{"title":"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","authors":"Dilanur Kibar, Aysel Özsaban","doi":"10.1111/jep.70127","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>At post- training, nurses' alarm response times (<i>p</i> = 0.008) and crisis alarms (<i>p</i> = 0.032) decreased statistically significantly compared to the pre-training. Post-training, nurses' customization of alarm ranges based on patients' clinical condition (<i>p</i> = 0.001) and performing skin cleaning (<i>p</i> = 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 (<i>p</i> = 0.016). Nurses' monitor alarm management knowledge increased significantly (<i>p</i> < 0.001), while alarm fatigue scores decreased statistically significantly at posttest (<i>p</i> < 0.001).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70127","citationCount":"0","resultStr":"{\"title\":\"Impact of Alarm Management Training on Adult ICU Nurses' Knowledge, Behaviour, and Fatigue: A Quasi-Experimental Study\",\"authors\":\"Dilanur Kibar, Aysel Özsaban\",\"doi\":\"10.1111/jep.70127\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>At post- training, nurses' alarm response times (<i>p</i> = 0.008) and crisis alarms (<i>p</i> = 0.032) decreased statistically significantly compared to the pre-training. Post-training, nurses' customization of alarm ranges based on patients' clinical condition (<i>p</i> = 0.001) and performing skin cleaning (<i>p</i> = 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 (<i>p</i> = 0.016). Nurses' monitor alarm management knowledge increased significantly (<i>p</i> < 0.001), while alarm fatigue scores decreased statistically significantly at posttest (<i>p</i> < 0.001).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15997,\"journal\":{\"name\":\"Journal of evaluation in clinical practice\",\"volume\":\"31 4\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70127\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of evaluation in clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jep.70127\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70127","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Impact of Alarm Management Training on Adult ICU Nurses' Knowledge, Behaviour, and Fatigue: A Quasi-Experimental Study
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.
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.
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