journal.pone.0219373] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 06/21/2019] [Indexed: 11/18/2022] Open
Abstract
Noise is considered as one of the challenging problems in big cities. However, this noise could be utilized in producing energy especially in dense urban areas. Sound as a form of mechanical energy, it can be converted to electric energy through many approaches including heating, by using the diaphragm and through using piezoelectric materials. This research aims at utilizing noise through using piezoelectric materials as an approach of conversion to produce green sustainable electric energy that can be used to decrease the energy consumption from non-renewable sources and utilizing this energy in street lighting. The study was carried in three bus stations in Alexandria by having measurements during weekdays and weekends in order to study the noise produced in the selected stations and the amount of electric energy that could be produced and utilized in street lighting. The noise level index LDEN was calculated for each of the three selected locations. The equivalent noise level values were always exceeding the limits through the day, evening and night. At daytime they ranged between 75–85 dB which is higher that the permissible limit by 10–20 dB, at evening they ranged from 80–85 dB which is also higher than the permissible limit with 20–25 dB and at the night they ranged from 75–80 dB which is higher by 20–25 dB than the permissible limit. The research concluded that utilizing noise using the piezoelectric material is successful. The electric energy produced from an area of 1.45 m2 containing 690 piezoelectric QB220-503YB transducers at each of the selected stations was about 0.024 watt hr. This amount of electric energy is too small to be used in an application. So the application area should be maximized to hundreds of square meters to produce beneficial electric energy that can be used in lighting 1 LED street lamp or it can be stored and used when needed in applications that use greater amount of electric energy and this would help in reducing the energy consumed.
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Affiliation(s)
- Yasser A. Farghaly
- Department of Architectural Engineering & Environmental Design, College of Engineering and Technology, Arab Academy and Science and Technology and Maritime Transport, Alexandria, Egypt
- * E-mail:
| | - Fahd Abdel Aziz Hemeida
- Department of Architectural Engineering & Environmental Design, College of Engineering and Technology, Arab Academy and Science and Technology and Maritime Transport, Alexandria, Egypt
| | - Sahar Salah
- Department of Architectural Engineering & Environmental Design, College of Engineering and Technology, Arab Academy and Science and Technology and Maritime Transport, Alexandria, Egypt
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Murphy K, Liu WW, Goltz D, Fixsen E, Kirchner S, Hu J, White H. Implementation of personalized music listening for assisted living residents with dementia. Geriatr Nurs 2018; 39:560-565. [PMID: 29731392 PMCID: PMC6812488 DOI: 10.1016/j.gerinurse.2018.04.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 03/26/2018] [Accepted: 04/02/2018] [Indexed: 11/17/2022]
Abstract
Personalized music listening (PML) has been touted as a safe and inexpensive means of improving the quality of life, mood, and behavior of persons with dementia. A PML program was implemented in an assisted living facility and evaluated across the five dimensions of the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance. The first 17 residents invited to participate were enrolled and followed over eight months. Effectiveness was evident in staff-reported mood improvement in 62% of encounters. Adoption was evident in qualitative feedback collected from medication technicians. Implementation was facilitated by low costs, engagement of external volunteers, highlighting outcomes that are relevant to staff, and attention to playlists over time. Maintenance required continued engagement of volunteers, ongoing fundraising, attention to facility staff engagement, and iterative adjustments to the program framework as staffing changes occurred. PML was found to be a meaningful intervention that is possible at a reasonable cost.
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Affiliation(s)
- Kelly Murphy
- Duke University School of Medicine, Durham, NC 27713
| | - Winston W Liu
- Duke University School of Medicine, Durham, NC 27713.
