Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial

作者：Jiasi Bi, Xin Yin, Hongyan Li, Ruitong Gao, Qing Zhang, Tangsheng Zhong, Tao Zan, Baoxing Guan, Zhen Li · 发表于：Journal of Clinical Nursing · 年份：2020 · DOI：10.1111/jocn.15452 · 被引用次数：93 · 研究领域：Healthcare Technology and Patient Monitoring、Intensive Care Unit Cognitive Disorders、Non-Invasive Vital Sign Monitoring

BACKGROUND: Chaotic monitor alarm management generates a large number of alarms, which result in alarm fatigue. Intensive care unit (ICU) nurses are caretakers of critically ill patients, the effect of alarm management affect patient safety directly. OBJECTIVES: To evaluate the effect of monitor alarm management training based on the theory of planned behaviour for reducing alarm fatigue in intensive care unit nurses. DESIGN: A randomised, single-blind trial. This article follows the requirements of CONSORT statement. PARTICIPANTS: The study was conducted from February 2019-May 2019 in a tertiary A-level hospital. 93 ICU clinical nurses were included, and they were randomly assigned into two groups. INTERVENTION: Nurses in the experimental group (n = 47) received a 12-week alarm management training course based on the theory of planned behaviour. Nurses in the control group (n = 46) received regular training. All nurses' alarm fatigue scores were measured with a questionnaire before and after the study period. Total number of alarms, nonactionable alarms and true crisis alarms were recorded continuously throughout the study period. RESULTS: For baseline comparisons, no significant differences were found. By the analysis of independent samples one-way ANCOVAs, the nurses' adjusted alarm fatigue scores at the post-test in the experimental group were significantly lower than those in the control group (p < .001). After the study period, adjusted total number of alarms and nonact...