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重症监护病房及其他住院诊所护士的报警疲劳。

Alarm fatigue among nurses working in intensive care and other inpatient clinics.

作者信息

Karahan Azize, Kav Sultan, Çevik Banu, Çıtak Ebru Akgün, Uğurlu Ziyafet, Fulser Berrak

机构信息

Department of Nursing, Faculty of Health Sciences, Baskent University, Ankara, Turkey.

Department of Nursing, Faculty of Health Sciences, Acıbadem Mehmet Ali Aydınlar University, İstanbul, Turkey.

出版信息

Work. 2023;76(2):793-801. doi: 10.3233/WOR-220466.

Abstract

BACKGROUND

Alarm fatigue is an important technological hazard that adversely affects patient safety and the healthcare team. Nurses can be exposed to an excessive amount of alarms during their work which may lead to alarm fatigue.

OBJECTIVE

To determine the experiences of alarm fatigue among nurses working in intensive care units and other inpatient clinics.

METHODS

This descriptive study was conducted in university hospitals in five cities in Turkey between August and December 2019. A total of 592 nurses participated in this study. The data was collected using questionnaires and the Visual Analog Scale (0 to 10 points) was used to determine the level of alarm fatigue.

RESULTS

More than half of the nurses experienced problems, especially false alarms, caused by devices. Alarm fatigue decreased with increasing age and working years. Nurses reported appropriate actions in solving problems, but also had practices that may increase the risk of error, such as turning off or muting alarms or turning off equipment.

CONCLUSION

Alarm fatigue is mostly caused by false alarms. It can lead to physical fatigue, increased workload and decreased concentration, resulting in an increased possibility of error. Management of alarm fatigue is necessary in preventing a compromise in patients' safety and improving quality of care.

摘要

背景

警报疲劳是一种重要的技术危害,会对患者安全和医疗团队产生不利影响。护士在工作期间可能会接触到过多的警报,这可能导致警报疲劳。

目的

确定重症监护病房和其他住院诊所护士的警报疲劳体验。

方法

这项描述性研究于2019年8月至12月在土耳其五个城市的大学医院进行。共有592名护士参与了本研究。数据通过问卷调查收集,并使用视觉模拟量表(0至10分)来确定警报疲劳程度。

结果

超过一半的护士遇到过由设备引起的问题,尤其是误报。警报疲劳随着年龄和工作年限的增加而降低。护士报告了在解决问题时采取的适当行动,但也有一些可能增加错误风险的做法,如关闭警报或使其静音,或关闭设备。

结论

警报疲劳主要由误报引起。它会导致身体疲劳、工作量增加和注意力下降,从而增加出错的可能性。管理警报疲劳对于防止患者安全受到损害和提高护理质量是必要的。

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