| | - Daniel Goltz
- Duke University School of Medicine, Durham, NC 27713
| | - Emma Fixsen
- Duke University School of Medicine, Durham, NC 27713
| | | | - Janice Hu
- Duke University School of Medicine, Durham, NC 27713
| | - Heidi White
- Division of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, NC 27713
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Malak Akgün B, Akgün M. Terapötik Ortamda Gürültü Kontrolü. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2017. [DOI: 10.18863/pgy.310834] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Khaiwal R, Singh T, Tripathy JP, Mor S, Munjal S, Patro B, Panda N. Assessment of noise pollution in and around a sensitive zone in North India and its non-auditory impacts. THE SCIENCE OF THE TOTAL ENVIRONMENT 2016; 566-567:981-987. [PMID: 27318606 DOI: 10.1016/j.scitotenv.2016.05.070] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2016] [Revised: 05/10/2016] [Accepted: 05/11/2016] [Indexed: 05/21/2023]
Abstract
Noise pollution in hospitals is recognized as a serious health hazard. Considering this, the current study aimed to map the noise pollution levels and to explore the self reported non-auditory effects of noise in a tertiary medical institute. The study was conducted in an 1800-bedded tertiary hospital where 27 sites (outdoor, indoor, road side and residential areas) were monitored for exposure to noise using Sound Level Meter for 24h. A detailed noise survey was also conducted around the sampling sites using a structured questionnaire to understand the opinion of the public regarding the impact of noise on their daily lives. The equivalent sound pressure level (Leq) was found higher than the permissible limits at all the sites both during daytime and night. The maximum equivalent sound pressure level (Lmax) during the day was observed higher (>80dB) at the emergency and around the main entrance of the hospital campus. Almost all the respondents (97%) regarded traffic as the major source of noise. About three-fourths (74%) reported irritation with loud noise whereas 40% of respondents reported headache due to noise. Less than one-third of respondents (29%) reported loss of sleep due to noise and 8% reported hypertension, which could be related to the disturbance caused due to noise. Noise levels in and around the hospital was well above the permissible standards. The recent Global Burden of Disease highlights the increasing risk of non communicable diseases. The non-auditory effects studied in the current work add to the risk factors associated with non communicable diseases. Hence, there is need to address the issue of noise pollution and associated health risks specially for vulnerable population.
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Affiliation(s)
- Ravindra Khaiwal
- School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh -160012, India.
| | - Tanbir Singh
- Department of Environment Studies, Panjab University, Chandigarh 160014, India
| | - Jaya Prasad Tripathy
- School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh -160012, India; International Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi 110016, India
| | - Suman Mor
- Department of Environment Studies, Panjab University, Chandigarh 160014, India; Center for Public Health, Panjab University, Chandigarh 160025, India
| | - Sanjay Munjal
- Department of Otolaryngology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - Binod Patro
- Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Bhubaneswar 751019, India
| | - Naresh Panda
- Department of Otolaryngology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
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14
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Iyendo TO. Exploring the effect of sound and music on health in hospital settings: A narrative review. Int J Nurs Stud 2016; 63:82-100. [PMID: 27611092 DOI: 10.1016/j.ijnurstu.2016.08.008] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 08/13/2016] [Accepted: 08/14/2016] [Indexed: 12/31/2022]
Abstract
BACKGROUND Sound in hospital space has traditionally been considered in negative terms as both intrusive and unwanted, and based mainly on sound levels. However, sound level is only one aspect of the soundscape. There is strong evidence that exploring the positive aspect of sound in a hospital context can evoke positive feelings in both patients and nurses. Music psychology studies have also shown that music intervention in health care can have a positive effect on patient's emotions and recuperating processes. In this way, hospital spaces have the potential to reduce anxiety and stress, and make patients feel comfortable and secure. This paper describes a review of the literature exploring sound perception and its effect on health care. DATA SOURCES AND REVIEW METHODS This review sorted the literature and main issues into themes concerning sound in health care spaces; sound, stress and health; positive soundscape; psychological perspective of music and emotion; music as a complementary medicine for improving health care; contradicting arguments concerning the use of music in health care; and implications for clinical practice. Using Web of Science, PubMed, Scopus, ProQuest Central, MEDLINE, and Google, a literature search on sound levels, sound sources and the impression of a soundscape was conducted. The review focused on the role and use of music on health care in clinical environments. In addition, other pertinent related materials in shaping the understanding of the field were retrieved, scanned and added into this review. RESULTS The result indicated that not all noises give a negative impression within healthcare soundscapes. Listening to soothing music was shown to reduce stress, blood pressure and post-operative trauma when compared to silence. Much of the sound conveys meaningful information that is positive for both patients and nurses, in terms of soft wind, bird twitter, and ocean sounds. CONCLUSIONS Music perception was demonstrated to bring about positive change in patient-reported outcomes such as eliciting positive emotion, and decreasing the levels of stressful conditions. Whilst sound holds both negative and positive aspects of the hospital ecosystem and may be stressful, it also possesses a soothing quality that induces positive feelings in patients. Conceptualizing the nature of sound in the hospital context as a soundscape, rather than merely noise can permit a subtler and socially useful understanding of the role of sound and music in the hospital setting, thereby creating a means for improving the hospital experience for patients and nurses.
