ArticleBMC nursing2022
Alarm fatigue and moral distress in ICU nurses in COVID-19 pandemic.
Article in BMC nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Severity and Associated Factors of Alarm Fatigue Among Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis.Nursing in critical care · 2026Pooled it
- Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Moral distress and moral injury in healthcare: A review and instrument analysis.Journal of health psychology · 2026Review
- Alarm Fatigue and Professional Quality of Life Among Nursing Staff in Intensive Care Settings in Jordan: A Cross-Sectional Study.Nursing in critical care · 2026Article
- Alarm fatigue among critical care unit and emergency room nurses: a multicentre cross-sectional study in Iran.BMJ open · 2026Article
- Moral Distress and Its Institutional Factors among Nurses in the Inpatient Department at a University Teaching Hospital in Kigali, Rwanda.Rwanda journal of medicine and health sciences · 2026Article
- Patterns of Alarm Fatigue and Their Predictors Among Nurses in Intensive Care Units: A Latent Profile Analysis.Nursing & health sciences · 2026Article
- Moral distress of intensive care unit nurses: a systematic review and meta-analysis.BMC nursing · 2026Article
- An investigation of the relationship between alarm and compassion fatigue in surgical intensive care nurses: a cross-sectional study.BMC nursing · 2025Article
- Assessment of alarm fatigue among intensive care unit nurses: a cross-sectional study.BMC nursing · 2025Article
- The effect of a clinical approach to ventilator alarm management on alarm fatigue in intensive care nurses: a randomized controlled trial.BMC nursing · 2025Article
- The Effect of Alarm Fatigue on the Tendency to Make Medical Errors in Surgical Intensive Care Nurses: A Correlational Study Examining the Role of Moderating Factors.Healthcare (Basel, Switzerland) · 2025Article
- Mechanism, contributing factors, and coping strategies of alarm fatigue in intensive care nursing: a qualitative study.Frontiers in public health · 2025Article
- Exploring the influence of the spiritual climate on psychological empowerment among nurses in China: a cross-sectional study.BMC nursing · 2024Article
- Alarm fatigue and perceived stress among critical care nurses in the intensive care units: Palestinian perspectives.BMC nursing · 2024Article
- Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study.BMC nursing · 2024Article
- Correlation between moral distress and compassion fatigue in the emergency department nurses: A cross-sectional study from Ardabil Province, Iran.Journal of education and health promotion · 2024Article
- Levels and Factors of Nurses' Alarm Fatigue in Critical Care Settings in Saudi Arabia: A Multicenter Cross-Sectional Study.Journal of multidisciplinary healthcare · 2024Article
- Correlation between professional quality of life and alarm fatigue symptoms among intensive care unit nurses.Health science reports · 2023Article
- The relationship between moral distress, ethical climate, and attitudes towards care of a dying neonate among NICU nurses.BMC nursing · 2023Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMost ICU nurses feel overwhelmed by the variety of alarms at the same time. Therefore, nurses experience very stressful situations in relation to many responsibilities and care demands. This stressful condition has recently been exacerbated by COVID-19 and potentially endangers patient safety. The aim of this study was to investigate the alarm fatigue and moral distress of ICU nurses in COVID-19 crisis.
methodThis is a descriptive-analytical cross-sectional study (April-May 2021). Sampling was done by convenience among ICU nurses affiliated to Isfahan University of Medical Sciences, Iran. Data were collected using Nurses' alarm fatigue and the moral distress scale (MDS). Data were analyzed using ANOVA, independent t-test and multivariate logistic regression.
resultThe results showed that the mean score of alarm fatigue was moderate)19.08 ± 6.26 (and moral distress was low (33.80 ± 11.60). The results showed that there was a significant relationship between alarm fatigue and related training courses)P = .012(.So that, alarm fatigue in nurses who were trained in working with ventilators and alarm settings was significantly less than other nurses. Also, a significant relationship was found between moral distress and marital status(P = .001) and Shift type(P = .01). On the other hand, the risk of alarm fatigue was higher in participants who have a PhD. The results showed that no significant correlation was found between alarm fatigue and moral distress (r = 0.111, P = 0.195).
conclusionIt is suggested that practical training courses on alarm management be included in the curriculum and the ICU nurses should have practical training before starting work in the ICU and on an annual basis. In order to protect nurses and ensure quality care of patients, nurse managers should reduce the number of rotating shifts of ICU nurses.
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