Implementing Safety Bundle Regarding Alarm Fatigue on Nurses’ Perception, Practices and Patients’ Clinical Outcomes in Cardiac Care Units

Document Type : Original Article

Authors

1 Critical care and Emergency Nursing, Faculty of Nursing, Sohag University

2 Critical Care Nursing and Emergency, Faculty of Nursing, Tanta University Adult and Advanced Care Nursing, Nursing College, King Khalid University KSA

3 Cardiovascular Department, Faculty of Medicine, Tanta University

4 Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University

5 Critical Care and Emergency Nursing, Faculty of Nursing, Sohag University

Abstract

Background: Nurses work in complex environments with high numbers of alarms, including nuisance alarms and other factors. Alarm-related adverse events are common. Aim: Evaluate the effect of implementing safety bundle regarding alarm fatigue on nurses’ perception, practices and patients’ clinical outcomes in Cardiac Care Units. Design: A quasi-experimental design used in this study. Setting: The study carried out at the Cardiac Care Units (CCU) at Tanta University Hospital. Subjects: All nurses (50) of both sex working at CCU at Tanta University Hospital and thirty adult patients who were admitted to cardiac care unit. Tools: Five tools were utilized. Tool I: - Critical Care Nurses’ Questionnaire. Tool II: Nurse s’ Alarm Fatigue Level Questionnaire. Tool III: Nurses’ Alarm Fatigue Management Observational Checklist. Tool IV: Patients’ Assessment Tool. Tool V: Patients’ Clinical Outcomes Assessment. Methods: -Evaluation of nurses’ perception regarding alarm fatigue management observational checklist, alarm fatigue level, safety bundle pre, immediately post, and after one month of implementing safety bundle using tools I, II and III. Evaluation of patient s' outcomes regarding post implementing safety bundle by nurses. Results: There was statistically significant positive correlation between perception of clinical alarms, alarm fatigue level and alarm fatigue management pre and post implementation of alarm safety bundle in relation to patients’ clinical outcomes p=0.00. Conclusion: Implementing of safety bundle alarm fatigue increased nurses’ perception, practices and patients’ clinical outcomes in cardiac care units. Recommendation: Training programs in the hospitals should be reinforced with information related to the emerging technologies at each step of education

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