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Affiliation(s)
- Timothy Onosahwo Iyendo
- Department of Architecture, Eastern Mediterranean University, Gazimağusa, North Cyprus, Via Mersin 10, Turkey.
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15
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Getto LP, Marco D, Papas MA, Fort CW, Fredette J. The Effect of Noise Distraction on Emergency Medicine Resident Performance During Intubation of a Patient Simulator. J Emerg Med 2016; 50:e115-9. [DOI: 10.1016/j.jemermed.2015.09.048] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Revised: 09/24/2015] [Accepted: 09/30/2015] [Indexed: 11/28/2022]
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16
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Dupuis K, Pichora-Fuller MK, Chasteen AL, Marchuk V, Singh G, Smith SL. Effects of hearing and vision impairments on the Montreal Cognitive Assessment. AGING NEUROPSYCHOLOGY AND COGNITION 2014; 22:413-37. [DOI: 10.1080/13825585.2014.968084] [Citation(s) in RCA: 143] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Kate Dupuis
- Department of Psychology, University of Toronto, Toronto, ON, Canada
| | - M. Kathleen Pichora-Fuller
- Department of Psychology, University of Toronto, Toronto, ON, Canada
- Toronto Rehabilitation Institute, Toronto, ON, Canada
- Rotman Research Institute, Toronto, ON, Canada
| | | | - Veronica Marchuk
- Department of Psychology, University of Toronto, Toronto, ON, Canada
| | - Gurjit Singh
- Department of Psychology, University of Toronto, Toronto, ON, Canada
- Toronto Rehabilitation Institute, Toronto, ON, Canada
- Phonak AG, Toronto, ON, Canada
| | - Sherri L. Smith
- Audiologic Rehabilitation Clinic, Auditory and Vestibular Dysfunction Research Enhancement Award Program, James H. Quillen VA Medical Center, Mountain Home, TN, USA
- Department of Audiology & Speech-Language Pathology, East Tennessee State University, Johnson City, TN, USA
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A Noise-Reduction Program in a Pediatric Operation Theatre Is Associated With Surgeon's Benefits and a Reduced Rate of Complications. Ann Surg 2014; 259:1025-33. [DOI: 10.1097/sla.0000000000000253] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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18
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Messano GA, Petti S. General dental practitioners and hearing impairment. J Dent 2012; 40:821-8. [PMID: 22750643 DOI: 10.1016/j.jdent.2012.06.006] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2012] [Revised: 05/31/2012] [Accepted: 06/25/2012] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Hearing impairment (HI) remains a problem among dentists Hearing loss at speech frequencies was recently reported among dentists and dental hygienists. This study aimed to investigate prevalence and factors associated with perceived HI among dentists. METHODS In 2009-2010, 100 general dental practitioners (GDPs) and 115 general (medical) practitioners (GPs) (mean ages, 43.7 and 44.4 years) from Rome (Italy), who commenced practice ≥ 10 years ago, were interviewed on a series of occupation- and recreation-related HI risk factors and on HI-associated symptoms (tinnitus, sensation of fullness, hypoacusis). Prevalence of presumptive HI (≥ 1 symptom perceived during workdays and weekends) was assessed and factors associated with presumptive HI were investigated. RESULTS Prevalence was 30.0% (95% confidence interval, 21.0-39.0%) and 14.8% (95% confidence interval, 8.3-21.3%) among GDPs and GPs, respectively. Occupation (GDP vs. GP), family history of hypoacusis, hypertension, ear diseases and smoking were significantly associated with presumptive HI. Within GDPs alone, significant associations were found for frequent use of ultrasonic scalers, use of dental turbines aged≥1 year and prosthodontics as prevalent specialty. CONCLUSIONS GDPs experienced HI risk than GPs. Such a risk was not generalized to all dentists, but was specific for those who frequently used noisy equipment (aged turbines, ultrasonic scalers) during their daily practice. CLINICAL SIGNIFICANCE GDPs with 10 or more years of practice who routinely use potentially noisy equipment, could be at risk of HI. In order to prevent such condition, daily maintenance and periodical replacement of dental instruments is recommended.
