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首页> 外文期刊>Building and Environment >Noisy and restless: 24 h in an NHS community hospital ward, a qualitative and quantitative analysis of the patient environment
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Noisy and restless: 24 h in an NHS community hospital ward, a qualitative and quantitative analysis of the patient environment

机译：嘈杂和不安分：24小时在NHS社区医院病房，对患者环境的定性和定量分析

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摘要

This case study assesses a hospital patient bay environment in terms of the potential for nurse led interventions to improve the patient experience and possible outcomes. The paper demonstrates where nurses have potential to enhance the environment and where patients contribute most to disruption. A section of an older persons acute-care ward (a patient bay) in an NHS community hospital in the South of England was evaluated by comparing quantitative environmental data (lighting, sound, air temperature, relative humidity, carbon dioxide and patient bed movements) with qualitative observed events, such as patient examinations noted over a 24-h period.Inferential tests showed a relationship between the movement of patients in their beds and noise levels in the patient bay (a) above 68 dB during the day, (b) above 60 dB at night and (c) above 85 dB across the 24-h period. Staff accounted for 10% of the observed noise events that exceeded 68 dB during the day and 24% of the observed noise events that exceeded 60 dB at night. There was an observed correlation between observed noise events created by staff and the movement of the patients in their beds (a) 49% during the day and (b) 46% during the night, suggesting there is scope for the nursing staff to reduce noise in the patient bay areas and increase patient periods of rest. The introduction of "quiet-time" rest periods during the day and a general reduction of noise in the patient bay during the night is therefore recommended to enhance patient wellbeing.
机译：本案例研究在护士LED干预措施方面评估了医院患者湾环境，以改善患者体验和可能的结果。本文表明护士有可能增强环境，患者对患者最为贡献的影响。通过比较定量环境数据（照明，声音，空气温度，相对湿度，二氧化碳和患者床移动，评估英国南部NHS社区医院的老年人急性护理病房（患者湾）的一部分。具有定性观察的事件，例如在24小时内注明的患者检查。在白天在68 dB的患者舱（a）中患者的床和噪声水平之间的患者之间的关系表明，（b）在24-H期间晚上60 dB和（c）以上85 dB以上。工作人员占观察到的噪声事件的10％，在白天超过68 dB，夜间超过60 dB的观察到噪声事件的24％。观察到的人员创造的观察到噪声事件与患者在当天（a）49％之间的运动之间观察到的相关性，（b）46％的夜晚，建议护理人员的范围减少噪音在患者湾区和增加患者的休息时间。因此，推出了在白天的“安静时”休息时间和夜间患者湾的噪音一般减少，以增强患者阱。

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  • 来源
    《Building and Environment》 |2020年第5期|106795.1-106795.12|共12页
  • 作者

    Sawyer L. K.; Kemp S.; James P. A. B.; Harper M.;

  • 作者单位

    Univ Southampton Fac Environm & Life Sci Geog & Environm Sci Southampton Hants England;

    Univ Southampton Fac Environm & Life Sci Geog & Environm Sci Southampton Hants England;

    Univ Southampton Natl Infrastruct Lab Fac Engn & Phys Sci Sustainable Energy Res Grp Boldrewood Innovat Campus Southampton Hants England;

    Univ Southampton Natl Infrastruct Lab Fac Engn & Phys Sci Sustainable Energy Res Grp Boldrewood Innovat Campus Southampton Hants England;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Hospital; Indoor environment; Noise; Patients; Nursing staff;

    机译：医院;室内环境;噪音;患者;护理人员;

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