Einstein Healthcare Network, Philadelphia, PA, USA.
Department of Nursing, Utah Valley University, Orem, UT, USA.
J Clin Nurs. 2021 Feb;30(3-4):443-453. doi: 10.1111/jocn.15555. Epub 2020 Nov 28.
The study purpose was to investigate if compassion fatigue, burnout, compassion satisfaction and personal characteristics are associated with alarm fatigue and predict alarm fatigue in critical care nurses.
The phenomena of alarm fatigue, compassion fatigue and burnout place nurses, patients and the healthcare environment in potentially harmful situations and represent the opposite of the foundation of caring and compassion satisfaction in nursing. It has been noted that healthcare organisations should address alarm fatigue as mandated by the Joint Commission based on the higher number of alarms sounding in the critical care environment and based on factors influencing nurses to respond to the alarm.
This was a correlational and predictive quantitative study.
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for research reporting of observational studies was followed in this study. Nurses working in the step-down and intensive care units from three hospitals in a selected healthcare network in Pennsylvania were recruited using convenience sampling (n = 52). Observation, the ProQOL and demographic surveys were used to collect data on alarm fatigue, compassion fatigue, burnout, compassion satisfaction and personal characteristics of critical care nurses. Methods of data analyses included descriptive statistics, chi-square, Spearman's ρ and binary logistic regression.
The study results revealed that the participating critical care nurses showed alarm fatigue, were at risk for compassion fatigue and were near risk for burnout.
This study illuminated the significant relationships among alarm fatigue and the characteristics of gender, nursing unit, nurse-to-patient ratio and age in critical care nurses.
The study results can help critical care nurses take the initiative to not only help themselves prevent or overcome alarm fatigue, compassion fatigue and burnout, but also help their coworkers in this area.
本研究旨在探讨同情疲劳、倦怠、同情满足感和个人特征是否与报警疲劳有关，并预测重症监护护士的报警疲劳。
报警疲劳、同情疲劳和倦怠现象使护士、患者和医疗环境处于潜在的危险境地，这与护理中关怀和同情满足感的基础背道而驰。人们注意到，医疗机构应该根据重症监护环境中报警声较多，以及影响护士对报警做出反应的因素，按照联合委员会的规定，解决报警疲劳问题。
这是一项相关性和预测性的定量研究。
本研究遵循观察性研究报告的加强报告观察性研究（STROBE）清单进行。使用便利抽样法从宾夕法尼亚州一个选定医疗网络中的三家医院的降压和重症监护病房招募了从事护理工作的护士（n=52）。使用观察、ProQOL 和人口统计调查收集重症监护护士的报警疲劳、同情疲劳、倦怠、同情满足感和个人特征的数据。数据分析方法包括描述性统计、卡方检验、斯皮尔曼 ρ 检验和二元逻辑回归。
研究结果表明，参与研究的重症监护护士表现出报警疲劳，处于同情疲劳的风险之中，接近倦怠的风险。
本研究阐明了重症监护护士的报警疲劳与性别、护理单元、护士与患者比例和年龄等特征之间的显著关系。
研究结果可以帮助重症监护护士主动不仅帮助自己预防或克服报警疲劳、同情疲劳和倦怠，还可以帮助他们在这方面的同事。
