Nursing Research Utilization Project Proposal Essay

Pages: 18 (4925 words)  ·  Style: APA  ·  Bibliography Sources: 5  ·  File: .docx  ·  Level: College Senior  ·  Topic: Healthcare

SAMPLE EXCERPT . . .
Solution Description

Staff education and new employee orientation will mandate staff awareness of managing noise, including use of personal phones, overall noise levels, and IV pumps, as sound control needs to be regarded with accountability in maintaining an appropriate sound environment (Mazer, 2006). Reducing staff conversation and overhead voice paging by introducing electronic documentation and collaboration via emails, electronic messaging, and electronic orders will improve the quality of noise levels in the unit and improve the comfort of patients (Solet, Buxton, Ellenbogen, Wang, & Carballiera, 2010).

Exterior noises coming from outside the hospital building (road traffic, etc.) will be counteracted by the installation of window treatments that will provide soundproofing and insulation around the window frames. The exterior noises were found to be the least annoying stimuli, as opposed to other stimuli (towel dispenser, door close, toilet flush, ice machine) that tended to be more annoying to patients who are recovering (Solet, Buxton, Ellenbogen, Wang, & Carballiera, 2010).

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These sources of noise have been addressed, and being aware of them gives the staff the power of control. Installation of sound-wave-blocking generators near the nursing station, and in the patients' rooms will also keep things quieter for those who are recovering from serious surgery or a cardiac event. Sound masking appears to be the most effective technique to improve sleep, decrease the noise level, and promote healing (Xie, Kang, and Mills, 2009). Creating small stations at both ends of the corridors will decongest the main nursing station. The doctors' station was created on a side out of the way, so they can sit quietly and be able to concentrate on the patients' charts. The proposed solution is also consistent with current research knowledge, making it a logical choice for the unit.

Research Support

Essay on Nursing Research Utilization Project Proposal: Assignment

"Unnecessary noise is the most cruel abuse of care which can be inflicted on either the sick or the well," Florence Nightingale wrote in her 1859 book, Notes on Nursing (Miller, 2006). Sleep disturbance is a factor in the development of delirium, as well as producing specific effects on the respiratory, cardiovascular, and immunological systems. Critical care patients are especially prone to delirium, better known as "sundown syndrome" as their normal circadian pattern of adrenocorticotropic hormone and melatonin levels is changed markedly by sepsis, and the change in white blood count due to heart attacks and other serious cardiac events (Xie, Kang, and Mills, 2009).

The impact of noise on patients' sleep and the effectiveness of noise reduction strategies is part of the safety program implemented by hospitals to decrease the effects of sundown syndrome. Higher blood pressure leads to a higher risk of cardiac problems. Berlin hospitals found that chronic noise in a hospital environment, where people are already ill and psychologically stressed, can be very harmful and can lead to heart attacks (Miller, 2006). The sources of noise are of both interior and exterior causes. The phones, the beepers, the cardiac monitors, and the IV pumps were found to alter the noise level in critical care units. Other stimuli, such as towel dispensers, closing doors, toilets flushing, and ice machines tended to be even more annoying and upsetting to patients who are already ill (Solet, Buxton, Ellenbogen, Wang, & Carballiera, 2010).

The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in ICUs have shown that staff conversation and alarms are generally the most disturbing noises for patients' sleep in ICUs. Literature explains that working with the staff on reducing the level of noise generated by these sources will become part of the personnel training (Mazer, 2006). The build of the hospital itself, with hard, long-lasting materials, in addition to the human and machinery sound emanating in a working environment will contribute to monitor and promote patient health. The reason that hospital interiors and furnishings are made of reflective materials is to avoid pathogens adhering to surfaces. They are easily cleaned and cannot harbor any infections.

Housekeeping caddies, X ray machines, electrocardiograms and echo machines rolling on a hard surface are causing sounds enhancement, overlapping and lingering longer than normal. Adding to them are the pneumatic tube system, automatic doors, and the rolling ventilators and IABP (Miller, 2006). Controlling noise involves actually adding sound to the environment with a series of speakers installed in the ceiling that electronically distributes a background sound, unperceived by humans, that serves to cover or reduce the impact of noise spikes. It is a specially engineered sound creating an ambient environment that is quieter and that enhances speech privacy in healthcare facilities (Xie, Kang, and Mills, 2009). Dispersing the main nursing station by adding small cells of nursing station at the ends of the corridors is also beneficial in dispersing the activity horizontally on the floor.

Evaluation Plan

In order to evaluate the situation, it is important to find out what is wrong, specifically (Miller, 2006; Xie, Kang, and Mills, 2009). If there are noise issues, what is causing those issues? It is easy to say that there are machines that make too much noise, or that there are people who talk too loudly, but those could also be symptoms of bigger problems that also have to be addressed. Some of the issues with noise are also hard to avoid because they are not related to something the hospital can easily control. Traffic noise, for example, would be hard to address from the standpoint of the hospital without spending a lot of money to soundproof windows, doors, and other entrances.

To evaluate the solution properly, the hospital needs to know whether the patients in its care are happy with the noise level they are experiencing or whether it is too noisy for them. Some people are much more sensitive to noise than others, but the survey should focus on whether the patients are happy with the noise level overall, and it is expected that one or two patients will not be satisfied even if other patients are comfortable with the level of noise around them. Because noise can be a subjective issue, the survey conducted has to be subjective as well. Then the project objective (reduced noise) can be determined based on what patients actually think and feel about the experience in the hospital.

The survey (See Appendix) is designed to ensure that every patient has a say and that the opportunity is available for these patients to express themselves and let the hospital know about the noise levels. In the unit in question, noise levels are particular important because individuals recovering from cardiac events or surgery need to be able to relax and be comfortable so they have time to heal (Xie, Kang, and Mills, 2009). Without proper healing time, these patients could be risking another cardiac event and may end up more seriously injured or in poorer health than they were originally.

The outcome measure that will be used (the survey) is valid and reliable for the study at hand and the information that will be collected, because it is specifically designed to ask patients about their experiences with noise during their stay in the hospital. That is the issue at hand and the area that needs to be measured. There is no better way to get information about a specific issue than to ask the people who are directly involved with that specific issue about their feelings. When they are asked for their feelings, they need to be able to give those feelings honestly and be clear on whether they feel they have been exposed to too much noise during their hospital stay (Miller, 2006).

The survey being used is also sensitive to change, because it can be adjusted in order to ask about the overall level or noise or to ask about more specific noise issues. No matter what aspect of noise the researcher wants to study, the survey will be available and can be modified to suit the needs of the researcher at that particular time and with that group of individuals. This will allow the researcher to use the survey for the current Cardiac Unit, but also for other units in the hospital.

The data from the survey will be collected using qualitative methods. In other words, statistical analyses will not be conducted on the information that is collected from the surveys. The information provided by the patients through the survey will be analyzed carefully, and answers will be compared to previous levels of complaints that were provided by patients in the past. This will allow the researchers to use the original baseline as a comparison to the survey conducted.

By doing this, the researchers will have data points to which they can compare other data points - thus providing them with not only how patients feel about current noise levels but how they have felt in the past and whether this has changed. Being aware of changes in hospital noise levels is highly important when it comes to hospitals that want to make changes to those levels (Miller,… [END OF PREVIEW] . . . READ MORE

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