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Affiliation(s)
- Giuseppe Alessio Messano
- Department of Public Health and Infectious Diseases, Sapienza University, Piazzale Aldo Moro 5, 00185 Rome, Italy
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19
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Cordova AC, Logishetty K, Fauerbach J, Price LA, Gibson BR, Milner SM. Noise levels in a burn intensive care unit. Burns 2012; 39:44-8. [PMID: 22541620 DOI: 10.1016/j.burns.2012.02.033] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2012] [Revised: 02/25/2012] [Accepted: 02/27/2012] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Increased noise levels in hospitals, critical care units, and peri-operative areas have been associated with higher levels of sleep deprivation and patient stress. The World Health Organization (WHO) guidelines stipulate a limit of 35 decibels (dB(A)) equivalent continuous sound level (LEq) during the day and 30 dB(A) LEq at night in patients' rooms. To date, no quantitative studies of noise levels have been performed in burn units. The objective of this study was to quantify noise levels in a burn critical care unit to ascertain compliance with guidelines in order to minimize this potential insult. METHODS An A-weighted sound pressure level meter was used to measure the ambient noise levels in a burn intensive care unit. Maximum and minimum sound pressure levels were measured at 30-min intervals on 10 days over a 1 month period. Measurements were obtained during shift changes and random times during the day and night-time. Descriptive statistical analyses were performed, to calculate means and standard deviations. Noise measurements at specified times were compared using analysis of variance (ANOVA). RESULTS Mean dB(A) LEq values for shift changes, day, and night-time were 65.9 ± 2.8, 65.7 ± 2.6, and 60.9 ± 5.2 dB(A), respectively. There was no significant difference in dB(A)(max) or dB(A)(min) between shift changes, day or night-time (p>0.05). However, night-time minimum values were consistently lower. There was no significant difference between sound pressure level (SPL) inside and outside patients' rooms (p>0.05) at any time. CONCLUSIONS Irrespective of time or location, the mean dB(A) LEq in the burn unit was significantly greater than World Health Organization (WHO), National Institute for Occupational Safety and Health (NIOSH), and the Environmental Protection Agency (EPA) recommendations. Guidelines for decreasing noise exposure are necessary to reduce potential negative effects on patients, visitors, and staff.
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Affiliation(s)
- Alfredo C Cordova
- Johns Hopkins Burn Center, Michael D. Hendrix Burn Research Center, Johns Hopkins University School of Medicine, Baltimore, MD 21224-2780, USA
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Meneghetti AT, Pachev G, Zheng B, Panton ON, Qayumi K. Objective assessment of laparoscopic skills: dual-task approach. Surg Innov 2011; 19:452-9. [PMID: 22170894 DOI: 10.1177/1553350611430673] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Assessment of surgical performance is often accomplished with traditional methods that often provide only subjective data. Trainees who perform well on a simulator in a controlled environment may not perform well in a real operating room environment with distractions. This project uses the ideas of dual-task methodology and applies them to the assessment of performance of laparoscopic surgical skills. The level of performance on distracting secondary tasks while trying to perform a primary task becomes an indirect but objective measure of the surgical skill of the trainee. METHODS Nine surgery residents and 6 experienced laparoscopic surgeons performed 3 primary tasks on a laparoscopic virtual reality simulator (camera position, grasping, and cholecystectomy) while being distracted by 3 secondary tasks (counting beeps, selective responses, and mental arithmetic). Completion time and error rates were recorded for each combination of tasks. RESULTS When performed separately, time to completion and error rates for primary and secondary tasks were similar for learners and experts. When performing the tasks simultaneously, learners had more errors than experts. Error rates increased for learners when distracting tasks became more difficult or required more attention. Expert surgeons maintained consistent error rates despite the increasing difficulty of task combinations. CONCLUSIONS The use of dual-task methodology may help trainers to identify which surgical trainees require more preparation before entering the real operating room environment. Expert surgeons are capable of maintaining performance levels on a primary task in the face of distractions that may occur in the operating room.
