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Quiet Time Improves the Patient Experience.

Hedges, Christine; Hunt, Candice; Ball, Pamela.
J Nurs Care Qual; 34(3): 197-202, 2019.
Inglês | MEDLINE | ID: mdl-30198951

BACKGROUND:

A quiet environment promotes rest and healing but is often challenging to provide in a busy acute care setting. Improving quiet in the hospital for designated hours improves patient satisfaction. Such efforts have typically been the primary responsibility of the nursing staff. LOCAL

PROBLEM:

Two medical units with consistently low Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) "always quiet" scores were chosen for this study.

METHODS:

A multidisciplinary team used Lean methods and the Model for Improvement to test interventions for quiet time (QT) and used HCAHPS "always quiet" scores as the primary outcome measure.

INTERVENTIONS:

The team instituted nighttime and afternoon QT supported by rounding and scripting, dimming lights, lowering staff voices, offering a sleep menu at night, and replacing noisy wheels.

RESULTS:

Quiet scores improved on both units after 11 months.

CONCLUSIONS:

Noise in hospitals is often beyond the scope of nurse-driven improvement; however, a QT protocol led by nurses, developed by multiple stakeholders, and focused on changing expectations for quiet can lead to measurable improvements in patient perception of quiet.