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Table 7 CMOC 5: Managing noise in the care home environment

From: Giving permission to care for people with dementia in residential homes: learning from a realist synthesis of hearing-related communication

Programme theory component

Context(s) and interventional strategies suggested by the included papers

Mechanism(s) and outcome(s)

References for data sources

CMOC 5: Managing noise in the care home environment

Staff are knowledgeable of the effects of environmental noise on hearing-related communication [context], recognise the part their routine practice has in reducing noise levels [context], and have permission with time and resources to act [context].

Training (as outlined in CMOC 2), particularly with a focus on the impact of the care home environment, is likely to create the necessary knowledge and recognition of the importance of the care home environment. Permissions to act autonomously may be fostered as explained in CMOC 1.

Staff feel confident to influence the situation [mechanism] and change the physical environment [outcome] (for example) by making changes to living spaces so that they are conducive to hearing-related communication (e.g. chair placement).

[12, 18, 29, 38, 47, 54, 57, 58, 61, 65, 66, 68, 70,71,72,73,74]