Exploring staff perceptions regarding alarm fatigue and practices among nurses: A multicentre study in the Northern Emirates

IF 2.2 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI:10.1016/j.ienj.2025.101584

Hussam Al Nusair , Mariezl Fonbuena , Caitriona Chew , Rafi Alnjadat , Nishad Nellikunnel Muhammed , Saleem Perinchery , Mezzani Mayo , Maha Ali Rashid , Maryam Dadalla , Mona Ibrahim Nada , Hisham Abdelmotaleb

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Abstract

Background

Alarm fatigue poses a significant challenge in healthcare, particularly among emergency department and intensive care unit nurses. This phenomenon can lead to delayed responses, missed critical alarms, and compromised patient outcomes. Addressing alarm fatigue is vital to maintain patient safety and optimize nursing workflows.

Purpose

To comprehensively investigate alarm fatigue among nurses, with a focus on exploring their perceptions of alarm fatigue, identifying factors contributing to alarm fatigue, and propose strategies for alarm management and enhance patient safety.

Methods

Multicentre cross-sectional, quantitative study was conducted from the three (3) Sheikh Khalifa Initiative Hospitals in the Northern Emirates. The participants involved 120 nurses from Emergency Department, Intensive Care Unit, and Medical Surgical Ward − Close Monitoring Beds. An online survey platform developed by the Healthcare Technology Foundation was used, and data was collected between September 2023 to November 2023. Regression analysis was conducted to identify predictors of alarm fatigue among participating nurses, with potential predictors including demographic variables (age, gender), clinical characteristics (years of nursing experience), and organizational factors (e.g., hospital setting). Significance levels was set at p < 0.05.

Results

Majority of participants were aged between 25–34 years (n = 60, 50 %), female (n = 87, 72.5 %), and predominantly working in the emergency department (n = 70, 58.3 %). Regression analysis (β = 0.244, t = 2.73, p < 0.01) revealed gender as a significant predictor of alarm fatigue, with male nurses experiencing higher levels compared to females. Majority of the staff agreed and strongly agreed (n = 84, 70 %) that setting alarm parameters and alerts is overly complex in existing devices, and that alarm integration and communication systems with other wireless devices are useful for improving alarms management and responses (n = 101, 84.2 %).

Conclusions

This study provided insights into the prevalence and predictors of alarm fatigue among nurses, ultimately informing the development of targeted interventions and strategies to mitigate alarm fatigue, enhance patient safety, and improve the well-being of healthcare providers in critical care settings.

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探索工作人员对警报疲劳的看法和护士的做法：在北阿联酋的一项多中心研究

警报疲劳对医疗保健，特别是急诊科和重症监护病房的护士构成了重大挑战。这种现象可能导致反应延迟，错过关键警报，并损害患者的预后。解决报警疲劳对于维护患者安全和优化护理工作流程至关重要。目的全面调查护士的报警疲劳状况，探讨护士对报警疲劳的认知，找出导致报警疲劳的因素，提出报警管理策略，提高患者安全。方法采用多中心横断面定量研究方法，对阿联酋北部的三家谢赫哈利法倡议医院进行研究。参与者包括来自急诊科、重症监护病房和内科外科病房的120名护士。使用医疗保健技术基金会开发的在线调查平台，数据收集于2023年9月至2023年11月。进行回归分析以确定参与护士报警疲劳的预测因子，潜在的预测因子包括人口统计学变量（年龄、性别）、临床特征（护理经验年数）和组织因素（如医院环境）。显著性水平设为p <；0.05.结果大多数参与者年龄在25-34岁之间（n = 60, 50%），女性（n = 87, 72.5%），主要在急诊科工作（n = 70, 58.3%）。回归分析(β = 0.244, t = 2.73, p <；0.01)显示性别是报警疲劳的显著预测因子，男护士的报警疲劳水平高于女护士。大多数工作人员同意并强烈同意（n = 84,70 %）在现有设备中设置报警参数和警报过于复杂，并且与其他无线设备的报警集成和通信系统有助于改善报警管理和响应（n = 101,84.2 %）。结论：本研究为护士报警疲劳的患病率和预测因素提供了见解，最终为制定有针对性的干预措施和策略提供了信息，以减轻报警疲劳，增强患者安全，并改善危重病护理环境中医疗保健提供者的福祉。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.