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Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice

Author

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  • Soo-Joung Lee

    (Division of Nursing, Inje University Haeundae Paik-Hospital, Busan 48108, Korea)

  • Yun-Mi Lee

    (Institute of Health Science, College of Nursing, Inje University, Busan 47392, Korea)

  • Eun Ji Seo

    (Research Institute of Nursing Science, College of Nursing, Ajou University, Suwon 16499, Korea)

  • Youn-Jung Son

    (Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea)

Abstract

This study aimed to identify the impact of nurses’ perception of clinical alarms and patient safety culture on alarm management. Additionally, we aimed to describe the importance of clinical alarm issues. The data were collected from 21 August to 10 September 2020. The study participants were 116 nurses working in a tertiary acute care hospital in Korea. The self-report questionnaire included general characteristics, clinical alarm issues, nurses’ alarm perception, patient safety culture, and alarm management practice. The mean age of nurses was 28.04 ± 4.06 years, with 5.71 ± 4.35 years of total clinical experience. For the importance of alarm issues, frequent false alarms leading to reduced attention or response was the most important issue. Hierarchical linear regression analysis revealed that a higher level of nurses’ perceived patient safety culture was the strongest predictor of better alarm management practice ( p < 0.001), followed by their perception of clinical alarms ( p = 0.034). In addition, female nurses ( p = 0.004), charge nurses ( p = 0.013), and nurses who work less than 40 h per week ( p = 0.008) were more likely to work better in alarm management practice. Future studies are needed to develop standardized alarm management guidelines by improving nurses’ positive perceptions of clinical alarms and patient safety culture.

Suggested Citation

  • Soo-Joung Lee & Yun-Mi Lee & Eun Ji Seo & Youn-Jung Son, 2021. "Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4018-:d:534228
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    References listed on IDEAS

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    1. Katarzyna Lewandowska & Magdalena Weisbrot & Aleksandra Cieloszyk & Wioletta Mędrzycka-Dąbrowska & Sabina Krupa & Dorota Ozga, 2020. "Impact of Alarm Fatigue on the Work of Nurses in an Intensive Care Environment—A Systematic Review," IJERPH, MDPI, vol. 17(22), pages 1-14, November.
    2. Terri Watkins & Lynn Whisman & Pamela Booker, 2016. "Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 278-281, January.
    3. Halley Ruppel & Marjorie Funk & Robin Whittemore & Shu‐Fen Wung & Christopher P. Bonafide & Holly Powell Kennedy, 2019. "Critical care nurses’ clinical reasoning about physiologic monitor alarm customisation: An interpretive descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 3033-3041, August.
    4. Jacqueline Peet & Karen Theobald & Clint Douglas, 2019. "Strengthening nursing surveillance in general wards: A practice development approach," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2924-2933, August.
    5. Jiasi Bi & Xin Yin & Hongyan Li & Ruitong Gao & Qing Zhang & Tangsheng Zhong & Tao Zan & Baoxing Guan & Zhen Li, 2020. "Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4203-4216, November.
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