Öz
It was done as a descriptive study in order to determine the alarm fatigue of intensive care nurses and the affecting factors. The descriptive study was conducted with the participation of 73 nurses working in the intensive care units of a university hospital and volunteering to participate in the study. Nurse information form and Alarm Fatigue Questionnaire were used in data collection. The research data were collected by the researcher in the hospital environment by face-to-face interview method. The mean age of the nurses was 28.7±4.2 years, 58.9% of them were women, and the mean working time in the intensive care unit was 64.5±39.3 months. Nurses' Alarm Fatigue Questionnaire total score average was 19.2±5.7, positive response sub-dimension total score average 10.3±2.2, and negative response sub-dimension total score 8.9±5.0. A weak positive correlation was determined between Alarm Fatigue Questionnaire total score, positive response sub-dimension and negative response sub-dimension mean scores and alarm-related discomfort levels (p<0.05). It was observed that the alarm fatigue of the intensive care nurses was below the average. As nurses' discomfort from alarms increases, their alarm fatigue increases. It can be suggested to reveal the factors that cause alarm fatigue in nurses and to create solutions for alarm management by taking these situations into account.
Anahtar Kelimeler
Proje Numarası
Yok
Kaynakça
- 1. Ergezen FD, Kol E. Nurses’ responses to monitor alarms in an intensive care unit: An observational study. Intensiv Crit Care Nurs 2020;59:102845. doi:10.1016/j.iccn.2020.102845
- 2. Wysocki CJ, Fen S. Critical Care Nurses’ Thinking Process To Trouble Shoot Physiologic Monitor Alarms. [doctoral dissertation]. Tucson, United States of America: The University of Arizona; 2021.
- 3. Gül G, İntepeler Ş. Yoğun bakımda monitör alarmları ve hemşirelerin alarm yönetimi: gözlemsel bir çalışma. Journal of Health and Nursing Management 2021;8(3):429-38. doi:10.54304/SHYD.2021.60252
- 4. Unal A, Arsava EM, Caglar G, Topcuoglu MA. Alarms in a neurocritical care unit: a prospective study. J Clin Monit Comput 2022;36(4):995–1001. doi:10.1007/s10877-021-00724-x
- 5. Jeong YJ, Kim H. Critical care nurses' perceptions and practices towards clinical alarms. Nursing in Critical Care 2023;28(1):101-8. doi:10.1111/nicc.12751
- 6. Ding S, Huang X, Sun R, et al. The relationship between alarm fatigue and burnout among critical care nurses: A cross-sectional study. Nursing in Critical Care https://doi.org/10.1111/nicc.12899 (Erken görünüm)
- 7. Movahedi A, Sadooghiasl A, Ahmadi F, Vaismoradi M. Smart care for dealing with nurses' alarm fatigue in the intensive care unit. J Nurs Scholarsh https://doi.org/10.1111/jnu.12870 (Erken görünüm)
- 8. Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nurs 2016;26(17-18): 2511-26. doi:10.1111/jocn.13605
- 9. Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Attitudes and practices related to clinical alarms. Am J Crit Care 2014;23(3):e9–e18. https://doi.org/10.4037/ajcc2014315
- 10. Ruskin K, Hueske-Kraus, D. Alarm fatigue: impacts on patient safety. Current Opinion in Anaesthesiology. 2015;28(6):685-90. doi:10.1097/ACO.0000000000000260
- 11. Deb C, Claudio D, Deb S, Diegel E. A framework to assess alarm fatigue ındicators in critical care staff. Critical Care Explorations, 2021;3(6):e0464 doi:10.1097/ CCE.0000000000000464
- 12. Joy S, Subhashni D. Customizing cardiac monitoring alarms ıncreases patient and nurse satisfaction. Am J Nurs 2014;114(6):53. doi:10.1097/01.NAJ.0000450432.05007.a1
- 13. Ergezen FD, Kol E. Yoğun bakım hemşirelerinde alarm yorgunluğu ve yönetimi. Yoğun Bakım Hemşireliği Dergisi. 2019;23(1):43-9.