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Affiliation(s)
- Adam T Meneghetti
- Department of Surgery, University of British Columbia, 2775 Laurel Street, Vancouver, British Columbia, Canada.
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21
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Li SY, Wang TJ, Vivienne Wu SF, Liang SY, Tung HH. Efficacy of controlling night-time noise and activities to improve patients’ sleep quality in a surgical intensive care unit. J Clin Nurs 2011; 20:396-407. [DOI: 10.1111/j.1365-2702.2010.03507.x] [Citation(s) in RCA: 107] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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22
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23
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Unruh KT, Skeels M, Civan-Hartzler A, Pratt W. Transforming Clinic Environments into Information Workspaces for Patients. PROCEEDINGS OF THE SIGCHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS. CHI CONFERENCE 2010; 2010:183-192. [PMID: 21654895 PMCID: PMC3108044 DOI: 10.1145/1753326.1753354] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Although clinic environments are a primary location for exchanging information with clinicians, patients experience these spaces as harsh environments to access, use, exchange, and manage information. In this paper, we present results from an ethnographic-inspired study of breast cancer patients actively interacting with information in clinic environments. Through observations and interviews, we observed information interactions in awkward physical positions; inefficient use of existing clinical space; separation of patients from their information and lack of support for collaborative document viewing. These factors compromised patients' abilities to manage their information work when they experienced bursts of information exchange, lack of advance information, fragmented attention, and heightened stress in clinic environments. To overcome these challenges, we identify formative strategies to focus attention, encourage collaboration, and improve communication in clinical settings.
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Affiliation(s)
- Kenton T Unruh
- Biomedical & Health Informatics University of Washington Seattle, WA 98195, USA
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24
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The impact of environmental noise on robot-assisted laparoscopic surgical performance. Surgery 2010; 147:107-13. [DOI: 10.1016/j.surg.2009.08.010] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2008] [Accepted: 08/27/2009] [Indexed: 11/24/2022]
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25
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Chaudhury H, Mahmood A, Valente M. The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings. ENVIRONMENT AND BEHAVIOR 2009; 41:755-786. [DOI: 10.1177/0013916508330392] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/19/2023]
Abstract
Physical environment is an important component in the acute care setting that can affect nursing and medication accuracies, as any inadequacy in physical environment would contribute to staff fatigue, stress, and burnout and result in errors. The article discusses a study conducted involving an extensive review and analysis of the literature on this topic and focus groups with various categories of staff members at three hospitals. The review demonstrates that the following environmental variables can contribute to errors in acute care settings: noise levels, ergonomics/furniture/equipment, lighting, and design/layout. Focus groups address the role of the physical environment on medication ordering, storage, delivery, dispensation, preparation, administration, and possible design responses to reduce errors. Integrating the major issues identified and the key findings from the focus groups, four design-related principles are recommended: balance between patient accessibility and reduction of disruptions, automation, minimize staff fatigue, and promoting a culture of safety.
