The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Noise, stress, and annoyance in a pediatric intensive care unit
Abstract
OBJECTIVE: To measure and describe hospital noise and determine whether noise can be correlated with nursing stress measured by questionnaire, salivary amylase, and heart rate. DESIGN: Cohort observational study. SETTING: Tertiary care center pediatric intensive care unit. SUBJECTS: Registered nurses working in the unit. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Eleven nurse volunteers were recruited. An audiogram, questionnaire data, salivary amylase, and heart rate were collected in a quiet room. Each nurse was observed for a 3-hr period during patient care. Heart rate and sound level were recorded continuously; saliva samples and stress/annoyance ratings were collected every 30 mins. Variables assessed as potential confounders were years of nursing experience, caffeine intake, patients' Pediatric Risk of Mortality Score, shift assignment, and room assignment. Data were analyzed by random effects multiple linear regression using Stata 6.0. The average daytime sound level was 61 dB(A), nighttime 59 dB(A). Higher average sound levels significantly predicted higher heart rates (p =.014). Other significant predictors of tachycardia were higher caffeine intake, less nursing experience, and daytime shift. Ninety percent of the variability in heart rate was explained by the regression equation. Amylase measurements showed a large variability and were not significantly affected by noise levels. Higher average sound levels were also predictive of greater subjective stress (p =.021) and annoyance (p =.016). CONCLUSIONS: In this small study, noise was shown to correlate with several measures of stress including tachycardia and annoyance ratings. Further studies of interventions to reduce noise are essential.
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Cites
Salivary cortisol: a better measure of adrenal cortical function than serum cortisol
Vining, R. F., McGinley, R. A., Maksvytis, J. J., & Ho, K. Y. (1983) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1177/000456328302000601 · Cited by 684
Sex differences in sympathetic-adrenal medullary reactions induced by different stressors
Frankenhaeuser, M., Dunne, E., & Lundberg, U. (1976) · Psychopharmacology · doi:10.1007/bf00428693 · Cited by 173
Cited by
Nater, U. M., & Rohleder, N. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.01.014 · Cited by 1,370
Nater, U. M., La Marca, R., Florin, L., Moses, A., Langhans, W., Koller, M. M., & Ehlert, U. (2006) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.05.010 · Cited by 630
Determinants of salivary α-amylase in humans and methodological considerations
Rohleder, N., & Nater, U. M. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.12.004 · Cited by 604
Noise levels in Johns Hopkins Hospital
Busch-Vishniac, I. J., West, J. E., Barnhill, C., Hunter, T., Orellana, D., & Chivukula, R. (2005) · The Journal of the Acoustical Society of America · doi:10.1121/1.2118327 · Cited by 416
Lan, L., Wargocki, P., Wyon, D. P., & Lian, Z. (2011) · Indoor Air · doi:10.1111/j.1600-0668.2011.00714.x · Cited by 355
Metadata
- Authors
- Morrison, W. E., Haas, E. C., Shaffner, D. H., Garrett, E. S., & Fackler, J. C.
- Venue
- Critical Care Medicine
- Published
- 2003-01
- Volume
- 31
- Issue
- 1
- Pages
- 113-119
- ISSN
- 0090-3493 (ISSN-L)
- OpenAlex
- W2056988317
- Cited by
- 281
- References
- 2
- FWCI
- 14.04
- Type
- journal article
- Language
- en
- Open access
- closed
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