Division of Nursing, Inje University Haeundae Paik-Hospital, Busan 48108, Korea.
Institute of Health Science, College of Nursing, Inje University, Busan 47392, Korea.
Int J Environ Res Public Health. 2021 Apr 12;18(8):4018. doi: 10.3390/ijerph18084018.
This study aimed to identify the impact of nurses' perception of clinical alarms and patient safety culture on alarm management. Additionally, we aimed to describe the importance of clinical alarm issues. The data were collected from 21 August to 10 September 2020. The study participants were 116 nurses working in a tertiary acute care hospital in Korea. The self-report questionnaire included general characteristics, clinical alarm issues, nurses' alarm perception, patient safety culture, and alarm management practice. The mean age of nurses was 28.04 ± 4.06 years, with 5.71 ± 4.35 years of total clinical experience. For the importance of alarm issues, frequent false alarms leading to reduced attention or response was the most important issue. Hierarchical linear regression analysis revealed that a higher level of nurses' perceived patient safety culture was the strongest predictor of better alarm management practice ( < 0.001), followed by their perception of clinical alarms ( = 0.034). In addition, female nurses ( = 0.004), charge nurses ( = 0.013), and nurses who work less than 40 h per week ( = 0.008) were more likely to work better in alarm management practice. Future studies are needed to develop standardized alarm management guidelines by improving nurses' positive perceptions of clinical alarms and patient safety culture.
本研究旨在确定护士对临床警报和患者安全文化的感知对警报管理的影响。此外，我们还旨在描述临床警报问题的重要性。数据收集于 2020 年 8 月 21 日至 9 月 10 日。研究参与者为韩国一家三级急症护理医院的 116 名护士。自报告问卷包括一般特征、临床警报问题、护士的警报感知、患者安全文化和警报管理实践。护士的平均年龄为 28.04 ± 4.06 岁，总临床经验为 5.71 ± 4.35 年。对于警报问题的重要性，频繁的虚假警报导致注意力或反应降低是最重要的问题。层次线性回归分析显示，护士感知到的更高水平的患者安全文化是更好的警报管理实践的最强预测因素（<0.001），其次是他们对临床警报的感知（=0.034）。此外，女性护士（=0.004）、护士长（=0.013）和每周工作少于 40 小时的护士（=0.008）更有可能在警报管理实践中表现出色。未来的研究需要通过改善护士对临床警报和患者安全文化的积极感知来制定标准化的警报管理指南。
