ArticleBMC nursing2025
Alarm fatigue mitigation through nurse empowerment: a pre-post intervention study in two intensive care units.
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 2 papers.
What it found
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- Alarm Fatigue and Missed Nursing Care Among Neonatal and Paediatric Intensive Care Nurses: A Cross-Sectional Study.Nursing in critical care · 2026Article
- Exploring alarm fatigue among clinical nurses through a human factors engineering framework: a descriptive qualitative study.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAlarm fatigue in intensive care units (ICUs) is a pressing issue that jeopardizes patient safety and staff well-being. In Israel, although hospitals are permitted to determine who sets alarm thresholds, most have historically assigned this authority exclusively to physicians. This stems from the absence of national policy and institutional reluctance, driven by risk management and physician resistance to transfer clinical responsibilities to nurses, limiting timely responses to patient needs.
methodsThis was a prospective pre-post intervention study using multiple data sources, including structured observations and staff surveys, conducted in pediatric and adult general ICUs at Assuta Ashdod University Hospital. The intervention involved transferring alarm threshold-setting authority for bedside monitor alarms from physicians to nursing staff, supported by a comprehensive training program. Evaluation included structured observations of alarm events (435 pre- and 288 post-intervention), staff surveys (n = 33 pre, n = 24 post), and feedback on the implementation process.
resultsThe primary outcome, alarm response rate-defined as the proportion of monitor alarms that elicited any observable staff reaction-increased slightly in the pediatric ICU, from 65 to 69%, and remained unchanged (50%) in the adult ICU. Notably, 90% of nurses in the pediatric ICU and 75% in the adult ICU reported increased confidence in setting alarm thresholds independently. Additionally, nursing staff expressed greater awareness of alarm fatigue and improved trust in alarm systems.
conclusionsEmpowering nursing staff by delegating alarm threshold authority resulted in enhanced alarm management and increased self-efficacy among nurses, though outcomes varied between units. These findings highlight the need for national guidelines to support this delegation while considering the unique characteristics of each ICU.
trial registrationNot applicable.
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