Evidence map›Paper›PMID 40453790›Full record

ArticleORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses2025

Creating Clarity Amid the Operating Room Clamor: A Mixed Methods Analysis of Noise-Related Barriers and Facilitators to Effective Communication.

Sarah E Hughes, Milisa Manojlovich, Clare E Jacobson, Devin L McCaslin, Michael M McKee, Dhruv Jain, Andrew S Bolze, Isabel J Hsu, Candice Stegink, Rishindra M Reddy and 2 more

Abstract read
In one paragraph

Article in ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sarah E HughesMedical School, University of Michigan-Ann Arbor.
Milisa ManojlovichSchool of Nursing, University of Michigan-Ann Arbor.
Clare E JacobsonDepartment of Surgery, Center for Surgical Innovation, University of Michigan-Ann Arbor.
Devin L McCaslinDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan-Ann Arbor.
Michael M McKeeDepartment of Family Medicine, University of Michigan-Ann Arbor.
Dhruv JainDepartment of Computer Science and Engineering, University of Michigan-Ann Arbor.
Andrew S BolzeMedical School, University of Michigan-Ann Arbor.
Isabel J HsuMedical School, University of Michigan-Ann Arbor.
Candice SteginkDepartment of Surgery, Center for Surgical Innovation, University of Michigan-Ann Arbor.
Rishindra M ReddyDepartment of Surgery, Center for Surgical Innovation, University of Michigan-Ann Arbor.
Kyle H SheetzDepartment of Surgery, Center for Surgical Innovation, University of Michigan-Ann Arbor.
Michael J BrennerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan-Ann Arbor.ORCID 0000-0003-4926-0957

Funding

Michigan Otolaryngology Research Education (MORE)R25DC020262 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Gabriel Corfas · 2023 to 2026
$1.1M
NIDCD NIH HHS R25 DC020262
6 · The paper itself

Abstract

Background: The operating room is one of the noisiest healthcare environments, creating critical challenges for patient safety, team efficiency, and surgical outcomes. Operating room nurses, essential for patient care and team coordination, face unique risks from noise exposure and impaired communication, yet their challenges remain underexplored. Objective: To assess hearing challenges and communication barriers in operating room teams from nurses' perspectives, with implications for patient safety and interventions. Design: Cross-sectional survey. Methods: An electronic survey was distributed to operating room personnel, examining hearing difficulties, communication barriers, and current solutions using multiple-choice, Likert-scale, and open-ended formats. Quantitative and qualitative data were analyzed via descriptive statistics and summative thematic analysis. Results: Among 225 participants, 51 were nurses (23%), with 25% reporting hearing loss, 63% no hearing loss, and 12% uncertain. All nurses with baseline hearing loss reported auditory challenges in the operating room, while half without hearing loss reported frequent struggles during surgery (p<.0021). Nurses with > 5 years' operating room exposure had over 5-fold risk of hearing loss (95% confidence interval: 1.3-21.2; p=0.028). Noise from suction devices, alarms, and music hindered communication. Self-accommodations included asking for repetition (62%) and modifying the environment (32%). Nearly all respondents (96%) emphasized improving communication, supporting ambient noise reduction, technology, or behavioral interventions like closed-loop communication. Conclusions: Operating room nurses, central to surgical safety and team efficiency, are disproportionately impacted by noise-related communication challenges. Their dual role positions them to lead the implementation of targeted noise mitigation and communication strategies, driving critical improvements in the surgical environment.

Indexed as

Acoustic StimulationCommunication BarriersInterprofessional RelationsNoise-Induced Hearing LossNursesOccupational NoiseOperating RoomsPatient SafetySurgical ProceduresWorkplace Safety

Identifiers

PMID40453790
PMCPMC12123702

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.