Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue

There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcome...

Full description

Bibliographic Details
Main Author: Clemens, Amy
Format: Others
Language:en
Published: ScholarWorks 2019
Subjects:
Online Access:https://scholarworks.waldenu.edu/dissertations/6984
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8263&context=dissertations
id ndltd-waldenu.edu-oai-scholarworks.waldenu.edu-dissertations-8263
record_format oai_dc
spelling ndltd-waldenu.edu-oai-scholarworks.waldenu.edu-dissertations-82632019-10-30T01:16:35Z Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue Clemens, Amy There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to analyze outcome effectiveness by addressing structure, process, and outcomes related to how the roles of the nurse affect nurse-sensitive patient outcomes. The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane guidelines guided study selection and analysis. A second reviewer collaborated on the search strategy and provided an independent review of the identified literature. The effectiveness of alarm management was difficult to determine because most studies were descriptive, cohort, or nonrandomized trials. Review findings did not support a relationship between the amount of alarms and increased alarm fatigue behaviors. Findings indicated that nurses' attitudes and alarm fatigue behaviors are present globally and have not significantly altered since reduction strategies were implemented. The findings may impact social change by decreasing nurses' stress levels related to cognitive workloads, improving patient outcomes, and supporting increased levels of nurses' workforce satisfaction. 2019-01-01T08:00:00Z text application/pdf https://scholarworks.waldenu.edu/dissertations/6984 https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8263&context=dissertations Walden Dissertations and Doctoral Studies en ScholarWorks alarm fatigue clinical alarm management nursing alarm fatigue nursing alarm management nursing clinical alarms physiological alarms Biomedical Nursing
collection NDLTD
language en
format Others
sources NDLTD
topic alarm fatigue
clinical alarm management
nursing alarm fatigue
nursing alarm management
nursing clinical alarms
physiological alarms
Biomedical
Nursing
spellingShingle alarm fatigue
clinical alarm management
nursing alarm fatigue
nursing alarm management
nursing clinical alarms
physiological alarms
Biomedical
Nursing
Clemens, Amy
Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
description There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to analyze outcome effectiveness by addressing structure, process, and outcomes related to how the roles of the nurse affect nurse-sensitive patient outcomes. The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane guidelines guided study selection and analysis. A second reviewer collaborated on the search strategy and provided an independent review of the identified literature. The effectiveness of alarm management was difficult to determine because most studies were descriptive, cohort, or nonrandomized trials. Review findings did not support a relationship between the amount of alarms and increased alarm fatigue behaviors. Findings indicated that nurses' attitudes and alarm fatigue behaviors are present globally and have not significantly altered since reduction strategies were implemented. The findings may impact social change by decreasing nurses' stress levels related to cognitive workloads, improving patient outcomes, and supporting increased levels of nurses' workforce satisfaction.
author Clemens, Amy
author_facet Clemens, Amy
author_sort Clemens, Amy
title Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
title_short Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
title_full Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
title_fullStr Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
title_full_unstemmed Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue
title_sort effectiveness of physiological alarm management strategies to prevent alarm fatigue
publisher ScholarWorks
publishDate 2019
url https://scholarworks.waldenu.edu/dissertations/6984
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8263&context=dissertations
work_keys_str_mv AT clemensamy effectivenessofphysiologicalalarmmanagementstrategiestopreventalarmfatigue
_version_ 1719281960421949440