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Mahmood A, Chaudhury H, Valente M. Nurses' perceptions of how physical environment affects medication errors in acute care settings. Appl Nurs Res 2009; 24:229-37. [PMID: 22099470 DOI: 10.1016/j.apnr.2009.08.005] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2008] [Revised: 08/20/2009] [Accepted: 08/20/2009] [Indexed: 10/20/2022]
Abstract
The work that nurses perform in hospital environments is physically and psychologically intense, with the potential for burnout and stress. This issue is compounded by crowded and poorly designed work spaces in nursing units that can contribute to medical mistakes, including medication errors. This article is based on a study that examined the nurses' perception of how the physical environment in hospitals affects medication errors. Literature suggests that reduction of staff stress can be achieved through physical environmental considerations, such as improved air quality, acoustics, and lighting. However, there is no empirical study specifically exploring the relationship between aspects of the physical environment and medication errors. In this study, a cross-sectional survey was conducted with nursing staff (N = 84) in four hospitals in the Pacific Northwest region of the United States. The survey included questions on nursing unit design, medication room configurations, perceived incidence of errors, and adverse events. Respondents noted several physical environmental factors that are potentially problematic in the nursing station area and can lead to medication, documentation, and other types of nursing errors. These factors include inadequate space in charting and documentation area, lengthy walking distances to patient rooms, insufficient patient surveillance opportunity/lack of visibility to all parts of the nursing unit, small size of the medication room, inappropriate organization of medical supplies, high noise levels in nursing unit, poor lighting, and lack of privacy in the nursing stations. As administrators in acute care facilities consider strategies for organizational and staff interventions to reduce medication errors, it is important to consider physical environmental factors to have a comprehensive understanding of the issue.
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Affiliation(s)
- Atiya Mahmood
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
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27
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Hodnett ED, Stremler R, Weston JA, McKeever P. Re-conceptualizing the hospital labor room: the PLACE (pregnant and laboring in an ambient clinical environment) pilot trial. Birth 2009; 36:159-66. [PMID: 19489810 DOI: 10.1111/j.1523-536x.2009.00311.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nearly all hospitalized laboring women spend most of the time in bed. We made simple but radical modifications to a hospital labor room, which included the removal of the standard hospital bed and the addition of equipment to promote relaxation, mobility, and calm. We designed a pilot study, the objectives of which were to test the feasibility of a randomized trial and the acceptability of the modified labor room to women and their care providers. METHODS Women were assessed and invited to participate just before their admission to the labor and delivery suite. Sixty-two women at two Toronto teaching hospitals were randomly allocated to either the standard labor room or the "ambient room." Data about labor and birth events were abstracted from the medical records. Participants and their nurses and physicians completed questionnaires to elicit their views of their experiences with the labor rooms. RESULTS Women's and practitioners' evaluations of the ambient room were generally very positive. Nineteen women (65.5%) in the ambient group, compared with 4 (13.3%) in the standard group, reported spending 50 percent or less of their hospital labor in the standard labor bed. Twelve women allocated to the ambient room had artificial oxytocin infusions, compared with 21 allocated to the standard room (X (2) = 4.73, p = 0.03). CONCLUSION We conclude that the ambient labor room should be evaluated in an adequately powered randomized controlled trial.
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28
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Chan MF, Chung YFL, Chung SWA, Lee OKA. Investigating the physiological responses of patients listening to music in the intensive care unit. J Clin Nurs 2009; 18:1250-7. [DOI: 10.1111/j.1365-2702.2008.02491.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Codinhoto R, Tzortzopoulos P, Kagioglou M, Aouad G, Cooper R. The impacts of the built environment on health outcomes. FACILITIES 2009. [DOI: 10.1108/02632770910933152] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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30
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Stouffer JW, Shirk BJ, Polomano RC. Practice guidelines for music interventions with hospitalized pediatric patients. J Pediatr Nurs 2007; 22:448-56. [PMID: 18036465 DOI: 10.1016/j.pedn.2007.04.011] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2006] [Revised: 01/24/2007] [Accepted: 04/29/2007] [Indexed: 10/22/2022]
Abstract
Music therapy is an effective complementary approach that can achieve specific therapeutic outcomes in the clinical management of pediatric patients. Growing research on music interventions has generated scientific knowledge about how this modality benefits patients and has formed the basis for effective protocols that can be used in practice. Although it can be challenging to translate research-based protocols into routine clinical care at the bedside, it is essential that music therapy interventions be aligned with evidence-based information and that accepted standards be established by the music therapy discipline to achieve the greatest benefit. The importance of partnerships between nurses and music therapists is emphasized to enhance the success of music-based treatments. This discussion synthesizes research findings that can be used to design pediatric practice guidelines in the application of music therapy.
