Evidence map›Paper›PMID 40369902›Full record

ArticleJournal of evaluation in clinical practice2025

Impact of Alarm Management Training on Adult ICU Nurses' Knowledge, Behaviour, and Fatigue: A Quasi-Experimental Study.

Dilanur Kibar, Aysel Özsaban

Abstract read
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Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

2 authors.

Dilanur KibarDepartment of Fundamentals of Nursing and Management, Graduate School of Health Sciences, Karadeniz Technical University, Trabzon, Türkiye.ORCID 0000-0001-5117-2126
Aysel ÖzsabanDepartment of Fundamentals of Nursing and Management, Graduate School of Health Sciences, Karadeniz Technical University, Trabzon, Türkiye.ORCID 0000-0002-8739-8829

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectiveTeaching effective alarm management behaviours to intensive care nurses and preventing alarm fatigue is essential for patient safety. In this context, demonstrating the effectiveness of training activities for nurses on effective alarm management can significantly contribute to ensuring patient safety. However, studies demonstrating the effectiveness of alarm management training activities are limited. Therefore, there is an emerging need to examine the effects of training interventions that can help nurses gain effective alarm management behaviours. The study aimed to assess the effect of alarm management training on the knowledge, behaviours and fatigue levels of ICU nurses.

methodsThis is a pretest- posttest, single-group, quasi-experimental study. The sample size was 19 nurses from two ICUs in a state hospital. Data were collected between 1 November 2021 and 20 March 2022 with the "Nurse Information Form," "Monitor Alarms Management Monitoring Form," "Monitor Alarm Management Knowledge Test," and "Alarm Fatigue Scale." Monitor alarm management training was given by presentation, case studies and reminder cards. The researcher monitored 322 alarms in the pretest and 199 in the posttest.

resultsAt post- training, nurses' alarm response times (p = 0.008) and crisis alarms (p = 0.032) decreased statistically significantly compared to the pre-training. Post-training, nurses' customization of alarm ranges based on patients' clinical condition (p = 0.001) and performing skin cleaning (p = 0.001) increased statistically significantly compared to pre-training. The inappropriate behaviour of "silencing and muting the alarm" was never exhibited post-training. "No response to the alarm" behaviour decreased statistically significantly, and the rate of effective alarm management behaviours increased statistically significantly (p = 0.016). Nurses' monitor alarm management knowledge increased significantly (p < 0.001), while alarm fatigue scores decreased statistically significantly at posttest (p < 0.001).

conclusionsThe alarm management training intervention was significantly increased nurses' knowledge regarding effective alarm management, improved their behaviours and alarm fatigue scores, and patients' monitor alarm outputs. In conclusion, it can be suggested that training activities be focused on to teach intensive care nurses effective alarm management behaviours and reduce their alarm fatigue.

Indexed as

Clinical AlarmsCritical Care NursingFatigueHealth Knowledge, Attitudes, PracticeInservice TrainingNursing Staff, HospitalAdultClinical CompetenceFemaleHumansIntensive Care UnitsMaleMiddle AgedPatient Safetycritical carenoisenursepatient safetyphysiological monitor alarms

Identifiers

PMID40369902
PMCPMC12079011

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Registered trials

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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.