{
  "abstract": "Aim: To synthesise evidence on noise‐reduction and alarm‐management strategies in adult intensive care units and examine their implications for nursing management.\n\nBackground: ICU noise and alarm burden present challenges for patient rest, clinical surveillance, nursing workflow and staff experience. Intervention effectiveness and sustainability remain uncertain.\n\nEvaluation: An integrative review guided by Whittemore and Knafl’s framework synthesised empirical, implementation and review‐level evidence identified through PubMed, Scopus, CINAHL and reference screening.\n\nKey Issues: Interventions addressed alarm management, environmental modification, quiet‐hour practices, staff engagement and multicomponent implementation. Reported benefits varied across studies, and available evidence did not establish the superiority of bundled approaches. Direct evidence concerning workforce well‐being, nursing leadership, clinical surveillance and sustained improvement was limited.\n\nConclusion: Quiet ICU interventions may improve selected acoustic and alarm‐related outcomes, but their comparative effectiveness and long‐term sustainability remain uncertain.\n\nImplications for Nursing Management: Nurse leaders may consider context‐sensitive interventions supported by alarm governance, workflow integration, staff participation and ongoing evaluation. Future studies should assess nursing workload, clinical surveillance, patient safety and sustainability alongside acoustic outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Respiratory Therapy Department Ng Teng Fong General Hospital National University Health System Singapore nuhs.edu.sg",
    "Department of Health Sciences College of Health Sciences Rush University Chicago Illinois USA rush.edu",
    "Department of Intensive Care Medicine Ng Teng Fong General Hospital National University Health System Singapore nuhs.edu.sg",
    "Nursing Administration Ng Teng Fong General Hospital National University Health System Singapore nuhs.edu.sg",
    "Clinical Research Unit Ng Teng Fong General Hospital National University Health System Singapore nuhs.edu.sg",
    "National Dental Research Institute Singapore, National Dental Centre Singapore, and Duke-NUS Medical School Singapore Health Services Singapore singhealth.com.sg"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
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        0,
        1
      ],
      "name": "Wei Jun Dan Ong",
      "orcid": "0000-0003-4055-5222"
    },
    {
      "affs": [
        0
      ],
      "name": "Michael Camba Vidanes"
    },
    {
      "affs": [
        2
      ],
      "name": "Woon Hean Keenan Chong",
      "orcid": "0000-0002-2070-3585"
    },
    {
      "affs": [
        2
      ],
      "name": "Faheem Ahmed Khan"
    },
    {
      "affs": [
        3
      ],
      "name": "Patricia Leong"
    },
    {
      "affs": [
        0
      ],
      "name": "Lawrence Ace Matunan Azul",
      "orcid": "0009-0003-5516-7107"
    },
    {
      "affs": [
        4,
        5
      ],
      "name": "Adrian Ujin Yap",
      "orcid": "0000-0003-0361-6209"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dybw4sc0by4w4.bib",
  "cited_by": 0,
  "doi": "10.1155/jonm/9617407",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13717587/",
  "id": "dybw4sc0by4w4",
  "issns": [
    "0966-0429",
    "1365-2834"
  ],
  "landing_url": "https://doi.org/10.1155/jonm/9617407",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Article"
    ],
    [
      "heading",
      "Review Article"
    ],
    [
      "openalex",
      "2746|Healthcare Technology and Patient Monitoring"
    ]
  ],
  "openalex": "W7224209923",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/jonm/9617407",
  "pmcid": "PMC13717587",
  "pmid": "42954240",
  "published": "2026-10-29",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/dybw4sc0by4w4.ris",
  "sources": [
    {
      "first_seen": "2026-11-02T12:21:53Z",
      "native_id": "PMC13717587",
      "source": "pmc",
      "url": "https://doi.org/10.1155/jonm/9617407"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Healthcare Technology and Patient Monitoring",
      "subfield": "surgery"
    }
  ],
  "title": "Reducing Noise and Alarm Burden in Adult Intensive Care Units: An Integrative Review of Interventions and Implications for Nursing Management",
  "title_text": "Reducing Noise and Alarm Burden in Adult Intensive Care Units: An Integrative Review of Interventions and Implications for Nursing Management",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:21:53Z",
  "url": "https://research.draconitic.com/paper/dybw4sc0by4w4",
  "venue": "Journal of Nursing Management",
  "versions": []
}