- 14. Bi J, Yin X, Li H, et al. Effects of monitor alarm management training on nurses' alarm fatigue: A randomised controlled trial. J Clin Nurs 2020;29(21-22):4203-16. doi:10.1111/jocn.15452.
- 15. Dee SA, Tucciarone J, Plotkin G, Mallilo C. Determining the impact of an alarm management program on alarm fatigue among ICU and telemetry RNs: An evidence based research project. SAGE Open Nursing 2022;8:23779608221098713. doi:10.1177/23779608221098713
- 16. Emergency Care Research Institute (ECRI) Top 10 Patient Safety Concerns 2022. https://assets.ecri.org/PDF/Solutions/Patient-Safety-Organization/2022_Top10PatientSafetyConcerns_final2.pdf. 2022. Yayınlanma tarihi 2022. 15 Ocak 2022’de erişildi.
- 17. Aykut Z, VAN Giersbergen, MY. Alarm yorgunluğu konusunda yapılan araştırmaların bibliyometrik analizi: Web of science örneği. Yoğun Bakım Hemşireliği Dergisi 2022;26(3):111-8.
- 18. Nyarko BA, Nie H, Yin Z, Çay X, Yue L. The effect of educational interventions in managing nurses' alarm fatigue: An integrative review. J Clin Nurs (in press, 15.08.2022) doi:10.1111/jocn.16479
- 19. Casey S. Critical care nurses’ knowledge of alarm fatigue and practices towards alarms: A multicentre study. Intensive Crit Care Nurs 2018;48:36-41. doi: 10.1016/j.iccn.2018.05.004
- 20. Alan H, Şen HT, Bilgin O, Polat Ş. Alarm Fatigue Questionnaire: Turkish validity and reliability study. IGUSABDER, 2021;15:436-45. doi:10.38079/igusabder.981451
- 21. Torabizadeh C, Yousefinya A, Zand F, Rakhshan M, Fararooei M. A nurses’ alarm fatigue questionnaire: development and psychometric properties. J Clin Monit Comput 2017; 31(6):1305-12. doi:10.1007/s10877-016-9958-x
- 22. Seifert M, Tola DH, Thompson J, McGugan L. Effect of bundle set interventions on physiologic alarms and alarm fatigue in an intensive care unit: a quality improvement project. Intensive Crit Care Nurs 2021;67:103098 doi:10.1016/j.iccn.2021.103098
- 23. Cho O, Kim H, Lee Y, Cho I. Clinical alarms in ıntensive care units: perceived obstacles of alarm management and alarm fatigue in nurses. Healthc Inform Res 2016;22(1):46-53. doi:10.4258/hir.2016.22.1.46
- 24. Akturan S, Güner Y, Tuncel B, Üçüncüoğlu M, Kurt T. Evaluation of alarm fatigue of nurses working in the COVID-19 intensive care service: A mixed methods study. J Clin Nurs 2022;31:2654–62. doi:10.1111/jocn.16190
- 25. Alsuyayfi S, Alanazi A. Impact of clinical alarms on patient safety from nurses’ perspective. Informatics in Medicine 2022;32:101047. doi:10.1016/j.imu.2022.101047
- 26. Lopez-Espuela F, Rodriquez-Martin B, Garcia JL, et al. Experiences and mediating factors in nurses' responses to electronic device alarms: A phenomenological study. J Nurs Manag 2022;30(5):1303-16. doi:10.1111/jonm.13614
Öz
Yoğun bakım hemşirelerinin alarm yorgunluğu ve etkileyen faktörlerin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Tanımlayıcı tipte olan araştırma bir üniversite hastanesinin yoğun bakım ünitelerinde çalışan ve araştırmaya katılmaya gönüllü olan 73 hemşirenin katılımıyla gerçekleştirildi. Veri toplamada Hemşire Tanıtım Formu, Alarm Yorgunluğu Ölçeği kullanıldı. Araştırma verileri araştırmacı tarafından yüz yüze görüşme yöntemiyle hastane ortamında toplandı. Hemşirelerin yaş