Date of Award

Spring 2020

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)



Committee Chairperson

Veronica Wilbur Ph.D. APRN CNE FAANP

Committee Member

Barbara Roming, DNP, RN, CPHQ, NEA-BC

Committee Member

Cheryl D. Schlamb, DNP, CRNP


Florence Nightingale first described the detrimental effects of noise on patients as an element nurses could control. Hospitalized patients who sleep in the hospital are at risk for poor periods of rest from unwanted noise in the care environment. This Doctor of Nursing Practice Project will assess interventions aimed at increasing the patient’s perception of quietness around the care environment at night for a pilot population. Swanson’s Theory of Caring will be utilized as a framework for the project. Outcomes of nursing interventions were reviewed for the improved patient perception of the care environment at night and resultant health outcomes. After the implementation of a group of noise-reducing interventions and a review of outcomes using a standardized assessment tool that is commonly used, the selected group of interventions in this quality improvement project did not show a direct improvement in the perception of quietness at night for the study population. The evidenced-based interventions and quality improvement measures were clinically significant. Both, the trending of data and the linkage of the evidence to basis in nursing theory, demonstrates a need for further exploration and study.