Nurses' Attitudes Related To Alarm Fatigue in Critical Care Units: A Systematic Review

Salous, Mohammad; Alkhawaldeh, Jafar; Kewan, Sadeq; Aburashideh, Hafez; Hani, Dania Bni; Alzayyat, Abdulkarim

doi:10.9790/1959-0602076266

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…Most studies aimed to investigate the impact of alarm fatigue on nurses in acute critical care settings ( Lewandowska et al, 2020 ; Lopes, 2014 ; Salous et al, 2017 ). So, there is a need for further studies to address the impact of alarm fatigue on nurses working in other different areas of work ( Lopes, 2014 ).…”

Section: Review Of Literaturementioning

confidence: 99%

Assessment of Alarm Fatigue Risk Among Oncology Nurses in Jordan

2023

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Introduction Using technology in the clinical setting where clinical alarms frequently occur, resulting in many false alarms, which is called alarm fatigue, alarm fatigue may increase nurses’ distraction, and that might negatively affect patient safety. Objective This study aimed to assess alarm fatigue among oncology nurses in Jordan. Methods A descriptive cross-sectional design was used in a non-profit specialized cancer center. A self-reported questionnaire was answered by nurses who participated in the study. Results A total of 222 questionnaires were analyzed with a more than 95% response rate. More than half of the sample (60.4%) were females. The participants were young nurses with a mean age of 25.18 ± 3.33 years. The total mean score of alarm fatigue was 31.62 ± 7.14 on a scale ranging from zero to 52. Post-hoc analysis showed that the palliative unit (25.73 ± 7.22) and emergency room (28.73 ± 6.62) had low scores of total mean alarm fatigue than remaining area of practice, such as the ICU (33.92 ± 6.99); p-value: .004. Conclusion Alarm fatigue is a global issue affecting many practice areas. An educational program is recommended for nurses to learn how to deal with alarm fatigue. In order to effectively manage alarms, nurses’ education and individual training are crucial.

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Section: Review Of Literaturementioning

confidence: 99%

Assessment of Alarm Fatigue Risk Among Oncology Nurses in Jordan

2023

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“…The excessive number of such alarms with low clinical relevance [3], [10] leads to what is called 'alarm fatigue'. Alarm Fatigue occurs when healthcare providers are exposed to a large number of false alarms which can cause alarm desensitization [2], [10], [13]. That is, the clinician familiarizes within the working environment with the alarm sounds as background noise [7].…”

Section: Evaluating the Alarm Fatigue And Its Associated Factors Among Clinicians In Critical Care Unitsmentioning

confidence: 99%

“…Alarm fatigue is a well-recognized patient safety concern in intensive care settings [1]. Critical care unit can be defined as a place where patients with advanced medical conditions can be monitored in a well-established system and by advanced machines [2]. The use of sophisticated machines designated to alarm for serious changes in patients' statuses in these units is common.…”

Section: Introductionmentioning

confidence: 99%

“…The use of sophisticated machines designated to alarm for serious changes in patients' statuses in these units is common. These devices communicate the changes in status of the patients to the staff by alarm signals descript by clinical alarms [2]- [5]. However, technical alarms indicate that the biomedical equipment requires attention [4], [5].…”

Section: Introductionmentioning

confidence: 99%

“…In hospital intensive care units, the monitor devices aid clinicians hugely in taking instantaneous actions [7]. Indeed, critical care unit is a place where clinical alarms occur frequently [2].The alarms of equipment intended to protect patients increase noise within the unit. The average sound levels always exceeded 45 decibels A (dBA) and for 50% of the time exceeded between 52 and 59 dBA in individual ICUs [8], [9].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Alarm Fatigue and its Associated Factors among Clinicians in Critical Care Units

et al. 2020

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The Alarm Fatigue (AF) occurs when clinicians are exposed to a large number of false alarms which can cause alarm desensitization. AF is a well-recognized patient safety concern in intensive care settings. This study aims to evaluate the alarm fatigue in clinicians along with its associated factors in critical care settings using a valid and reliable instrument. During 2020, a cross-sectional study was conducted among clinicians working in Critical care units in Lebanon and enrolled 337 participants via self-administered electronic questionnaire. The survey included questions on socio-demographic characteristics, health status, staff recognition of alarms and alarm management, and Alarm Fatigue questionnaire. The translation and cultural adaptation of the Alarm Fatigue questionnaire in Arabic followed a standardized protocol. The mean age of participants was 30.79 (SD=7.26; median=29) years, 61.4% were women. 77.2% were nursing staff and 22.8% were physicians. 78.8% worked in private hospitals. 41.3% of staff were from neonatal and pediatric intensive care units. 58.8% of clinicians find that more than 50% of alarms were irrelevant, and 69.4% deactivate and silence the alarm when annoyed. The Alarm Fatigue questionnaire has good reliability and validity. The Cronbach alpha was 0.69 which establishes good reliability for group comparison. AF in physicians (OR=2.25; 95%CI=-0.01-4.50, p=0.05) and Registered Nurses (OR=2.64; 95%CI=-0.52-4.75, p=0.02) was higher than in nurses and head nurses; AF was more frequent in ICUs units (OR=2.1; 95%CI=0.05-4.18, p=0.04) compared to other critical care units. The AF was higher for the clinicians that deactivate and silence the alarm when annoyed compared to other subgroup (OR=4.14, 95%CI=2.75–5.53, p<0.001). The AF was 3.14 times frequent for the staff who reported stress (p<0.001). Non-actionable alarms occurred frequently and associated to alarm fatigue. Physicians score slightly higher alarm fatigue than nurses. The Arabic Alarm Fatigue questionnaire has a good psychometric properties and suitable to evaluate the AF in Lebanon. Multidisciplinary approaches can be established to minimize the incidence of AF using a valid and reliable instrument.

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