BackgroundAlarm fatigue has significant negative impacts on nurses and patient safety. However, the relationship between alarm fatigue and burnout is still unclear.AimsThis study aimed to explore the relationship between alarm fatigue and burnout among critical care nurses.Study designA descriptive‐analytical cross‐sectional study design was used. Data were collected from five hospitals in mainland China between January 2022 and March 2022. A general information questionnaire, the Chinese version of the Intensive Care Unit Nurse Alarm Fatigue Questionnaire, and the Chinese version of the Maslach Burnout Inventory were used.ResultsA total of 236 critical care nurses were enrolled in this study. The mean score of alarm fatigue among critical care nurses was 21.11 ± 6.83. The results showed that critical care nurses experienced moderate alarm fatigue levels, and most nurses had moderate to high levels of burnout. The multiple linear regression analyses showed that alarm fatigue was independently associated with emotional exhaustion, depersonalization dimensions, and reduced personal accomplishment dimension.ConclusionsAlarm fatigue was associated with burnout among critical care nurses. Reducing critical care nurses' alarm fatigue may help to alleviate burnout.Relevance to clinical practiceManagers should provide comprehensive training for nurses and promote the application of artificial intelligence technology in alarm management to reduce alarm fatigue and improve burnout among critical care nurses.

Background Antenatal depression (AD) is a major depressive disorder during pregnancy, which may lead to devastating sequelae for the expectant mothers and infants. This study aims to investigate the prevalence of (AD), and to explore influence factors of AD among pregnant women of continuous three trimesters in Chengdu, China. Methods The prospective study included pregnant women who were in their first, second and third trimester pregnancy and were recruited from four maternity hospitals by using the method of stratified and convenient sampling from March 2019 to May 2020 in Chengdu, China. These women completed questionnaires that included the Chinese validated versions of the Edinburgh Postnatal Depression Scale (EPDS) and questions related to health status, cognition, and soci-demographic variables to measure AD. The chi-square test and multivariate binary logistic regression was used to analyze. Results A total of 4560 pregnant women were recruited, 1051 women completed the whole study. The prevalence of depression symptoms during the first, second and third trimesters were 32.92% (346/1051), 19.79% (208/1051) and 20.46% (215/1051), respectively. During all stages group depression (77), the relations with parents-in-law, the marital relationship, and recent major negative life events, fear about dystocia and taking care of baby were the independent influencing factors of the depression (P < 0.05) compared with no risk depression group (571). The marital relationship, and recent major negative life events, fear about dystocia and the father desired sex of the baby (male) were the independent influencing factors of the depression (P < 0.05) compared with the depression of any one trimester (268). The father desired sex of the baby (male) was the independent influencing factors of the depression (P < 0.05) compared with the depression of any two stages (135). Conclusion The incidence and levels of depression in the first trimester of pregnancy are the highest. Therefore, it’s important to focus on the psychological status of pregnant women, especially the first trimester. The study suggested it’s necessary to establish a good marital relationship, to have the confidence of childbirth, and change the attitude of the father desired sex of the baby (male).

Background: Preterm and full-term infants are often exposed to painful procedures during their hospitalization and pain management should be implemented. Maternal voice is a kind of non-pharmacologic pain management strategy. However, the efficacy of maternal voice on painful procedures is unclear.Aims: To evaluate the effects of maternal voice on painful procedures in preterm and full-term infants. Methods: We conducted a systematic search in PubMed, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, EMBASE, CINAHL, Chinese Biomedical Literature Database and ProQuest Dissertation and Theses from inception to March 2022. Review Manager 5.3 was used for data analysis. Random effects model was used for pooling data and the quality of outcomes was assessed by GRADE evidence profiles.Results: A total of 10 studies were included in this systematic review and metaanalysis with 323 participants in the intervention groups and 325 in the control groups. The results showed that maternal voice could reduce pain levels during and until 10 min after painful procedures compared with routine care (SMD = À0.78,