ortalaması 28,7±4,2 yıl, %58,9’u kadın ve yoğun bakım ünitesinde çalışma süreleri ortalama 64,5±39,3 aydı. Hemşirelerin Alarm Yorgunluğu Ölçeği toplam puan ortalamaları 19,2±5,7, olumlu tepki alt boyutu toplam puan ortalamaları 10,3±2,2 ve olumsuz tepki alt boyutu toplam puan ortalamaları 8,9±5,0 olarak bulundu. Alarm Yorgunluğu Ölçeği toplam puanı ile olumlu tepki alt boyutu ve olumsuz tepki alt boyut puan ortalamaları ile alarma bağlı rahatsızlık düzeyleri arasında pozitif yönlü zayıf bir ilişki belirlendi (p<0,05). Yoğun bakım hemşirelerinin alarm yorgunluklarının ortalamanın altında olduğu görüldü. Hemşirelerin alarmlardan rahatsızlık düzeyi arttıkça alarm yorgunlukları artmaktadır. Hemşirelerde alarm yorgunluğuna neden olan faktörlerin ortaya çıkartılması ve bu durumları dikkate alarak alarm yönetimine yönelik çözümlerin oluşturulması önerilebilir.
Anahtar Kelimeler
Destekleyen Kurum
Yok
Proje Numarası
Yok
Teşekkür
Yok.
Kaynakça
- 1. Ergezen FD, Kol E. Nurses’ responses to monitor alarms in an intensive care unit: An observational study. Intensiv Crit Care Nurs 2020;59:102845. doi:10.1016/j.iccn.2020.102845
- 2. Wysocki CJ, Fen S. Critical Care Nurses’ Thinking Process To Trouble Shoot Physiologic Monitor Alarms. [doctoral dissertation]. Tucson, United States of America: The University of Arizona; 2021.
- 3. Gül G, İntepeler Ş. Yoğun bakımda monitör alarmları ve hemşirelerin alarm yönetimi: gözlemsel bir çalışma. Journal of Health and Nursing Management 2021;8(3):429-38. doi:10.54304/SHYD.2021.60252
- 4. Unal A, Arsava EM, Caglar G, Topcuoglu MA. Alarms in a neurocritical care unit: a prospective study. J Clin Monit Comput 2022;36(4):995–1001. doi:10.1007/s10877-021-00724-x
- 5. Jeong YJ, Kim H. Critical care nurses' perceptions and practices towards clinical alarms. Nursing in Critical Care 2023;28(1):101-8. doi:10.1111/nicc.12751
- 6. Ding S, Huang X, Sun R, et al. The relationship between alarm fatigue and burnout among critical care nurses: A cross-sectional study. Nursing in Critical Care https://doi.org/10.1111/nicc.12899 (Erken görünüm)
- 7. Movahedi A, Sadooghiasl A, Ahmadi F, Vaismoradi M. Smart care for dealing with nurses' alarm fatigue in the intensive care unit. J Nurs Scholarsh https://doi.org/10.1111/jnu.12870 (Erken görünüm)
- 8. Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nurs 2016;26(17-18): 2511-26. doi:10.1111/jocn.13605
- 9. Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Attitudes and practices related to clinical alarms. Am J Crit Care 2014;23(3):e9–e18. https://doi.org/10.4037/ajcc2014315
- 10. Ruskin K, Hueske-Kraus, D. Alarm fatigue: impacts on patient safety. Current Opinion in Anaesthesiology. 2015;28(6):685-90. doi:10.1097/ACO.0000000000000260
- 11. Deb C, Claudio D, Deb S, Diegel E. A framework to assess alarm fatigue ındicators in critical care staff. Critical Care Explorations, 2021;3(6):e0464 doi:10.1097/ CCE.0000000000000464
- 12. Joy S, Subhashni D. Customizing cardiac monitoring alarms ıncreases patient and nurse satisfaction. Am J Nurs 2014;114(6):53. doi:10.1097/01.NAJ.0000450432.05007.a1
- 13. Ergezen FD, Kol E. Yoğun bakım hemşirelerinde alarm yorgunluğu ve yönetimi. Yoğun Bakım Hemşireliği Dergisi. 2019;23(1):43-9.
