Hospitals can be stressful places. Researchers at The Ottawa Hospital began to understand one reason why when they started tracking noise levels in areas where patients were sleeping.

When concluding their research, the team at Ottawa Hospital’s General Campus discovered that noise levels at night in one unit averaged 76 decibels — the staggering equivalent of sleeping next to a busy highway.

Beeping monitors, ventilators and constant chatter from hospital staff annoy patients and in some cases, endanger their health.

“Noise from many sources can keep patients awake, leaving them exhausted in the morning. It is consistently one of the top reasons patients and their families tell us they were unsatisfied with their care,” said Debra Bournes, chief nursing executive and vice-president of clinical programs.

The Ottawa Hospital — with the help of SoundEar, an electronic ear and visual noise monitor that changes colour when noise levels increase — has made an effort to change that.

SoundEar devices have full in-built monitoring and reporting functions, with transfer of log data via USB that gives a complete overview of the noise environment. Automated noise reports can also be set up to receive reports before or after a shift, directly to email.

The “SoundEar” was tried as a pilot project, offering a visual reminder of sound levels on wards during the night. It is green when noise levels are low and turns yellow and red as levels rise.

Bournes said the device allows hospital staff to track patterns of noise and make changes.

“A busy hospital can be as loud at night as during the day. It can be like standing beside a highway.”

Numerous studies have found a direct link between uninterrupted sleep and faster, more complete healing. Interrupted or disturbed sleep affects the immune system and delays recovery from major surgery and from heart attacks. A 2005 study by researchers in Sweden found that patients with heart disease who were hospitalised in noisier rooms had higher blood pressure readings, and also had higher rates of readmission after they were discharged from hospital.

The 2009 study of noise levels in intensive care units found high rates of sleep deprivation among patients. Researchers have even documented increased heart rate and breathing rate and lower oxygen levels among premature babies admitted to the neonatal intensive care unit.

The SoundEar, says Debra Bournes, “raises awareness. For staff working at night, it is like their daytime. You sometimes don’t realise how loud you are speaking or how loud alarms can be.”

“When we decided to do this, we did look at what the research says,” said Bourne, including that people who don’t get enough rest are more anxious and report higher levels of pain more often.

One 2014 study, whose lead researcher is from the Peter Munk Cardiac Centre, at the University Health Network in Toronto, found it is crucial to make sure a patient’s sleep is uninterrupted in the first few days after a heart attack to promote healing.

The lead author, Dr. Michael Sole, said watching patients’ sleep get interrupted was part of the impetus for the research on mice.

He suggested various techniques to make hospitals more sleep friendly, including light-blocking glasses, earplugs, lower volume ring tones and greater attention to noise at night.

SoundEar Visual Noise Reminder

Building materials in hospitals can help reduce noise and improve acoustics. A study from Sweden that looked at acoustics and health found that walls, fabric and ceiling tiles that absorb instead of reflect sound, lower the blood pressure and heart rate of patients.

Some of these techniques are in use in Ottawa. Although alarms can’t be turned off, they can be turned down, said Bournes, and staff can be reminded of the need for quiet and why that is so important.

Among other things, she noted that research has found patients who do not get enough rest are more anxious, report pain more often and report higher levels of pain than other patients.

“One of the biggest things we did is reduce overhead paging to only emergencies at night — we used to page for all kinds of things.”

The hospital also offers patients earplugs to help them sleep and keeps rooms dark.

The hospital has installed a number of SoundEars to monitor noise levels. And it is getting fewer complaints from patients.

“It’s common sense,” said Bournes.

JPRO is the authorised distributor for SoundEar in NZ. The Journal of the Intensive Care society conducted a 2018 study on the benefits of using SoundEar, stating that SoundEar noise warning devices cause a sustained reduction in ambient noise. For more information on SoundEar products in New Zealand, click here.

Do you need to have better control over noise in your environment? Feel free to reach out and contact us to assist you with your noise related query:

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