实施警示疲劳管理教育干预对改善儿科重症监护护士临床实践的影响

Amal Ahmed Elbilgahy, Doaa Elsayed AbdelAziz Wady, Ghada Gamal Badawy
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摘要

背景:对护士进行警报管理和警报疲劳方面的教育有助于在复杂的临床环境中保持其知识和能力,并提高儿科患者的安全。因此,本研究旨在评估对儿科重症监护护士实施有关管理警报疲劳和改善临床警报管理实践的教育干预的效果。研究方法本研究采用准实验设计,对象为曼苏尔大学儿童医院重症监护室 70 名从事直接护理工作的儿科护士。研究结果由于大多数接受调查的护士在干预后都能胜任工作,而在干预前则不能胜任,因此在整个研究期间,教育干预对护士的总体实践水平有非常显著的改善。此外,与干预前相比,干预后护士的警报疲劳症状有了明显改善,差异具有高度统计学意义。结论与建议:教育干预似乎提高了护士在警报系统监测和管理方面的知识和实践水平,有助于最大限度地减少警报疲劳症状。因此,研究人员建议实施全面的教育干预,提供继续学习的资源,并解决人员配备和工作量问题。同时,鼓励跨学科合作,促进护理人员的安全和责任文化。
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Effect of Implementing an Educational Intervention about Managing Alarm Fatigue on Improving Clinical Practices of Pediatric Critical Care Nurses
Background: Educating nurses on alarm management & alarm fatigue can help in maintaining their knowledge and abilities in complex clinical settings as well as improving the pediatric patient safety. So , the current study was conducted to evaluate the effect of implementing an educational intervention for pediatric critical care nurses on managing alarm fatigue and improving clinical alarm management practices. Methods: A quasi-experimental design was utilized during the current study, and it was conducted on 70 pediatric nurses who are concerned in providing direct care in the intensive care units at Mansoura University Children Hospital. Results: Since the majority of the nurses under investigation were competent post-intervention compared to being incompetent pre-intervention, the educational intervention showed a highly statistical improvement in the total practice levels among the nurses throughout the research period. Additionally, nurses noted a significant improvement in alarm fatigue symptoms post-intervention compared to pre-intervention, with a highly statistically significant difference. Conclusion & Recommendations: The educational intervention seems to improve nurses’ knowledge and practice regarding alarm system monitoring and management and help in minimizing alarm fatigue symptoms. Therefore, the researchers recommended implementing comprehensive educational interventions and provide resources for continued learning and address staffing and workload issues. As well, encourage interdisciplinary collaboration and promote a culture of safety and accountability for nursing staff.
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