Sarioğlu Esra, Amarat Mustafa
Ordu University, Ordu, Türkiye.
Nurs Crit Care. 2025 Jul;30(4):e70121. doi: 10.1111/nicc.70121.
Investigating all the reasons that may create a tendency for medical errors in interdisciplinary work due to critical patient care and monitoring in intensive care units is important for reliable health service delivery.
The primary purpose of this study was to determine the alarm fatigue levels of intensive care nurses, examine the effect of this fatigue on the tendency to make medical errors and determine the mediating role of role overload in the relationship between the two concepts.
This cross-sectional survey study included 250 intensive care nurses from Ordu. In addition to the personal information form, the 'Nurses Alarm Fatigue Scale', 'Nurses Medical Error Tendency Scale' and 'Role overload Scale' were used in the study. After verifying the data's validity and reliability, the SPSS and AMOS package programs were used for the analyses.
The increase in the level of alarm fatigue caused an increase in role overload by 33% and a 9% effect on medical error tendency. The increase in role overload caused a 9% increase in nurses' tendency to medical errors. In addition, it was revealed that their total effect on each other was 11%. There was a positive correlation between role overload, alarm fatigue and medical error tendency, and this relationship was statistically significant.
This research will help us develop effective strategies by better understanding the factors that may lead to medical error tendencies among intensive care nurses responsible for the care of critically ill patients. Although it is not easy to solve alarm fatigue because the alarm response that is not acted upon or the alarm response is impaired is caused by technical, clinician and organisational factors, studies have attempted to be analytical.
Considering alert fatigue and role overload in reducing the propensity of critical care nurses to make medical errors can significantly increase the accuracy and integrity of patient care and improve outcomes.
由于重症监护病房中对危重症患者的护理和监测至关重要，因此调查所有可能导致跨学科工作中出现医疗差错倾向的原因对于提供可靠的医疗服务很重要。
本研究的主要目的是确定重症监护护士的警报疲劳程度，检查这种疲劳对医疗差错倾向的影响，并确定角色过载在这两个概念之间关系中的中介作用。
这项横断面调查研究纳入了来自奥尔杜的250名重症监护护士。除个人信息表外，研究中还使用了“护士警报疲劳量表”、“护士医疗差错倾向量表”和“角色过载量表”。在验证数据的有效性和可靠性后，使用SPSS和AMOS软件包程序进行分析。
警报疲劳程度的增加导致角色过载增加33%，对医疗差错倾向的影响为9%。角色过载的增加导致护士医疗差错倾向增加9%。此外，还发现它们彼此之间的总效应为11%。角色过载、警报疲劳和医疗差错倾向之间存在正相关，且这种关系具有统计学意义。
这项研究将有助于我们通过更好地理解可能导致负责危重症患者护理的重症监护护士出现医疗差错倾向的因素来制定有效的策略。尽管由于未采取行动的警报响应或警报响应受损是由技术、临床医生和组织因素引起的，解决警报疲劳并不容易，但研究仍试图进行分析。
在降低重症监护护士发生医疗差错的倾向时考虑警报疲劳和角色过载，可以显著提高患者护理的准确性和完整性，并改善治疗结果。
