Faculty of Medicine, Department of Medical Education, Karadeniz Technical University, Trabzon, Turkey.
Faculty of Medicine, Biostatistics and Medical Informatics, Karadeniz Technical University, Trabzon, Turkey.
J Clin Nurs. 2022 Sep;31(17-18):2654-2662. doi: 10.1111/jocn.16190. Epub 2022 Jan 5.
To reveal the existence of alarms in COVID-19 intensive care units, where medical devices with alarm function are frequently used, the effects of alarms on nurses, especially their on-the-job performances and social lives, and their coping methods.
METHODOLOGY/METHODS: This was a mixed design, including descriptive and qualitative research methods with two stages, and was carried out between March and April 2021. The study adhered to the STROBE checklist for cross-sectional studies and the COREQ guidelines for qualitative studies.
Nurses in the COVID-19 intensive care unit of a university hospital constituted the sample. 58 nurses participated in the quantitative data phase, and 18 nurses in the qualitative interviews.
More than half of the nurses worked in the COVID-19 intensive care unit for more than 5 months and overtime, and 87.9 had day and night shifts. The monthly income level of 65.5% was between the hunger and poverty lines, and 12.1 % received psychiatric support in the last 6 months. A positive and significant relationship was found between the mean score obtained from the alarm fatigue questionnaire and the level of discomfort felt due to the alarms (1-10 points) (p = 0.001). Five themes and thirty sub-themes were emerged in the focus group interviews.
The number of alarms of the medical devices in the COVID-19 intensive care units was more than the other intensive care units, resulting in fatigue in nurses. Since alarm fatigue is directly related to patient safety, the effective management of medical device alarms can reduce alarm fatigue and prevent potentially dangerous outcomes.
Nurses care for patients with severe clinical conditions in COVID-19 intensive care units. This situation caused them to be exposed to more alarms. Nurses should make efforts to reduce their alarm intensity.
揭示在 COVID-19 重症监护病房中存在警报的情况，因为这里经常使用具有警报功能的医疗设备。研究警报对护士的影响，特别是对他们的工作表现和社会生活的影响，以及他们的应对方法。
这是一项混合设计，包括描述性和定性研究方法，分为两个阶段，于 2021 年 3 月至 4 月进行。研究遵循横断面研究的 STROBE 清单和定性研究的 COREQ 指南。
该研究的样本为大学医院 COVID-19 重症监护病房的护士。58 名护士参与了定量数据阶段，18 名护士参与了定性访谈。
超过一半的护士在 COVID-19 重症监护病房工作超过 5 个月，并且经常加班，87.9%的护士上日夜班。65.5%的护士月收入处于温饱线以下，12.1%的护士在过去 6 个月接受过精神科支持。在报警疲劳问卷的平均得分与因警报而感到的不适程度（1-10 分）之间存在正显著关系（p=0.001）。焦点小组访谈中出现了五个主题和三十个子主题。
COVID-19 重症监护病房的医疗设备警报数量多于其他重症监护病房，导致护士疲劳。由于报警疲劳直接关系到患者安全，因此有效管理医疗设备报警可以减少报警疲劳，防止潜在的危险后果。
护士在 COVID-19 重症监护病房照顾患有严重临床疾病的患者。这种情况使他们接触到更多的警报。护士应努力降低他们的警报强度。
