Improving clinical alarm fatigue and alarm management competency among critical care nurses by implementing a unit based alarm management bundle
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Clinical alarms are designed to signal an unsatisfactory patient physiological state, alert staff to malfunctioning medical equipment or systems, and warn the operator of potential hazards to the patient. While alarms interrupt the patients healing process, alarms also induce a crippling fatigue among nurses, known as alarm fatigue. The concept of alarm fatigue and clinical alarm management competency remains a common problem among nurses who work in the acute care setting. In the Surgical Intensive Care Unit (SICU) at a teaching hospital in Northeast Florida, alarm fatigue, consistent alarm management skills, and competency surrounding the use of the Philips physiologic monitoring systems were noted to be a problem among nurses working in the SICU. The goal of the DNP quality improvement project was to improve nursing competency associated with alarm management skills and decrease alarm fatigue through the implementation of an evidence-based alarm management bundle, called the CEASE bundle. A pre-and post-intervention HTF clinical alarms survey was distributed to 115 full-time nurses to gather their perceptions of alarm fatigue and management. Overall, nurse participants demonstrated improved alarm management competency, which resulted in significant improvements in their perceptions of alarm functionality, settings, response, and policy adherence. There was a statistically significant decrease in self-reported alarm fatigue post project intervention, and the CEASE bundle was found to be influential to nursing practice
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Clinical Alarm Fatigue; Alarm Management Competency; Alarm Management Skills; Alarm Management Bundle |
Grantor | Jacksonville University |
Advisor | Christopher, Roberta; De Tantillo, Lila |
Level | DNP |
Year | 2022 |
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