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Affiliation(s)
- Janice W Stouffer
- Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA 19104, USA
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Abstract
Two well-recognised, but inherently reductionist, relations between medicine and music are the attempted neuro-scientific understanding of responses to music and interest in music's contributions to clinical therapy. This paper proposes a third relation whereby music is seen as an organising metaphor for clinical medicine as a practice. Both music and clinical medicine affirm human well-being, and both do this inter alia through varieties of skilful, crafted yet spontaneous mutual engagement between a 'performer' and an 'audience'. I argue that this organising metaphor offers a corrective to the reductionist influences of the first two relations, illuminates a number of medicine's important features, and reaffirms the existential as being at the core of medicine's telos.
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Affiliation(s)
- H M Evans
- Centre for Arts and Humanities in Health and Medicine, Durham University, Room 323 Dawson Building, Science Site, South Road, Durham, DH1 3LE, UK.
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Chaudhury H, Mahmood A, Valente M. Advantages and Disadvantages of Single-Versus Multiple-Occupancy Rooms in Acute Care Environments. ENVIRONMENT AND BEHAVIOR 2005; 37:760-786. [DOI: 10.1177/0013916504272658] [Citation(s) in RCA: 92] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/19/2023]
Abstract
Private patient rooms have become the industry standard in the United States based on the assumption that they reduce the rate of hospital-acquired infections, facilitate patient care and management, and afford greater therapeutic benefits for patients. The objective of this article is to reviewand analyze the existing literature to identify the empirical evidence related to the advantages and disadvantages of single versus multiple-occupancy patient rooms in hospitals. Three substantive areas were identified for synthesis of the review: (a) first and operating cost of hospitals, (b) infection control, and (c) health care facility management and hospital design and therapeutic impacts. The analysis reveals that private patient rooms reduce the risk of hospital-acquired infections, allow for greater flexibility in operation and management, and have positive therapeutic impacts on patients. This review highlights the need to consider room occupancy issues along with other patient care issues and environmental and management policies.
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Affiliation(s)
- Habib Chaudhury
- Department of Gerontology at Simon Fraser University, Vancouver, British Columbia, Canada
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Chang SC, Chen CH. Effects of music therapy on women's physiologic measures, anxiety, and satisfaction during cesarean delivery. Res Nurs Health 2005; 28:453-61. [PMID: 16287051 DOI: 10.1002/nur.20102] [Citation(s) in RCA: 68] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of the study was to investigate the effects of music therapy on women's physiologic measures, level of anxiety, and satisfaction during cesarean delivery. Sixty-four women who were planning to have a cesarean delivery were randomly divided into an experimental and a control group. The experimental group received routine care and music therapy, whereas the control group received routine care only. Our results indicated that compared to the control group the experimental group had significantly lower anxiety and a higher level of satisfaction regarding the cesarean experience. No significant differences were found between the two groups in any of the physiological indexes. This controlled study provides evidence that music therapy can reduce anxiety and create a more satisfying experience for women undergoing cesarean delivery.
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Affiliation(s)
- Shu-Chen Chang
- Delivery Room, Department of Nursing, National Cheng Kung University Medical Center, Tainan, Taiwan
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Abstract
Pharmacological methods to improve postoperative pain are well documented, but an increasing interest in nonpharmacological methods has stimulated research in this field. Traditional and pharmacological interventions to relieve perioperative anxiety and pain are being challenged by an increasing demand for more holistic approaches. This study tested the hypothesis that listening to music preoperatively and postoperatively would affect patients' experience of pain, nausea, and well-being and have an impact on their vital signs. The authors conclude that a period of peaceful rest before and after surgery reduces patient anxiety.
