CAPSTONE PROJECT SOURCES
Alarm Fatigue and How to Reduce It
University
Instructor
Capstone Project Sources
1. Impact of alarm fatigue on the work of nurses
a. Reference: Lewandowska, K., Weisbrot, M., Cieloszyk, A., Medrzycka-Dabrowska, W., Krupa, S., & Ozga, D. (2020). Impact of alarm fatigue on the work of nurses in an intensive care environment: A systematic review. International Journal of Environmental Research and Public Health, 17(22), 8409. Doi: 10.3390/ijerph17228409
b. Date of Publication: 2020
c. Authors: Katarzyna Lewandowska, Magdalena Weisbrot, Aleksandra Cieloczyk, Wioletta Medrzycka, Sabina Krupa and Dorota Ozga
d. Bias: There was no apparent bias in the study
e. Precisely Completed: The study appears to have been precisely completed, although precision could be enhanced by increasing the number of reviewed studies. Relevant studies were sourced from recognized databases such as Cochrane Library, ProQuest Nursery, EBSCO, OVID, and PubMed. 7 studies were included in the final review and data analyzed both quantitatively and descriptively, with a total of 389 nurses tested. The studys precision was increased by the fact that five of the studies measured the quantitative impact of alarms based on the Healthcare Technology Foundation questionnaire, while only two studies derived from a qualitative model.
f. Applicability: This study is applicable to the capstone project. It provides a justification on the negative effects of alarm fatigue on patients. The study findings enhance the capstone projects feasibility.
g. Outcomes: Results of this document suggest that alarm fatigue results in serious consequences for both patients and nursing personnel. The inconvenience caused by alarms results in disturbances in patient care, and a reduction of trust in the alarm management system among nursing personnel as they are not able to respond effectively.
h. Comments and Grading: It would be appropriate for the study to explain how alarm fatigue affects specific aspects of patient care. This being a systematic review qualifies as level A of evidence under the AACN (American Association of Critical Care Nurses) levels of evidence. This could be graded as high quality of evidence.
2. Effects of monitor alarm management training on nurses alarm fatigue
a. Reference: Bi, J., Yin, X., Li, H., Gao, R., Zhang, Q., Zhong, T., Zan, T., Guan, B., & Li, Z. (2020). Effects of monitor alarm management training on nurses alarm fatigue: A randomized controlled trial. Journal of Clinical Nursing, 29(21), 4203-4216.
b. Date of Publication: 2020
c. Authors: Bi, Jiasi, Xin Yin, Hongyan Li, Ruitong Gao, Qing Zhang, Tangsheng Zhong, Tao Zan, Baoxing Guan, and Zhen Li
d. Bias: There was no apparent bias in the study
e. Precisely Completed: the study appears to have been precisely completed for two reasons. First, the sample size of 93 (47 in experimental group and 46 in control group) is adequate for the study population as it exceeds the estimated sample size of 68 calculated using G*power. This ensures that the sample size remained within the estimated range even if some participants dropped out (loss from follow-up). Secondly, the groups are comparable as all participants are ICU nurses in the same facility, who are only separated by exposure status.
f. Applicability: This study is very applicable to the capstone project. The project seeks to determine ways of reducing alarm fatigue among nurses and how to reduce it. The findings of this study provide crucial insights on the effectiveness of alarm management training as a strategy for reducing alarm fatigue among nurses. Further, the methodology adopted offers the capstone project a means to assess the success of such a training in a healthcare organization.
g. Outcomes: Results of this document suggest that alarm management training helps lower alarm fatigue among ICU nurses as shown by the fact that nurses in the experimental group reported lower post-intervention fatigue scores...
…studies. Thus, it could be categorized under level C of evidence, which is graded as moderate quality evidence.5. The impact of the CEASE bundle of the AACN in decreasing alarm fatigue among critical care nurses
a. Reference: Lewis, C.L., & Oster, C. A. (2019). Research outcomes of implementing CEASE: An innovative, nurse-driven, evidence-based, patient-customized monitoring bundle to decrease alarm fatigue in the intensive care unit/step-down unit. Dimensions of Critical Care Nursing, 38(3), 160-173.
b. Date of Publication: 2019
c. Authors: Carmencita Lorenzo and Cynthia Oster
d. Bias: Possible bias as both authors were, at the time of the study, nurse staff at the Porter Adventist Hospitals intensive care unit, where the study was conducted.
e. Precisely Completed: The study appears to have been precisely conducted, although the sample of 74 nurses was selected conveniently as opposed to randomly. Further, the study made use of the Clinical Alarms Survey of the Healthcare Technology Foundation to measure nurses adherence to the CEASE alarm bundle. The instrument has passed reliability tests, making it a credible measure and enhancing the reliability of the study findings.
