Nurses' responses to monitor alarms in an intensive care unit: An observational study

被引:10
作者
Ergezen, Fatma Dursun [1 ]
Kol, Emine [1 ]
机构
[1] Akdeniz Univ, Nursing Fac, Dumlupinar Blvd, TR-07070 Antalya, Turkey
关键词
Clinical alarms; Intensive care unit; Physiologic monitoring; Observation; CLINICAL ALARMS;
D O I
10.1016/j.iccn.2020.102845
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: The present study aimed to determine the types of monitor alarms and nurses' responses to them in an adult intensive care unit. Design and methods: This was an observational descriptive research study conducted in the adult intensive care unit of a university hospital in the Mediterranean region of Turkey. The nonparticipant observation method was used. Data were collected by two observers using a semi-structured observation form developed according to literature. Results: Between August 2016 and January 2017, 13 registered nurses were observed for 328 hours. There were 1781 alarms, which included alarms for blood pressure (37.6%), respiration and oxygen saturation (35.3%) and heart rate and arrhythmia (27.1%). Nurses responded to approximately half (46.9%) of the alarms that required a response. Responses to alarms included silencing them, responding to the patient's clinical condition and solving contact and transmission problems. Conclusion: In the present study, according to response requirement, the division of the alarms was different. The number of alarms that do not reflect the clinical status of the patient was high. It was found that as the false alarm rate increased, the response rate of nurses to these alarms decreased. (C) 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页数:6
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