Surveys on Noise in Some Hospital Wards and Self-Reported Reactions from Staff: A Case Study

Noise in hospital wards adversely affects the physiological processes of both patients and staff and it is a potential risk for communication breakdowns and errors, causing discomfort and problems regarding the healing of patients, as well as stress, fatigue, and annoyance for staff. Several noise sources are present in the wards, such as HVAC systems, alarms, paging, speech, calls, diagnostic equipment, medical devices, and so forth. This paper describes two surveys carried out at an Italian hospital in Rome to investigate the noise in some wards and to collect self-reported assessments from staff about their working environments, even if such assessments were not required for occupational noise exposure evaluation. Self-reported staff evaluations of the working environment quality and the effects of noise on their performances should be investigated. For this purpose, in this study, questionnaires were designed and submitted to staff members. In addition, noise measurements were taken from short-, medium-, and long-term audio recordings processed to determine psychoacoustic parameters, e.g., loudness, sharpness, roughness, and fluctuation strength. Their applications in enclosed spaces can provide additional information on some features of the noise observed in hospital wards, which may influence the perceptions and relevant extra-auditory effects. Even though the results cannot be generalized, they encourage the development of a methodology for noise surveys in hospital wards, including noise measurements and "ad hoc" questionnaires to collect self-reported reactions from exposed staff members.