Charles Hayes
Quiet at Night

SchoolHoly Name High School


ProgramNursing


MentorJoy Frame, BSN


DepartmentMedina Hospital


Research
Quiet at Night
Hypothesis
Research continues to link a quiet hospital environment to improved patient healing and medical staff satisfaction. Noisy environments at night contribute to patient sleeplessness and distress. In contrast, calm, quiet, environments contribute to patient healing. The hypothesis for this study is that patients will get a better night sleep after implementation of a plan to eliminate sources of nighttime disturbance.
Methodology
Sixty-two patients at Medina Hospital were interviewed to assess how patients slept and what bothered them so those disturbances could be properly addressed and potentially eliminated. Various studies and policies were reviewed, including the “Sleep Protocol” policy enacted at Cleveland Clinic Florida in Weston. Research and suggestions from other hospitals and policies were considered for implementation, such as making sure patients get a solid block of hours asleep and patients in stable enough condition should not be awakened for medical procedures and medications (this action must be approved by the patient’s physician).
Outcomes
Staff conversation, the patient room door being open, the overhead pager, and equipment/facility noises were found to be the main sources of disturbance. Medina Hospital implemented a Quiet at Night plan to address these issues. After the plan was implemented, patient interviews were conducted to assess how well the patients slept. Twenty-eight patients were interviewed post implementation of the plan. Feedback was extremely positive. The patients who did sleep poorly attributed this to pain, stating that the environment was quiet. Overall, patients have expressed experiencing a more positive night sleep than before the plan was implemented.

Interpretations