Neonatal Network

Topic Swap (2-3 Sentences): Criterion Articles 1 and 2 Articles 3 and 4


Author, Peer-Reviewed Journal, and Permalink or Working URL to Access Article


Scielo, Pediatrics and Child Health, Grecco et al., http://www.scielo.br/scielo.php?pid=S0103-21002013000100002&script=sci arttext&tlng=en


Clinical Medicine and Diagnostics, Hisham and Ahmed, http://article.sapub.org/10.5923.j.cmd.20160601.01.html


Neonatal Network's Deborah Discenza


http://www.academyofneonatalnursing.org/NNT/FCC ReducingNoise.pdf


International Journal of Contemporary Pediatrics http://dx.doi.org/10.18203/2349-3291.ijcp20163677 Joshi and Tada


Title of the article and the year it was published


Noise repercussions in the newborn critical care unit, 2013.


Noise's Influence on Newborn Vital Statistics and Behavior in the Neonatal Intensive Care Unit, 2016.


Noise Reduction in the Neonatal Intensive Care Unit 2014


Analysis of noise level in neonatal intensive care unit and post natal ward of a tertiary care hospital in an urban city. 2016


Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study


The hypothesis is that noise has epercussion in both mothers and NICU babies, and this affects their interaction with the environment.


The aim of the study was to dentify the impact of noise on NICU babies and their mothers. The hypothesis is that noise affects pre-term babies.


The aim of the research is to find out whether noise affects NICU babies. The research question is whether it is possible to find one method of effectively reducing noise in the NICU environment.


The aim of the research is to analyze the impact of using SONICU, a sound reducing technology is effective. The hypothesis is that certain levels of noise disturb NICU babies especially in overcrowded environments.


To find out the noise levels that disturbs NICU babies in crowded hospitals.


Design (Type of Quantitative, or Type of Qualitative)


quantitative descriptive cross-sectional study Quantitative study Case study


Qualitative Quantitative


Setting/Sample


95 mothers in an academic neonatal unit in an academic hospital in Brazil 100 babies with more than half of them being pre-term 1 Four cubical areas separated with glass with the measurements


length×breadth×height in feet) as area A- 20.6×20.6×11, area B-20.6×21.6×11, area C-20.6×19.6.6×11 and area D-13.3×10×11


Methods: Intervention/Instruments


Cross-sectional study


Structured forms


Interviews Intervention pre and post-test study


Experimental exposure Case study analysis Prospective analytical study


Experimental approach


Analysis


The article analyzes the impact of noise using a descriptive cross-sectional study. The article provides valid data regarding the impact of noise in NICU babies. The experimental approach provides solid evidence that supports existing research. The article provides an in-depth understanding of the impact of SONICU The article provides data that confirms that even though noise negatively affects NICU babies, some levels are worse.


Key Findings


The noise perceived by mothers affects the behavior of NICU babies and mothers. Noise affects the vital signs in NICU babies to the extent that it derails their developmental process. SONICU is effective in reducing noise in NICU environments. During morning and evening shifts, there is a higher level of noise and this negatively affects the comfort of NICU babies.


Recommendations


Further studies should be carried to provide ducated on the need for a quiet environment where NICU babies are concerned. The noise in NICU should be regulated, and all nurses working in such an environment should undergo a developmental course. It is possible to develop better method of controlling noise in a NICU environment. Generate minimal noise.


Explanation of How the Article Supports EBP/Capstone Project


The article provides insight that confirms a well known fact; noise affects NICU babies thus it is important to find ways of reducing noise. The article confirms that noise has very negative impacts on the development of a NICU baby and thus supports the EBP studies that confirm the negative impact of noise. The fact that the article provides a method that is already tested confirms the need for noise reduction in a NICU environment. The research shows that NICU babies respond differently to various levels of noise. For EBP studies, an understanding of this concept is important especially since music is also considered therapy.


Criteria Article 5 Article 6 Article 7 Article 8


Author, Journal (Peer-Reviewed), and


Permalink or Working Link to Access Article


Valizadeh, Hosseini, and Alavi et al.,


Journal of Caring Sciences


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161105/ Loewy, Stewart, Dassler, Telsey and Homel.


