The effectiveness of nurse education and training for clinical alarm response and management: a systematic review

Yue, Liqing; Plummer, Virginia; Cross, Wendy

doi:10.1111/jocn.13605

Cited by 22 publications

(21 citation statements)

References 30 publications

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“…This indicates that the education for alarm systems is not sufficient, as shown in our study. Similar reports were previously published, stating that the education dispensed regarding alarms was insufficient (Bach et al, 2018;Coyle & Mazaleski, 2016;Yue et al, 2017). However, in their report, the researchers cited previously focused only on the training to use alarm systems safely or to respond more promptly and accurately and did not focus on its ethical aspects.…”

Section: Discussionmentioning

confidence: 60%

Nurses’ Perception of the Bed Alarm System in Acute-Care Hospitals

et al. 2020

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Introduction: In hospitals, the nurse uses the bed alarm system for patients' safety, which may have some forms of physical restraints included, depending on the situation. However, the nurses' perceptions of the bed alarm system with reference to restraints are yet to be clarified. Moreover, there were no reports that can shed light upon the factors that relate to nurses' perceptions about the bed alarm system in Japan. The objective of this study is to investigate the nurses' perception on whether the bed alarm can be considered as a form of physical restraint and to elucidate the factors that pertain to the nurses' perceptions regarding the bed alarm. Methods: This study conducted a quantitative cross-sectional survey. We used bivariate logistic regression analyses to investigate the nurses' perception and the factors affecting these perception. Ethical approval was obtained from the research ethics committee of the Kyoto University. Participants opted for answering the questionnaire voluntarily. Results: The sample population comprised of 289 nurses from 10 acute-care hospitals. Out of these, 214 (74.0%) nurses considered the bed alarm system as a form of restraint, and 75 nurses (26.0%) did not. Furthermore, the nurses' perception was relevant to the hospitals that they belonged to, their years of experience, and the content of education. It was especially interesting that the group of nurses with little experience had the consciousness of being considered the bed alarm as restraint compared with nurses with many years of experience. Conclusion: The alarm systems are gradually being considered to be classified as a restraint. Hospitals should ensure providing an ethically sensitive climate and appropriate educational opportunities to help nurses build these perceptions for patient care. An ethically sensitive climate and appropriate educational opportunities would lead to an environment that nurtures nurses with the ability to recognize problems in daily care.

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Section: Discussionmentioning

confidence: 60%

Nurses’ Perception of the Bed Alarm System in Acute-Care Hospitals

et al. 2020

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“…Another study recommended that education should cover surveillance systems and alarms and verify the effectiveness of this training in newly recruited nurses (Phillips et al, 2020). Adjusting alarms to the actual needs of patients increases the likelihood that the alarms will be valid and will provide early warning of possible critical situations; regardless, alarms can still be false (Brantley et al, 2016; Pater et al, 2020; Simpson & Lyndon, 2019; Yue et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Experiences and mediating factors in nurses' responses to electronic device alarms: A phenomenological study

López-Espuela

Martín

García

et al. 2022

J Nursing Management

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Aim: This study aims to explore the experiences and mediating factors of nurses' responses to electronic device alarms in critical care units (CCUs).Background: Alarm fatigue occasionally has adverse consequences for patient safety.Methods: This qualitative study was designed and analysed following Giorgi's descriptive phenomenological approach. Seventeen nurses were theoretically sampled, reaching information saturation. Semistructured interviews were used to collect the data. Results: Three central themes explained nurses' experiences: general perceptions about alarms (basic equipment of the CCU), strategies to reduce false alarms (training in the configuration of monitors, customization of the alarms to fit he patient's condition. teamwork and taking advantage of the development of technology) and key elements of the response to alarms (information about patient's condition, nurses' clinical experience, type of CCU, 'cry-wolf' phenomenon and nurse/patient ratio). Conclusions: To reduce false alarms, nurses need further postgraduate training, training on monitors and customizing alarms to fit the patient's health status. The complex process of deciding to respond to an alarm includes environmental, professional variables and patient status. Implications for Nursing Management: Nurse managers should ensure that nurses have sufficient experience and training in the CCU, improve the nurse/patient ratio, promote teamwork and ensure that the devices are the latest generation.

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“…In a systematic review of 5 studies in adult settings, it was shown that various modes of education interventions based in clinical practice settings increase education effectiveness. 13 In another systematic review including pediatric units, widening alarm parameters and implementing alarm delays on the monitoring equipment reduced alarms by as much as 61%. 14…”

Section: Discussionmentioning

confidence: 99%

An In-Service Educational Package Improves Alarm Management in the Neonatal Intensive Care Unit (NICU): Before and After Study

Hedda

Shashidhar

Nesargi

et al. 2021

Journal of Neonatology

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Background: Monitoring in neonatal intensive care unit (NICU) largely relies on equipment which have a number of alarms that are often quite loud. This creates a noisy environment, and moreover leads to desensitization of health-care personnel, whereby potentially important alarms may also be ignored. The objective was to evaluate the effect of an educational package on alarm management (the number of alarms, response to alarms, and appropriateness of settings). Methods: A before and after study was conducted at a tertiary neonatal care center in a teaching hospital in India involving all health-care professionals (HCP) working in the high dependency unit. The intervention consisted of demo lectures about working of alarms and bedside demonstrations of customizing alarm limits. A pre- and postintervention questionnaire was also administered to assess knowledge and attitude toward alarms. The outcomes were the number and type of alarms, response time, appropriateness of HCP response, and appropriateness of alarm limits as observed across a 24-h period which were compared before and after the intervention. Findings: The intervention resulted in a significant decrease in the number of alarms (11.6-9.6/h). The number of times where appropriate alarm settings were used improved from 24.3% to 67.1% ( P < .001). The response time to alarm did not change significantly (225 s vs 200 s); however, the appropriate response to alarms improved significantly from 15.6% to 68.8%. Conclusion: A simple structured intervention can improve the appropriate management of alarms. Application to Practice: Customizing alarm limits and nursing education reduce the alarm burden in NICUs

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The effectiveness of nurse education and training for clinical alarm response and management: a systematic review

Cited by 22 publications

References 30 publications

Nurses’ Perception of the Bed Alarm System in Acute-Care Hospitals

Nurses’ Perception of the Bed Alarm System in Acute-Care Hospitals

Experiences and mediating factors in nurses' responses to electronic device alarms: A phenomenological study

An In-Service Educational Package Improves Alarm Management in the Neonatal Intensive Care Unit (NICU): Before and After Study

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