ASST Santi Paolo e Carlo, San Paolo Bachelor School of Nursing, San Paolo Teaching Hospital, Milan, Italy.
University of Milan, Milan, Italy.
Work. 2022;72(2):651-656. doi: 10.3233/WOR-210552.
Technological progress improves health care efficiency, quality, safety, and cost, supporting clinical activity in various scenarios, such as Intensive Care Unit (ICU). A timely response to alarms from monitors and other ICU electromedical devices is therefore crucial. The number of false alarms tend to desensitize care providers increasing the risk of experiencing alarm fatigue and, at times, lead to severe consequences for patients.
To assess the psychometric properties of the Italian version of the Alarm Fatigue Questionnaire and to explore the phenomenon of alarm fatigue among nurses working in intensive care settings.
The CVI-I was calculated to evaluate the validity of the content of the tool. Construct validity was investigated through exploratory factor analysis. Cronbach's alpha coefficient (α) was used to examine the internal consistency of the scale and Spearman's rho coefficient to test for stability.We designed a multicentre cross-sectional survey. A convenience sample of nurses from 4 Major Italian hospitals was recruited. The nurses completed the Italian version of the Alarm Fatigue Questionnaire.
The content validity index CVI-S of the scale (CVI-S) was 91.11%; Cronbach's alpha coefficient was 0.71. The Italian version of the tool explained 67.18%of the overall variance. 396 nurses were enrolled (79.84%). The overall level of alarm fatigue was Me = 29 [22;30]. 42.17%of the sample reported prior experience with alarm fatigue incidents.
The extension of alarm fatigue requires the adoption of a preventive intervention plan. The Italian version of the Alarm Fatigue Questionnaire shows promising psychometric properties.
技术进步提高了医疗保健的效率、质量、安全性和成本，支持各种场景下的临床活动，如重症监护病房（ICU）。因此，及时响应监护仪和其他 ICU 电医疗设备发出的警报至关重要。大量的假警报往往会使医护人员麻木，增加他们经历警报疲劳的风险，有时甚至会对患者造成严重后果。
评估意大利语版的警报疲劳问卷的心理测量学特性，并探讨重症监护环境中护士的警报疲劳现象。
计算内容效度指数 CVI-I 以评估工具内容的有效性。通过探索性因素分析研究构念效度。使用克朗巴赫 α 系数（α）检验量表的内部一致性，使用斯皮尔曼 rho 系数检验稳定性。我们设计了一项多中心横断面调查。从意大利的 4 家大医院招募了便利样本的护士。护士们完成了意大利语版的警报疲劳问卷。
量表的内容效度指数 CVI-S 为 91.11%；克朗巴赫 α 系数为 0.71。该工具的意大利语版本解释了总方差的 67.18%。共纳入 396 名护士（79.84%）。总体的警报疲劳水平为 Me=29[22;30]。42.17%的样本报告有过警报疲劳事件的经历。
警报疲劳的蔓延需要采取预防干预计划。意大利语版的警报疲劳问卷具有良好的心理测量学特性。