Pediatrics


http://pediatrics.aappublications.org/content/131/5/902 Mahmoodi, Arbabisajou, Rezeeirpoor, Mofrad


Global Journal of Health Sciences


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954870/ Abdeyazdan, Z.,


Ghasemi, S., Marofi,


M., & Berjis, N.


The Scientific Wiorld Journal


https://www.hindawi.com/journals/tswj/2014/864780/


Article Title and Year Published


Assessment of Sound Levels in a Neonatal Intensive Care Unit in Tabriz, Iran, 2013 The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants, 2013 Nurses' Awareness of Preterm Neonates' Sleep in the NICU


, 2016 Motor


responses and


weight gaining in


neonates through


use of two methods


of earmuff and


receiving silence in


NICU. 2014


Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study


The hypothesis is that high levels of noise have a negative impact in the development of NICU babies.


The aim of the research was to find the sources and impact of noise. The hypothesis is that recorded music creates overstimulation in NICU babies.


The aim of the research is to find out the negative impacts of some levels of noises using a list of lullaby songs. The hypothesis is that noise and light are the main disturbance factors that impact NICU babies.


The hypothesis is that noise, light and invasive treatment have a negative impact in the development of NICU babies. Noise affects weight gain and general development.


The aim of the research was to compare the


use of silence with the use of earmuffs on


premature


neonates.


Design (Type of Quantitative, or Type of Qualitative)


Quantitative quantitative Quantitative descriptive study Quantitative randomized clinical trial


Setting/Sample


Alzahra Teaching Hospital 272 premature infants. Ali-ibn-Abitaleb hospital 96 Preterm neonates


Methods: Intervention/Instruments


Descriptive study with an experimental approach Randomized clinical trial using a pre and post test approach. Questionnaire Randomized clinical trial


Analysis


The article provides intensive research information based on both current data and existing information. The idea that certain lullabies are effective and others destructive as shown by the researchers is of great significance in the comprehension of noise and its effects. The fact that a child's womb environment is peaceful means that a lot of time is needed for adjustment in the normal environment. It is thus important to ensure that such an environment is maintained and this research confirms this fact.


Key Findings


High levels of noise have a negative effect in the development of NICU babies Live music at certain noise levels elevate heart rate and improve the environment of a NICU baby. Noise and light are the main factors that impact the proper development of NICU babies. Silence and the use of


earmuffs results in fewer motor responses and weight gain.


Recommendations


Every country should adopt policies that regulate noise levels in NICU environment for the betterment of the child. Some lullabies should be used in a NICU environment. Further studies can be conducted to find out other lullabies that may be used in the same environment. Further research should be carried out to analyze the impact of various levels of light and noise. It is important to reduce the levels of noise.


Explanation of How the Article Supports EBP/Capstone


The article gives EBP researchers an opportunity to use certain levels of noises thus confirming previous research. The research provides data on lullabies that may be acceptable in a NICU environment. EBP calls for the reduction of noise levels and this research explains that it is because of the change the baby goes through from the womb to the normal environment. The article confirms the fact that noise reduction is of great significance.


References


Abdeyazdan, Z., Ghasemi, S., Marofi, M., & Berjis, N. (2014). Motor responses and weight gaining in neonates through use of two methods of earmuff and receiving silence in NICU. The Scientific World Journal, 864780- 864780.


Discenza, D. (2014). Reducing Noise Levels in the NICU. Neonatal Network, 33(1), 41-43.


Joshi, D., & Tada, N. (2016). Analysis of noise level in neonatal intensive care unit and post natal ward of a tertiary care hospital in an urban city. International Journal of Contemporary Pediatrics, 3(4):1358-1361


Loewy, J. et al., (2013). The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants. Pediatrics, 131(5), 171-185.


Grecco, G. M. et al., (2013). Repercussion of noise in the neonatal intensive care unit, Pediatrics and Child Health, 26(1), 14-26.


Hisham, A. A., & Ahmed, M. (2016). Effect of Noise on Neonatal Vital Data and Behavior in NICU, Clinical Medicine and Diagnostics, 6(1), 1-6.


Mahmoodi, N., et al., (2016). Nurses' Awareness of Preterm Neonates' Sleep in the NICU. Global Journal of Health Sciences, 8(6), 226-233.


Valizadeh, S. et al., (2013). Assessment of Sound Levels in a Neonatal Intensive Care Unit in Tabriz, Iran. Journal of Caring Sciences, 2(1), 19-26.

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