- 14. Bi J, Yin X, Li H, et al. Effects of monitor alarm management training on nurses' alarm fatigue: A randomised controlled trial. J Clin Nurs 2020;29(21-22):4203-16. doi:10.1111/jocn.15452.
- 15. Dee SA, Tucciarone J, Plotkin G, Mallilo C. Determining the impact of an alarm management program on alarm fatigue among ICU and telemetry RNs: An evidence based research project. SAGE Open Nursing 2022;8:23779608221098713. doi:10.1177/23779608221098713
- 16. Emergency Care Research Institute (ECRI) Top 10 Patient Safety Concerns 2022. https://assets.ecri.org/PDF/Solutions/Patient-Safety-Organization/2022_Top10PatientSafetyConcerns_final2.pdf. 2022. Yayınlanma tarihi 2022. 15 Ocak 2022’de erişildi.
- 17. Aykut Z, VAN Giersbergen, MY. Alarm yorgunluğu konusunda yapılan araştırmaların bibliyometrik analizi: Web of science örneği. Yoğun Bakım Hemşireliği Dergisi 2022;26(3):111-8.
- 18. Nyarko BA, Nie H, Yin Z, Çay X, Yue L. The effect of educational interventions in managing nurses' alarm fatigue: An integrative review. J Clin Nurs (in press, 15.08.2022) doi:10.1111/jocn.16479
- 19. Casey S. Critical care nurses’ knowledge of alarm fatigue and practices towards alarms: A multicentre study. Intensive Crit Care Nurs 2018;48:36-41. doi: 10.1016/j.iccn.2018.05.004
- 20. Alan H, Şen HT, Bilgin O, Polat Ş. Alarm Fatigue Questionnaire: Turkish validity and reliability study. IGUSABDER, 2021;15:436-45. doi:10.38079/igusabder.981451
- 21. Torabizadeh C, Yousefinya A, Zand F, Rakhshan M, Fararooei M. A nurses’ alarm fatigue questionnaire: development and psychometric properties. J Clin Monit Comput 2017; 31(6):1305-12. doi:10.1007/s10877-016-9958-x
- 22. Seifert M, Tola DH, Thompson J, McGugan L. Effect of bundle set interventions on physiologic alarms and alarm fatigue in an intensive care unit: a quality improvement project. Intensive Crit Care Nurs 2021;67:103098 doi:10.1016/j.iccn.2021.103098
- 23. Cho O, Kim H, Lee Y, Cho I. Clinical alarms in ıntensive care units: perceived obstacles of alarm management and alarm fatigue in nurses. Healthc Inform Res 2016;22(1):46-53. doi:10.4258/hir.2016.22.1.46
- 24. Akturan S, Güner Y, Tuncel B, Üçüncüoğlu M, Kurt T. Evaluation of alarm fatigue of nurses working in the COVID-19 intensive care service: A mixed methods study. J Clin Nurs 2022;31:2654–62. doi:10.1111/jocn.16190
- 25. Alsuyayfi S, Alanazi A. Impact of clinical alarms on patient safety from nurses’ perspective. Informatics in Medicine 2022;32:101047. doi:10.1016/j.imu.2022.101047
- 26. Lopez-Espuela F, Rodriquez-Martin B, Garcia JL, et al. Experiences and mediating factors in nurses' responses to electronic device alarms: A phenomenological study. J Nurs Manag 2022;30(5):1303-16. doi:10.1111/jonm.13614
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Yoğun Bakım, Hemşirelik |
| Bölüm | Özgün Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | Yok |
| Yayımlanma Tarihi | 8 Eylül 2023 |
| Kabul Tarihi | 5 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 49 Sayı: 2 |
Kaynak Göster
Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.