A Survey of Neonatal Nurses Perspectives on Voice Use and Auditory Needs with Premature Infants in the NICU

Amy R. Smith, Deanna Hanson-Abromeit, Ashley Heaton and Brenda Salley
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Amy R. Smith: Department of Music Therapy, School of Music, Sam Houston State University, Huntsville, TX 77340, USA
Deanna Hanson-Abromeit: Department of Music Education and Music Therapy, School of Music, University of Kansas, Lawrence, KS 66045, USA
Ashley Heaton: Children’s Memorial Hermann Hospital, Houston, TX 77030, USA
Brenda Salley: Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS 66160, USA

IJERPH, 2021, vol. 18, issue 16, 1-17

Abstract: Background: Exposure to the voice and language during the critical period of auditory development associated with the third trimester is thought to be an essential building block for language. Differences in the auditory experience associated with early life in the NICU may increase the risk of language delays for premature infants. NICU nurses are fundamental in the care of premature infants; how they use their voices may be important in understanding auditory experiences in the NICU. This study examined voice use behaviors of NICU nurses in the United States and their current knowledge of early auditory development. Method: An opt-in, online questionnaire. Results: Nurses reported using their voice more as the age of infants approached term gestation and speaking to infants was the most common type of voice use. Both infant and nurse factors influenced reported voice use decisions in the NICU. Nurses did not believe the NICU auditory environment to be sufficient to meet early auditory needs of premature infants but did believe that premature infants are exposed to adequate voice sounds. Conclusions: A gap in knowledge regarding the importance of early exposure to voice sounds may be a barrier to nurses using their voices to support early auditory development.

Keywords: prematurity; auditory development; language development; voice use; language environment; auditory environment; nursing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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