Impact of Alarm Management Training on Adult ICU Nurses' Knowledge, Behaviour, and Fatigue: A Quasi-Experimental Study

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-05-14 DOI:10.1111/jep.70127

Dilanur Kibar, Aysel Özsaban

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引用次数: 0

Abstract

Objective

Teaching effective alarm management behaviours to intensive care nurses and preventing alarm fatigue is essential for patient safety. In this context, demonstrating the effectiveness of training activities for nurses on effective alarm management can significantly contribute to ensuring patient safety. However, studies demonstrating the effectiveness of alarm management training activities are limited. Therefore, there is an emerging need to examine the effects of training interventions that can help nurses gain effective alarm management behaviours. The study aimed to assess the effect of alarm management training on the knowledge, behaviours and fatigue levels of ICU nurses.

Methods

This is a pretest- posttest, single-group, quasi-experimental study. The sample size was 19 nurses from two ICUs in a state hospital. Data were collected between 1 November 2021 and 20 March 2022 with the “Nurse Information Form,” “Monitor Alarms Management Monitoring Form,” “Monitor Alarm Management Knowledge Test,” and “Alarm Fatigue Scale.” Monitor alarm management training was given by presentation, case studies and reminder cards. The researcher monitored 322 alarms in the pretest and 199 in the posttest.

Results

At post- training, nurses' alarm response times (p = 0.008) and crisis alarms (p = 0.032) decreased statistically significantly compared to the pre-training. Post-training, nurses' customization of alarm ranges based on patients' clinical condition (p = 0.001) and performing skin cleaning (p = 0.001) increased statistically significantly compared to pre-training. The inappropriate behaviour of “silencing and muting the alarm” was never exhibited post-training. “No response to the alarm” behaviour decreased statistically significantly, and the rate of effective alarm management behaviours increased statistically significantly (p = 0.016). Nurses' monitor alarm management knowledge increased significantly (p < 0.001), while alarm fatigue scores decreased statistically significantly at posttest (p < 0.001).

Conclusions

The alarm management training intervention was significantly increased nurses' knowledge regarding effective alarm management, improved their behaviours and alarm fatigue scores, and patients' monitor alarm outputs. In conclusion, it can be suggested that training activities be focused on to teach intensive care nurses effective alarm management behaviours and reduce their alarm fatigue.

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报警管理培训对成人ICU护士知识、行为和疲劳的影响：一项准实验研究

目的向重症监护护士传授有效的报警管理行为，防止报警疲劳，是保障患者安全的必要措施。在这种情况下，证明护士在有效报警管理方面的培训活动的有效性可以大大有助于确保患者安全。然而，证明报警管理培训活动有效性的研究是有限的。因此，有一个新兴的需要来检查培训干预的效果，可以帮助护士获得有效的报警管理行为。本研究旨在评估报警管理培训对ICU护士知识、行为及疲劳程度的影响。方法采用前测-后测、单组、准实验研究。样本量为一家州立医院两个icu的19名护士。数据收集时间为2021年11月1日至2022年3月20日，使用“护士信息表”、“监控报警管理监控表”、“监控报警管理知识测试”和“报警疲劳量表”。通过演示、案例分析和提醒卡等方式进行监控报警管理培训。研究人员在测试前监测了322次警报，在测试后监测了199次。结果培训后护士报警反应次数（p = 0.008）和危象报警次数（p = 0.032）较培训前显著降低。培训后，护士根据患者临床情况定制报警范围（p = 0.001）和进行皮肤清洁（p = 0.001）与培训前相比，有统计学意义的增加。训练后从未出现过“静音和静音警报”的不当行为。“无应答报警”行为减少有统计学意义，有效报警管理行为率增加有统计学意义（p = 0.016）。护士监护报警管理知识显著增加（p < 0.001），后测报警疲劳得分显著降低（p < 0.001）。结论报警管理培训干预能显著提高护士对有效报警管理的认识，改善护士行为和报警疲劳评分，改善患者监护报警输出。综上所述，建议重点开展培训活动，向重症监护护士传授有效的报警管理行为，减少其报警疲劳。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.