Alarm Fatigue in Nursing Students Undertaking Clinical Training in Intensive Care Units: A Multicenter Study.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Medicina Del Lavoro Pub Date : 2023-04-13 DOI:10.23749/mdl.v114i2.13975

Paolo Ferrara, Lara Carelli, Federico Ruta, Alessandro Delli Poggi, Milannie Marasigan, Barbara Pinna, Anne Destrebecq, Stefano Terzoni

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引用次数: 0

Abstract

Background: The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional's workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings.

Methods: Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the "Alarm Fatigue questionnaire-ita" at the end of the clinical internship in intensive care settings.

Results: 130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed "errors/almost errors" (p=0.038) and in "student workers" (p=0.005).

Discussion: The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.

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在重症监护病房接受临床训练的护生的报警疲劳:一项多中心研究。

背景:来自监视器和其他电子医疗设备的报警频率非常实用，但会增加专业人员的工作量，并使重症监护病房的护士产生报警疲劳。最近的一项研究表明，正在接受培训的学生在重症监护的第一次临床经历中也会遇到这个问题。不幸的是，没有关于意大利全景的数据。目的探讨护理学理学士学生在重症监护实习结束时的报警疲劳。方法:多中心横断面设计。从意大利3所大学医院招募了方便的护士样本。在重症监护病房的临床实习结束时，学生们完成了修订后的“警报疲劳问卷-ita”。结果:共纳入护生130名，有效率59.36%。报警疲劳总体水平Me= 24.5 IQR[17.5, 30.5]。此外，9.23%的样本报告了实习期间与报警疲劳相关的错误或接近失误。“犯错误/几乎犯错误”的学生(p=0.038)和“学生工作者”(p=0.005)的报警疲劳水平较高。讨论:护理学生的报警疲劳程度需要制定预防策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina Del Lavoro 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.70

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： La Medicina del Lavoro is a bimonthly magazine founded in 1901 by L. Devoto, and then directed by L. Prieti, E. Vigliani, V. Foà, P.A. Bertazzi (Milan). Now directed by A. Mutti (Parma), the magazine is the official Journal of the Italian Society of Occupational Medicine (SIML), aimed at training and updating all professionals involved in prevention and cure of occupational diseases.