Exploring ICU nurses’ response to alarm management and strategies for alleviating alarm fatigue: a meta-synthesis and systematic review

作者：Dandan Xu, Fan Liu, Xinbo Ding, Jing Ma, Yaxi Suo, Yang-Yao Peng, Jin Li, Xing Fu · 发表于：BMC Nursing · 年份：2025 · DOI：10.1186/s12912-025-03084-y · 被引用次数：21 · 研究领域：Healthcare Technology and Patient Monitoring、Intensive Care Unit Cognitive Disorders、Non-Invasive Vital Sign Monitoring

BACKGROUND: Alarm fatigue is a critical issue in intensive care units, negatively impacting nurse well-being and patient safety. Understanding nurses' experiences and management strategies is essential for developing effective interventions. OBJECTIVE: This study aims to elucidate the current practices of nurses in responding to alarms and their experiences with alarm fatigue. METHODS: We conducted a systematic review and meta-synthesis of qualitative studies. PubMed, Embase, CINAHL, PsycINFO, Web of Science, Cochrane Library, and Wiley databases were searched from inception to May 2024. The search syntax included the following keywords and Boolean operators: ("alarm fatigue" OR "alarm management" OR "clinical alarm") AND ("ICU nurses" OR "critical care nurses" OR "intensive care nurses") AND ("experiences" OR "perceptions" OR "strategies" OR "interventions"). Eligible studies included qualitative research exploring ICU nurses' experiences and responses to alarm fatigue. The risk of bias was assessed independently by two researchers using the CASP (Critical Appraisal Skills Programme) Qualitative Research Checklist. Studies were categorized as high, medium, or low reliability based on their adherence to the CASP criteria. Data were analyzed using thematic synthesis. RESULTS: Of 460 identified records, 11 studies met the inclusion criteria, all of which demonstrated high methodological quality. The synthesis yielded nine key findings organized into three main themes: (1) Adver...