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Noise Reduction in Progressive Care Units

McGough, Nancy N., H., PhD, RN, CNS, PCCN; Keane, Trevor, BSN, RN, PCCN; Uppal, Avneesh, BSN, RN, SCRN; Dumlao, Maritoni, BSN, RN, PCCN; Rutherford, Wendy, BSN, RN; Kellogg, Kristen, BSN, RN, PCCN; Ward, Erin, MSN, RN, PCCN, SCRN; Kendal, Courtney, MSN, RN, ACNS, SCRN; Fields, Willa, DNSc, RN, FHIMSS

doi: 10.1097/NCQ.0000000000000275

Uncontrolled noise in the hospital setting can have a negative physiological and psychological impact on patients and nurses. To reduce unit noise levels and create a quiet patient and nurse experience, an evidence-based practice project was conducted in 4 progressive care units in a community hospital. The Quiet Time Bundle implementation improved patient satisfaction and patient and nurse perceptions of noise even though the decrease in noise levels may not be discernible.

Sharp Grossmont Hospital, La Mesa, California (Drs McGough and Fields, Mr Keane, and Mss Uppal, Dumlao, Rutherford, Kellogg, Ward, and Kendal); and School of Nursing, San Diego State University, California (Dr Fields).

Correspondence: Nancy N. H. McGough, PhD, RN, CNS, PCCN, Progressive Care Unit, 5555 Grossmont Center Dr, La Mesa, CA 91942 (

Authors acknowledge Ana-Maria Gallo, Rachel Hyden, Tamera Gray, Sheila Erickson, Teri Armour-Burton, Cabiria Lizarraga, Tracy Plume, Nancy Tuano, and Katherine Markle for contributing to this project.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflicts of interest.

Accepted for publication: May 17, 2017

Published ahead of print: June 27, 2017

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