Nursing evidence-based interprofessional practice guidelines for impaired comfort related noise in ICU – Systematic Literature Review

• Published in: Journal of Specialized Nursing Care 2019-01, Vol.11 (1)
• Main Authors: Rayane Toledo Barbosa, Isabel CF da Cruz
• Format: Article
• Language: Portuguese
• Subjects: Clinical practice guidelines; Guidelines; Intensive care; Multidisciplinary teams; Nursing care; Sons
• ISSN: 1983-4152

The study in question aims to identify in the literature the understanding of the nursing diagnosis of impaired comfort, related to undesirable environmental effects (sounds and noise) to patients of the Intensive Care Unit. Objective: To relate the noise produced in the ICU to the discomfort of patients and the implementation of measures and care proposed by the nurse to reduce environmental stressors. Method: A descriptive and exploratory study with a qualitative approach and the type of research was bibliographical. The research sources were articles in the national nursing journals, covering the period from 2011 to 2017. The following data sources were used: Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS) contained in the Virtual Health Library (VHL). Results: It was evidenced that the diagnosis of impaired comfort can manifest itself in several ways and when related to undesirable sound effects, can further harm the health of the patient and it is important that the intensive care nurse together with the multiprofessional team is able, in a humanized way, to implement measures that diminish the emission of these sound effects avoiding detriment to the health of the hospitalized patient in order to minimize the discomfort coming from the process of hospitalization. Conclusion: The study reached the proposed objectives and we have seen that comfort impaired in the hospitalized patient is directly related to undesirable sound stimuli and that the nurse as prescriber of care and through the humanized care, must implement measures, especially in the intensive care unit, and these passed together with the multidisciplinary team in the form of awareness about the importance and causes that generate sounds and stressful noises in an Intensive Care Unit.