Assessment of the Hawthorne effect during central venous catheter manipulation.

Objectives: To describe the compliance to the practices of hand hygiene and hub disinfection before manipulation of the central venous catheter in two moments: before and after educational intervention. Adherence to hand hygiene was assessed with two methods: direct observation and video camera.

Methods: Before and after study conducted with the nursing team in an adult intensive care unit, in São Paulo, Brazil, including 180 observations using video cameras and direct observation.

Noise reduction in the ICU: a best practice implementation project.

Introduction: Sleep deprivation is a relevant problem among patients hospitalized in ICUs. Further, noise is the most critical disruptive factor according to patients.

Objective: To implement scientific evidence-based best practices for noise control in an adult ICU.