f. Applicability: this document is applicable to the capstone project. The project seeks to reduce alarm fatigue among nurses. This document proves the effectiveness of the AACN CEASE alarm bundle, which is a combination of interventions, differently from other studies that focus on a single intervention. The CEASE tool enhances the monitoring of patients through a combination of interventions, including education on alarm systems, customizing alarm parameters, engaging appropriate monitoring parameters, changing ECG electrodes regularly, and suspending alarms that could produce false alarms during patient care.
g. Outcomes: The results of this study showed that implementation of the CEASE bundle decreased the number of daily alarms by 31 percent and the occurrence of nuisance alarms by 24 percent.
h. Comments and Grading: This being a quasi-experimental study, it falls…
References
Bi, J., Yin, X., Li, H., Gao, R., Zhang, Q., Zhong, T., Zan, T., Guan, B., & Li, Z. (2020). Effects of monitor alarm management training on nurses’ alarm fatigue: A randomized controlled trial. Journal of Clinical Nursing, 29(21), 4203-4216.
Dee, S. A., Tucciarone, J., Plotkin, G., & Mallilo, C. (2022). Determining the impact of an alarm management program on alarm fatigue among ICU and telemetry RNs: An evidence-based research project. The Journal of School Nursing, 8(1), Doi: 10.1177/23779608221098713Lewandowska, K., Weisbrot, M., Cieloszyk, A., Medrzycka-Dabrowska, W., Krupa, S., & Ozga, D. (2020). Impact of alarm fatigue on the work of nurses in an intensive care environment: A systematic review. International Journal of Environmental Research and Public Health, 17(22), 8409. Doi: 10.3390/ijerph17228409Lewis, C.L., & Oster, C. A. (2019). Research outcomes of implementing CEASE: An innovative, nurse-driven, evidence-based, patient-customized monitoring bundle to decrease alarm fatigue in the intensive care unit/step-down unit. Dimensions of Critical Care Nursing, 38(3), 160-173.
Nyarko, B.A., Nie, H., Yin, Z., Chai, X., & Yue, L. (2022). The effect of educational interventions in managing nurses’ alarm fatigue: An integrative review. Journal of Clinical Nursing, 32(13), 2985-2997.
Alarm Fatigue Theories in nursing generally center on the relationship of four concepts -- nursing, environment, person and health. These concepts are interrelated and impact one another in diverse ways, often seen in issues of nursing when problems arise that require analysis. The issue of alarm fatigue is one problem in nursing that touches on each of these four concepts. Alarm fatigue can be defined as exhaustion that occurs for nurses
Alarm Fatigue Ethics Committee Proposal: Alarm Fatigue Alarm fatigue is a serious issue that is faced by nurses and other medical staff on a daily basis. It is not just a concern for the staff, but also for the patients. There is a possibility that they will not get the proper care in a timely manner if the medical personnel are not responding quickly and accurately to the alarms that go off
Abstract This paper provides a literature review of the topic of alarm fatigue and alarm management. The sources used were all published from 2016 onward and dealt in some way with alarm fatigue or with the challenges of alarm management. The papers were selected using databases ProQuest, PubMed, Springer, NCBI, and ScienceDirect. The keywords used for searching were “alarm fatigue,” “alarm management,” and “alarm fatigue patient safety.” The results of the
Alarm Fatigue When someone is exposed to a frequent number of alarms, no matter what type or in what context, that person can easily become fatigued from the sound of them going off all the time. When that happens, the person becomes completely desensitized to the alarms, and that can lead to not answering the alarms in a timely manner, or even missing some of them completely (Aztema & Schull, 2006).
Interdisciplinary Consideration -- Alarm Fatigue Interdisciplinary Consideration: Alarm Fatigue Alarm fatigue is a very real problem for a number of people in various disciplines. It occurs when alarms go off so much that people begin to tune them out. That could mean ignoring something that would be very important to note, and could end up putting patients at risk of serious injury and even death. Two of the disciplines where alarm fatigue
PROFESSIONAL CAPSTONE 9Alarm Fatigue and How to Reduce ItAbstractAlarm fatigue is a fundamental problem facing healthcare professionals today. It is defined as sensory overload that occurs when healthcare professionals are exposed to the constant noise of medical device alarms, leading to desensitization that results in delayed response or missed alarms altogether (Chromik et al., 2022). The hypothesis statement for the proposed research project is that alarm management training would be
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now