护理专业学生在重症监护病房临床培训中出现的报警疲劳：一项多中心研究。
Alarm Fatigue in Nursing Students Undertaking Clinical Training in Intensive Care Units: A Multicenter Study.
机构信息
San Paolo Teaching Hospital, ASST Santi Paolo e Carlo, Milan, Italy.
Health Agency ASL BAT, Barletta, Italy.
出版信息
Med Lav. 2023 Apr 13;114(2):e2023015. doi: 10.23749/mdl.v114i2.13975.
BACKGROUND
The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional's workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings.
METHODS
Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the "Alarm Fatigue questionnaire-ita" at the end of the clinical internship in intensive care settings.
RESULTS
130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed "errors/almost errors" (p=0.038) and in "student workers" (p=0.005).
DISCUSSION
The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.
背景
监测器和其他电医疗设备发出警报的频率非常有用，但会增加专业人员的工作量，并使重症监护病房的护士面临报警疲劳。最近的一项研究表明，培训中的学生在重症监护的首次临床实习中也可能会遇到这个问题。不幸的是，意大利目前还没有这方面的数据。本研究旨在探索重症监护实习结束时护理本科生的报警疲劳情况。
方法
采用多中心横断面设计。从 3 所意大利大学医院招募了便利样本的护士。学生们在重症监护实习结束时完成了经过修订的“意大利版报警疲劳问卷”。
结果
共纳入 130 名护理学生（应答率 59.36%）。总体报警疲劳水平为 Me=24.5 IQR [17.5, 30.5]。此外，在实习期间，9.23%的学生报告了与报警疲劳相关的错误或差点出错。在经历“错误/几乎错误”的学生（p=0.038）和“学生工”（p=0.005）中，报警疲劳水平更高。
讨论
护理学生经历的报警疲劳程度需要制定预防策略。
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