ArticleBMC nursing2025
Exploring ICU nurses' response to alarm management and strategies for alleviating alarm fatigue: a meta-synthesis and systematic review.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Improving nurses' alarm-management performance with a behavioral reminder.Revista da Escola de Enfermagem da U S P · 2026Trial
- Alarm Fatigue and Missed Nursing Care Among Neonatal and Paediatric Intensive Care Nurses: A Cross-Sectional Study.Nursing in critical care · 2026Article
- Nurses' Ethical Reasoning About Digital Ethical Risks: A Vignette-Elicited Qualitative Study.International nursing review · 2026Article
- Improving the Quality of Nursing Care Through Clinical Alarm Management in Intensive Care Units: An Integrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Smart Cardiac ICU: Digital Integration, Predictive Analytics, and Perioperative Inflammation.Bioengineering (Basel, Switzerland) · 2026Review
- Digital Gaze and Vicarious Trauma Among Intensive Care Unit Nurses in Alarm-Monitoring Ecologies: Qualitative Interview Study.Journal of medical Internet research · 2026Article
- ICU nurses' experiences, practices and support needs in ventilator alarm management: a qualitative study.BMJ open · 2026Article
- Artificial Intelligence-powered tiered early warning framework addressing high false alarm rates for in-hospital mortality prediction.NPJ digital medicine · 2026Article
- Digital alert fatigue and escalation behaviours in nurse-led remote postoperative care: a cross-sectional study.BMC nursing · 2026Article
- Machine Learning Model for Sepsis Prediction in Prolonged and Chronic Critical Illness: Development and Validation Using Retrospective Real-World ICU Data.Journal of clinical medicine · 2026Article
- Barriers to managing clinical alarms in intensive care units: a cross-sectional study.Revista latino-americana de enfermagem · 2026Article
- Alarm Management Competence in Clinical Nursing Practice: An Evolutionary Concept Analysis.Journal of nursing management · 2026Review
- Local anesthetic overdose during nurse-led epidural analgesia due to occlusion alarm misinterpretation: a case report and literature review.Frontiers in medicine · 2026Article
- Nurses' Clinical Alarm-Related Behaviors and Their Associated Factors in Malawian Critical Care Units: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Quantifying surprise in clinical care: Detecting highly informative events in electronic health records with foundation models.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2026Article
- Reducing False Alarm Rates and Workload in ICUs by Improving Arrhythmia Detection Algorithms of Patient Monitoring Systems.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Effects of diaphragmatic breathing training on alarm fatigue and patient safety culture among ICU nurses: a quasi-experimental study.Scientific reports · 2025Article
- An interpretable machine learning algorithm enables dynamic 48-hour mortality prediction during an ICU stay.Communications medicine · 2025Article
- An investigation of the relationship between alarm and compassion fatigue in surgical intensive care nurses: a cross-sectional study.BMC nursing · 2025Article
- Mapping Clinical Questions to the Nursing Interventions Classification: An Evidence-Based Needs Assessment in Emergency and Intensive Care Nursing Practice in South Korea.Healthcare (Basel, Switzerland) · 2025Article
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8 authors.
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Abstract
backgroundAlarm fatigue is a critical issue in intensive care units, negatively impacting nurse well-being and patient safety. Understanding nurses' experiences and management strategies is essential for developing effective interventions.
objectiveThis study aims to elucidate the current practices of nurses in responding to alarms and their experiences with alarm fatigue.
methodsWe conducted a systematic review and meta-synthesis of qualitative studies. PubMed, Embase, CINAHL, PsycINFO, Web of Science, Cochrane Library, and Wiley databases were searched from inception to May 2024. The search syntax included the following keywords and Boolean operators: ("alarm fatigue" OR "alarm management" OR "clinical alarm") AND ("ICU nurses" OR "critical care nurses" OR "intensive care nurses") AND ("experiences" OR "perceptions" OR "strategies" OR "interventions"). Eligible studies included qualitative research exploring ICU nurses' experiences and responses to alarm fatigue. The risk of bias was assessed independently by two researchers using the CASP (Critical Appraisal Skills Programme) Qualitative Research Checklist. Studies were categorized as high, medium, or low reliability based on their adherence to the CASP criteria. Data were analyzed using thematic synthesis.
resultsOf 460 identified records, 11 studies met the inclusion criteria, all of which demonstrated high methodological quality. The synthesis yielded nine key findings organized into three main themes: (1) Adverse outcomes of frequent alarms. (2) Causes of alarm fatigue. (3) Effective strategies to manage alarm fatigue. Frequent ICU alarms increase nurse workload, erode alarm system trust, heighten alarm fatigue, and endanger patient safety.
conclusionTo address ICU alarm fatigue, interventions should focus on reducing false alarms, enhancing alarm reliability, strengthening nurse training, optimizing work environments, and providing psychological support. These measures are crucial for improving patient safety and nurse well-being. Future research should explore the long-term impact of these interventions. REGISTRATION: PROSPERO CRD42024539569.
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