Critical care nurses’ knowledge of alarm fatigue and practices towards alarms: A multicentre study
MetadataShow full item record
This item's downloads: 0 (view details)
Casey, Siobhán, Avalos, Gloria, & Dowling, Maura. (2018). Critical care nurses’ knowledge of alarm fatigue and practices towards alarms: A multicentre study. Intensive and Critical Care Nursing, 48, 36-41. doi: https://doi.org/10.1016/j.iccn.2018.05.004
Objectives: To determine critical care nurses' knowledge of alarm fatigue and practices toward alarms in critical care settings.Research methodology/design: A cross-sectional survey using an adaptation of The Health Technology Foundation Clinical Alarms Survey.Setting: A sample of critical care nurses (n = 250) from 10 departments across six hospitals in Ireland.Results: A response rate of 66% (n = 166) was achieved. All hospital sites reported patient adverse events related to clinical alarms. The majority of nurses (52%, n = 86) did not know or were unsure, how to prevent alarm fatigue. Most nurses (90%, n = 148) agreed that non-actionable alarms occurred frequently, disrupted patient care (91%, n = 145) and reduced trust in alarms prompting nurses to sometimes disable alarms (81%, n= 132). Nurses claiming to know how to prevent alarm fatigue stated they customised patient alarm parameters frequently (p = 0.037). Frequent false alarms causing reduced attention or response to alarms ranked the number one obstacle to effective alarm management; this was followed by inadequate staff to respond to alarms. Only 31% (n = 50) believed that alarm management policies and procedures were used effectively.Conclusion: Alarm fatigue has the potential for serious consequences for patient safety and answering numerous alarms drains nursing resources. (C) 2018 Elsevier Ltd. All rights reserved.
This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. Please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.
The following license files are associated with this item: