Research Article
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Year 2025, Issue: 9, 27 - 35, 24.11.2025
https://doi.org/10.26650/CURARE.2025.1661292

Abstract

References

  • 1 Hendriks S, Vernooij CM, O’Connor RD, Jie KE. Reduced noise in the emergency de- apartment: the impact on staff well-being and room acoustics. Emerg Med J. 2024;41:538-42. doi:10.1136/emermed-2023-213471. google scholar
  • 2 World Health Organization. Occupational noise: assessing the burden of disease from work-related hearing. Geneva: WHO; 2004. Available from: URL: https://www.who.int/publications/i/item/occupational-noise-assessing-the-burden-of- disease-from-work-related-hearing-impairment-at-national-and-local-levels google scholar
  • 3 European Agency for Safety and Health at Work (EU-OSHA). Noise section. 2011. Available from: http://osha.europa.eu/pt/topics/noise/index_html google scholar
  • 4 Pinto H. Exposição ao ruído ocupacional em meio hospitalar – open space [Master’s thesis]. Porto: Universidade do Porto; 2012. Available from: URL: https://documentac- ion.sea-acustica.es/storage/publicaciones/212.pdf google scholar
  • 5 World Health Organization. Guidelines for community noise Geneva: WHO; 1999. Available from: URL: https://www.who.int/publications/i/item/a68672 google scholar
  • 6 Thompson J, Hodge B. Noise pollution in the operating theatre. Lancet. 1990;335(8694):891-4. doi:10.1016/0140-6736(90)90486-O google scholar
  • 7 Vincent C, Wears R. Communication in the emergency department Med J Aust. 2002;176:409-10. doi:10.5694/j.1326-5377.2002.tb04478.x google scholar
  • 8 Tijunelis M, Fitzsullivan E, Henderson S. Noise in the ED. Am J Emerg Med. 2005;23:332-5. doi:10.1016/j.ajem.2005.02.037 google scholar
  • 9 Khademi G, Roudi M, Farhat AS. Noise pollution in intensive care unit and emergency wards. Iran J Otorhinolaryngol. 2011;23(65):141-8. PMID:24303374; PMCID:PMC3846184 google scholar
  • 10 Santos J, Miguel AS. Níveis sonoros em ambiente hospitalar: o caso das unidades de cuidados intensivos. In: International Symposium on Occupational Safety and Hygiene; 2012. p.394-6. google scholar
  • 11 Bolm-Audorff U, Hegewald J, Pretzsch A, Freiberg A, Nienhaus A, Seidler A. Occupa- tional noise and hypertension risk: a systematic review and metaanalysis. Int J Environ Res Public Health. 2020;17:6281. doi:10.3390/ijerph17176281 google scholar
  • 12 Coelho D, Machado S, Joaquim S. Delirium em terapia intensiva: fatores de risco e fisiopatogenia. Rev Port Med Intensiva. 2011;18:17-23. google scholar
  • 13 Riviera AJ, Karsh BT. Interruptions and distractions in healthcare: review and reap- praisal. Qual Saf Health Care. 2011;19(4):304-12. doi:10.1136/ qshc.2009.033282 google scholar
  • 14 Orellana D, Busch-Vishniac IJ, West JE. Noise in the adult emergency department of Johns Hopkins Hospital. J Acoust Soc Am. 2007;121:1996-9. doi:10.1121/1.2642309 google scholar
  • 15 Tsara V, Nena E, Serasli E, Vasileiadis V, Matamis D, Christaki P. Noise levels in Greek hospitals. Noise Health. 2008;10(41):110-2. Available from: URL: https://www.noiseandhealth.org/article.asp?issn=1463-1741;year= 2008;volume=10;is- sue=41;spage=110;epage=112 google scholar
  • 16 Zun L, Downey L. The effect of noise in the emergency department. Acad Emerg Med. 2005;12:663-6. doi:10.1197/j.aem.2005.03.533 google scholar
  • 17 The Joint Commission. Hospital: 2022 national patient safety goals. 2022. Available from: URL: https://www.jointcommission.org/standards/national-patient-safety- goals/hospital-national-patient-safety-goals/ google scholar
  • 18 Jamsa JO, Uutela KH, Tapper AM, Lasse L. Clinical alarms and alarm fatigue in a uni- versity hospital. Acta Anaesthesiol Scand. 2021;65:979-85. doi:10.1111/ aas.13824 google scholar
  • 19 Paine CW, Goel VV, Ely E, Stave CD, Stemler S, Zander M, et al. Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. J Hosp Med. 2016;11(2):136-44. doi:10.1002/jhm.2520 google scholar
  • 20 Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological mon- itors and decreasing nuisance alarms. Am J Crit Care. 2010;19(1):28-34. doi:10.4037/ajcc2010651 google scholar
  • 21 The Joint Commission. Sentinel event alert: medical device alarm safety in hospitals. 2013. Available from: URL: https://www.jointcommiss ion.org/resources/patient- safety-topics/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-issue- 50-medical-device-alarm-safety-in-hospitals/ google scholar
  • 22 Brüel & Kjær Sound & Vibration Measurement A/S. Environmental noise. Denmark; 2000. Available from: URL: https://www.scribd.com/document/ 378597087/Bruel- Kjaer-Environmental-Noise-Measurement google scholar
  • 23 Passos RS. O som e o ruído em festas e romarias populares [master’s thesis]. Porto: Universidade do Porto; 2018. Available from: https://sigarra.up.pt/feup/ pt/pub_geral.pub_view?pi_pub_base_id=311567 google scholar
  • 24 Mostardinha AR, Bártolo A, Bonifácio J, Pereira A. Validation of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in university students. Acta Med Port. 2019;32(4):279-88. doi:10.20344/amp.10650 google scholar
  • 25 Marôco J. Análise estatística com o SPSS Statistics. 7th ed. Pêro Pinheiro: Report Num- ber; 2018. Available from https://books.google.pt/books?id=Ki5 gDwAAQBAJ google scholar

Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications

Year 2025, Issue: 9, 27 - 35, 24.11.2025
https://doi.org/10.26650/CURARE.2025.1661292

Abstract

Objective: This study’s primary objective includes evaluating the opinion of nurses about the effects of noise on their health, gathering suggestions for strategies to reduce noise levels in the workplace and the assessment of noise levels in the emergency department of a hospital.

Materials and Methods: This observational study with a mixed data analysis methodology was conducted on a sample of 42 nurses. Data were collected through a questionnaire created for this purpose. Descriptive and inferential statistics were used, and the study received a favorable opinion from the ethics committee.

Results: The noise level assessment showed that nurses were exposed to an average of 62.9 dB during an 8-h shift. The study group claims that the noise level affects the efficacy of handover and the various activities during the working shift, compromising patient safety. Structural and architectural improvements, in combination with awareness campaigns targeting the users of the hospital, reminding the importance of keeping a low noise volume, were two of the leading suggestions of the staff nurses involved in the study.

Conclusion: Noise is an essential aspect of the health quality of professionals as well as the quality of care. Since the sample was small and the study was conducted only in one hospital, further studies will be needed to make the hospital environment safer for professionals and users.

References

  • 1 Hendriks S, Vernooij CM, O’Connor RD, Jie KE. Reduced noise in the emergency de- apartment: the impact on staff well-being and room acoustics. Emerg Med J. 2024;41:538-42. doi:10.1136/emermed-2023-213471. google scholar
  • 2 World Health Organization. Occupational noise: assessing the burden of disease from work-related hearing. Geneva: WHO; 2004. Available from: URL: https://www.who.int/publications/i/item/occupational-noise-assessing-the-burden-of- disease-from-work-related-hearing-impairment-at-national-and-local-levels google scholar
  • 3 European Agency for Safety and Health at Work (EU-OSHA). Noise section. 2011. Available from: http://osha.europa.eu/pt/topics/noise/index_html google scholar
  • 4 Pinto H. Exposição ao ruído ocupacional em meio hospitalar – open space [Master’s thesis]. Porto: Universidade do Porto; 2012. Available from: URL: https://documentac- ion.sea-acustica.es/storage/publicaciones/212.pdf google scholar
  • 5 World Health Organization. Guidelines for community noise Geneva: WHO; 1999. Available from: URL: https://www.who.int/publications/i/item/a68672 google scholar
  • 6 Thompson J, Hodge B. Noise pollution in the operating theatre. Lancet. 1990;335(8694):891-4. doi:10.1016/0140-6736(90)90486-O google scholar
  • 7 Vincent C, Wears R. Communication in the emergency department Med J Aust. 2002;176:409-10. doi:10.5694/j.1326-5377.2002.tb04478.x google scholar
  • 8 Tijunelis M, Fitzsullivan E, Henderson S. Noise in the ED. Am J Emerg Med. 2005;23:332-5. doi:10.1016/j.ajem.2005.02.037 google scholar
  • 9 Khademi G, Roudi M, Farhat AS. Noise pollution in intensive care unit and emergency wards. Iran J Otorhinolaryngol. 2011;23(65):141-8. PMID:24303374; PMCID:PMC3846184 google scholar
  • 10 Santos J, Miguel AS. Níveis sonoros em ambiente hospitalar: o caso das unidades de cuidados intensivos. In: International Symposium on Occupational Safety and Hygiene; 2012. p.394-6. google scholar
  • 11 Bolm-Audorff U, Hegewald J, Pretzsch A, Freiberg A, Nienhaus A, Seidler A. Occupa- tional noise and hypertension risk: a systematic review and metaanalysis. Int J Environ Res Public Health. 2020;17:6281. doi:10.3390/ijerph17176281 google scholar
  • 12 Coelho D, Machado S, Joaquim S. Delirium em terapia intensiva: fatores de risco e fisiopatogenia. Rev Port Med Intensiva. 2011;18:17-23. google scholar
  • 13 Riviera AJ, Karsh BT. Interruptions and distractions in healthcare: review and reap- praisal. Qual Saf Health Care. 2011;19(4):304-12. doi:10.1136/ qshc.2009.033282 google scholar
  • 14 Orellana D, Busch-Vishniac IJ, West JE. Noise in the adult emergency department of Johns Hopkins Hospital. J Acoust Soc Am. 2007;121:1996-9. doi:10.1121/1.2642309 google scholar
