A large number of groups are at risk due to hospital noise especially at night. Elderly people and pregnant women at higher risk, besides them children and patients with ill health are also considered as risk groups. To add up, registered nurses and shift workers are also at risk as their sleep structure is under stress (WHO, 2009).
A number of aspects of health and quality of life are associated with the sleep and these aspects are impaired with disturbance in sleep. Therefore, sound sleep is essential for the patients and various measures should be applied to maintain the peaceful and quiet environment in the hospital especially at night time as a component of patient care. Many studies has shown that various pilot projects were initiated for the reduction of noise in the hospital and they all have positive outcome leading to the sound hospital environment and sound sleep of patients at night. This project aims to promote the patients health and create great environment for the workers by reducing the noise at night. Sleep deprivation results in unsatisfied patients and that ultimately causes the declination of the overall rating of hospitals. This may also affect the hospital revenue in the long term. Therefore, the Night Time Noise Reduction project helps to cope with such consequences in the long run.
The most common cause of disruptive noise in the hospital is staff conversations (Wallis, 2012). Educating staff and planning can help for the reduction of noise; however this cost the minimal amount. Furthermore, this projects aims in reduction of the noise by using Yacker Tracker; a noise alerting device. A Yacker Tracker costs approximately $100 (based on amazon.com) and each unit requires two devices each for nurse station and for hallways.
Project evaluation is necessary to determine the effectiveness of the project and for the continuation of the project in the future. Prior to the implementation of the project, sound environment assessment is carried out for the determination of noise-level in each unit of the hospital. Same method is applied to determine the noise-level after the implementation of the project, and differences between them are measured statistically (Kol et al, 2015). An evaluation for the project can be developed by using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data before and after the implementation of the project (Murphy et al, 2013).
In conclusion, the Night Time Noise Reduction project will be very effective to reduce the noise in a cost friendly way. This project will not only improve the environment of the hospitals but will also have beneficial effect on the health of patients and staffs. This project will be helpful in answering one of the reasons behind the declining quality of hospital environment and will help in improving the overall rating of the hospital.
prevention of pressure ulcer
;Pressure ulcer prevention is a prevalent topic in health care setting today. It can have a devastating effect on a person`s health and quality of life. During the time of admission, it is important to identify the high-risk patient prone for getting pressure ulcer and implement the preventive measures immediately. “Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and quality of life. These measures allow for the reduction of expenditures and re-allocation of funds into other important increased health care utilization (ARHO, 2013)”. Most pressure ulcers can be prevented by the health care team.
There are several wound care products in health market that have dramatically improved, protected and supported skin from pressure ulcer. The main purpose of this project is to practice foam dressing called Mepilex border Flex proven to prevent pressure ulcer, alone with performing the Braden scale skin assessment. The use of Mepilex bordered dressing reduces friction and redistribute pressure as well as provided an optimal microclimate. Mepilex foam bordered dressing have antimicrobial actions of ionic silver with soft silicone adhesive reduced pain and provide healing. The frequency of occurrence and increased cost for treating pressure ulcer has promoted health care industry to implement new interventions in order to prevent hospital acquired pressure ulcers. In the past nurses were responsible for pressure ulcer care prevention but the current research has proven that a multidisciplinary approach is needed for management of pressure prevention. Effective pressure ulcer prevention needs educating health care providers and patients in prevention technique. Pressure ulcer prevention and management are the most direct and very cost effective measures hospital can utilize to improve patient safety areas in the facility. Hospitals need to become more rapacious in creating wound care protocols that will assist in the treatment and prevention of pressure ulcers (Ackerman, 2011).
The target population
According to Agency for Healthcare Research and Quality “90% of all pressure ulcer related hospitalizations are due to secondary pressure ulcer diagnosis, 72% of patients are 65years or older and about 60,000 patients die each year as a result of a pressure ulcer” (ARHO, 2013). Poor nutrition, dementia, age, mobility, medical condition is the primary reason for hospital admitted patient to get pressure ulcers. Here the targeted patient population is over age 18 and older who are admitted with debility, and who should be assessed closely for pressure ulcer.