Evidence map›Paper›PMID 37101342›Full record

Observational studyNursing open2023

Intensive care unit nurses' perceptions and practices regarding clinical alarms: A descriptive study.

Lei Wang, Wei He, Yulu Chen, Qiuping Wu, Xin Du, Qin Li, Caiping Song

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Lei WangDepartment of Orthopedics, The Second Affiliated Hospital of Army Medical University, Chongqing, China.ORCID 0000-0002-8834-4021
Wei HeDepartment of Gastroenterology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Yulu ChenDepartment of Otolaryngology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Qiuping WuDepartment of Cardiology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Xin DuDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Qin LiDepartment of Neurology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Caiping SongPresident Office, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Army Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the frequencies of physiologic monitor clinical alarms and to investigate nurses' perceptions and practices regarding clinical alarms in ICUs.

designA descriptive study.

methodsA 24-h continuous nonparticipant observation study was conducted in ICU. Observers observed and recorded the occurrence time, detail information when electrocardiogram monitor alarms triggered. And a cross-sectional study was conducted among ICU nurses by convenience sampling, using the general information questionnaire and the Chinese version of clinical alarms survey questionnaire for medical devices. Data analysis was performed using SPSS 23.

resultsA total of 13,829 physiologic monitor clinical alarms were recorded in 14-day observation and 1191 ICU nurses responded to the survey. Most nurses agreed or strongly agreed the sensitivity to alarms and responded quickly (81.28%), smart alarm systems (74.56%), alarm notification systems (72.04%) and set up alarm administrators (59.45%) were useful to improve alarm management, while frequent nuisance alarms disrupted patients care (62.47%) and reduced nurses' trust in alarms (49.03%), environmental noise interfered with nurses' recognition of the alarms (49.12%) and not everyone received education of alarm systems (64.65%).

conclusionsPhysiological monitor alarms occur frequently in ICU, and it is necessary to formulate or further optimize alarm management measures. It is recommended to use smart medical devices and alarm notification systems, formulate and implement standardized alarm management policies and norms, and strengthen alarm management education and training, so as to improve the nursing quality and patient safety. PATIENT OR PUBLIC CONTRIBUTION: The patients in the observation study included all patients admitted to the ICU during the observation period. The nurses in the survey study were conveniently selected through an online survey.

Indexed as

Clinical AlarmsNursesCross-Sectional StudiesHumansIntensive Care UnitsMonitoring, Physiologicalarm managementclinical alarmintensive care unitnursepatient safetyphysiological monitor

Identifiers

PMID37101342
PMCPMC10333838
OpenAlexW4367174389

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.