  • 15 Tsara V, Nena E, Serasli E, Vasileiadis V, Matamis D, Christaki P. Noise levels in Greek hospitals. Noise Health. 2008;10(41):110-2. Available from: URL: https://www.noiseandhealth.org/article.asp?issn=1463-1741;year= 2008;volume=10;is- sue=41;spage=110;epage=112 google scholar
  • 16 Zun L, Downey L. The effect of noise in the emergency department. Acad Emerg Med. 2005;12:663-6. doi:10.1197/j.aem.2005.03.533 google scholar
  • 17 The Joint Commission. Hospital: 2022 national patient safety goals. 2022. Available from: URL: https://www.jointcommission.org/standards/national-patient-safety- goals/hospital-national-patient-safety-goals/ google scholar
  • 18 Jamsa JO, Uutela KH, Tapper AM, Lasse L. Clinical alarms and alarm fatigue in a uni- versity hospital. Acta Anaesthesiol Scand. 2021;65:979-85. doi:10.1111/ aas.13824 google scholar
  • 19 Paine CW, Goel VV, Ely E, Stave CD, Stemler S, Zander M, et al. Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. J Hosp Med. 2016;11(2):136-44. doi:10.1002/jhm.2520 google scholar
  • 20 Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological mon- itors and decreasing nuisance alarms. Am J Crit Care. 2010;19(1):28-34. doi:10.4037/ajcc2010651 google scholar
  • 21 The Joint Commission. Sentinel event alert: medical device alarm safety in hospitals. 2013. Available from: URL: https://www.jointcommiss ion.org/resources/patient- safety-topics/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-issue- 50-medical-device-alarm-safety-in-hospitals/ google scholar
  • 22 Brüel & Kjær Sound & Vibration Measurement A/S. Environmental noise. Denmark; 2000. Available from: URL: https://www.scribd.com/document/ 378597087/Bruel- Kjaer-Environmental-Noise-Measurement google scholar
  • 23 Passos RS. O som e o ruído em festas e romarias populares [master’s thesis]. Porto: Universidade do Porto; 2018. Available from: https://sigarra.up.pt/feup/ pt/pub_geral.pub_view?pi_pub_base_id=311567 google scholar
  • 24 Mostardinha AR, Bártolo A, Bonifácio J, Pereira A. Validation of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in university students. Acta Med Port. 2019;32(4):279-88. doi:10.20344/amp.10650 google scholar
  • 25 Marôco J. Análise estatística com o SPSS Statistics. 7th ed. Pêro Pinheiro: Report Num- ber; 2018. Available from https://books.google.pt/books?id=Ki5 gDwAAQBAJ google scholar
There are 25 citations in total.

Details

Primary Language English
Subjects Emergency Nursing, Acute Care
Journal Section Research Article
Authors

Nuno Tinoco 0009-0006-3977-7521

Submission Date June 5, 2025
Acceptance Date October 17, 2025
Publication Date November 24, 2025
Published in Issue Year 2025 Issue: 9

Cite

APA Tinoco, N. (2025). Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications. CURARE Journal of Nursing, 9, 27-35. https://doi.org/10.26650/CURARE.2025.1661292
AMA 1.Tinoco N. Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications. CURARE Journal of Nursing. 2025;(9):27-35. doi:10.26650/CURARE.2025.1661292
Chicago Tinoco, Nuno. 2025. “Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications”. CURARE Journal of Nursing, nos. 9: 27-35. https://doi.org/10.26650/CURARE.2025.1661292.
EndNote Tinoco N (November 1, 2025) Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications. CURARE Journal of Nursing 9 27–35.
IEEE [1]N. Tinoco, “Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications”, CURARE Journal of Nursing, no. 9, pp. 27–35, Nov. 2025, doi: 10.26650/CURARE.2025.1661292.
ISNAD Tinoco, Nuno. “Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications”. CURARE Journal of Nursing. 9 (November 1, 2025): 27-35. https://doi.org/10.26650/CURARE.2025.1661292.
JAMA 1.Tinoco N. Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications. CURARE Journal of Nursing. 2025;:27–35.
MLA Tinoco, Nuno. “Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications”. CURARE Journal of Nursing, no. 9, Nov. 2025, pp. 27-35, doi:10.26650/CURARE.2025.1661292.
Vancouver 1.Tinoco N. Understanding Noise in the Emergency Department: Nurses’ Perceptions, Quantitative Measurements, and Practical Implications. CURARE Journal of Nursing [Internet]. 2025 Nov. 1;(9):27-35. Available from: https://izlik.org/JA45BG93AG