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Moorthy K, Munz Y, Undre S, Darzi A. Objective evaluation of the effect of noise on the performance of a complex laparoscopic task. Surgery 2004; 136:25-30; discussion 31. [PMID: 15232535 DOI: 10.1016/j.surg.2003.12.011] [Citation(s) in RCA: 86] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Noise in operating rooms has been found to be much higher than the recommended level of 45 dB. The aim of this study was to objectively evaluate the effect of noise and music on the performance of a complex surgical task. METHODS Twelve surgeons with varying experience in laparoscopic suturing undertook 3 sutures in a laparoscopic trainer under 3 conditions: quiet, noise at 80 to 85 dB, and music. Other than the test conditions, all other conditions were standardized. A validated motion analysis system was used to assess performance. The tasks were recorded by video and played back to 2 blinded observers who rated the surgeons' performance on a global rating scale by observing the tasks for accuracy, knot quality, and number of nonpurposeful movements. RESULTS Time taken for the tasks (P=.78), total number of movements (P=.78), total path length (P=.47), global score (P=.54), accuracy, and knot quality remained unchanged across the 3 conditions. The main study measures had a high test-retest reliability and internal consistency. No learning effect was seen across the 3 conditions. CONCLUSIONS Surgeons can effectively "block out" noise and music. This is probably due to the high levels of concentration required for the performance of a complex surgical task. Future research should focus on the effect of these conditions on communication in the operating room.
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Affiliation(s)
- K Moorthy
- Department of Surgical Oncology and Technology, Imperial College, St. Mary's Hospital, London, UK
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Howell S, Schwandt M, Fritz J, Roeder E, Nelson C. A Stereo Music System as Environmental Enrichment for Captive Chimpanzees. Lab Anim (NY) 2003; 32:31-6. [PMID: 15235679 DOI: 10.1038/laban1103-31] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2003] [Accepted: 10/08/2003] [Indexed: 11/09/2022]
Abstract
Music has been shown to have beneficial effects on humans but little is known about the effects of music on nonhuman primates in biomedical research settings. The authors monitored the effects of music on the behavior of captive chimpanzees and found that music had significant positive effects, including a reduction in agitated and aggressive behaviors.
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Affiliation(s)
- Sue Howell
- Primate Foundation of Arizona, PO Box 20027, Mesa, AZ 85277-0027, USA
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Abstract
This meta-analysis on music research with premature infants in neonatal intensive care units (NICU) showed an overall large, significant, consistent effect size of almost a standard deviation (d =.83) (Cohen, 1998). Effects were not mediated by infants' gestational age at the time of study, birthweight, or type of music delivery nor by physiologic, behavioral, or developmental measures of benefit. The homogeneity of findings suggests that music has statistically significant and clinically important benefits for premature infants in the NICU. The unique acoustic properties that differentiate music from all other sounds are discussed and clinical implications for research-based music therapy procedures cited.
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Affiliation(s)
- Jayne M Standley
- Center for Music Research, Florida State University, Tallahassee, FL 32306-1180, USA.
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Chouard CH. [Urban noise pollution]. COMPTES RENDUS DE L'ACADEMIE DES SCIENCES. SERIE III, SCIENCES DE LA VIE 2001; 324:657-61. [PMID: 11476007 DOI: 10.1016/s0764-4469(01)01333-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Noise is responsible for cochlear and general damages. Hearing loss and tinnitus greatly depend on sound intensity and duration. Short-duration sound of sufficient intensity (gunshot or explosion) will not be described because they are not currently encountered in our normal urban environment. Sound levels of less than 75 d (A) are unlikely to cause permanent hearing loss, while sound levels of about 85 d (A) with exposures of 8 h per day will produce permanent hearing loss after many years. Popular and largely amplified music is today one of the most dangerous causes of noise induced hearing loss. The intensity of noises (airport, highway) responsible for stress and general consequences (cardiovascular) is generally lower. Individual noise sensibility depends on several factors. Strategies to prevent damage from sound exposure should include the use of individual hearing protection devices, education programs beginning with school-age children, consumer guidance, increased product noise labelling, and hearing conservation programs for occupational settings.
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Affiliation(s)
- C H Chouard
- Service ORL, hôpital Saint-Antoine, 10, boulevard Flandrin, 75116 Paris, France
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