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Volume 5, Issue 4 (2024)
J Clinic Care Skill 2024, 5(4): 173-179 |
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Ethics code: IR.TUMS.FNM.REC.1401.074
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Received: 2024/07/23 | Accepted: 2024/10/21 | Published: 2024/10/31
Received: 2024/07/23 | Accepted: 2024/10/21 | Published: 2024/10/31
How to cite this article
Begjani J, Bagheri Moheb N, Haghani S, Babaei H. The Relationship between Alarm Fatigue and Clinical Competence in Neonatal Intensive Care Nurses in Kermanshah, Iran. J Clinic Care Skill 2024; 5 (4) :173-179
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URL: http://jccs.yums.ac.ir/article-1-286-en.html
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1- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Biostatistics, Faculty of Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Department of Pediatrics, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
2- Department of Biostatistics, Faculty of Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Department of Pediatrics, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
Abstract (504 Views)
Aims: Insufficient nursing qualifications are among the factors contributing to clinical errors in care units. Additionally, frequent false alarms diminish nurses' trust in alarm systems and delay response times, potentially leading to alarm fatigue over time. This study aimed to investigate the association between alarm fatigue and clinical competence among neonatal intensive care unit (NICU) nurses.
Instruments & Methods: This descriptive correlational study included 140 NICU nurses from Kermanshah, Iran, during 2023-2024, selected using a census sampling method. Data collection tools comprised a demographic questionnaire, the "Nurse Competence Scale," and the "Alarm Fatigue Questionnaire." Statistical analysis was conducted using SPSS version 16, employing both descriptive and inferential methods, with a significance level set at p<0.05.
Findings: The mean alarm fatigue score was 21.61±7.45, indicating a level above average. Most participants (75%) demonstrated very good clinical qualifications. The average clinical competence score was 174.76±26.74, also rated at a very good level. A significant relationship was observed between alarm fatigue and clinical competence in the teaching-coaching subscale (p=0.019). However, no significant association was found overall.
Conclusion: As alarm fatigue increases, clinical competence specifically within the teaching-coaching subscale declines. However, no significant correlation is observed between overall clinical competence (excluding the teaching-coaching subscale) and alarm fatigue, nor between alarm fatigue and the individual subscales of clinical competence.
Instruments & Methods: This descriptive correlational study included 140 NICU nurses from Kermanshah, Iran, during 2023-2024, selected using a census sampling method. Data collection tools comprised a demographic questionnaire, the "Nurse Competence Scale," and the "Alarm Fatigue Questionnaire." Statistical analysis was conducted using SPSS version 16, employing both descriptive and inferential methods, with a significance level set at p<0.05.
Findings: The mean alarm fatigue score was 21.61±7.45, indicating a level above average. Most participants (75%) demonstrated very good clinical qualifications. The average clinical competence score was 174.76±26.74, also rated at a very good level. A significant relationship was observed between alarm fatigue and clinical competence in the teaching-coaching subscale (p=0.019). However, no significant association was found overall.
Conclusion: As alarm fatigue increases, clinical competence specifically within the teaching-coaching subscale declines. However, no significant correlation is observed between overall clinical competence (excluding the teaching-coaching subscale) and alarm fatigue, nor between alarm fatigue and the individual subscales of clinical competence.
Keywords:
Nurses [MeSH], Alert Fatigue [MeSH], Health Personnel [MeSH], Clinical Competence [MeSH], Intensive Care Units [MeSH], Neonate [MeSH]
References
1. Fotohi P, Olyaie N, Salehi K. The dimensions of clinical competence of nurses working in critical care units and their relation with the underlying factors. Q J Nurs Manag. 2019;8(2):1-9. [Persian] [Link]
2. Hoseinpour S, Borimnejad L, Rasooli M, Hardani AK, Alhani F. The effect of implementing a family-centered empowerment model on the quality of life of parents of premature infants admitted to a neonatal intensive care unit. Iran J Nurs. 2022;34(134):2-17. [Persian] [Link] [DOI:10.32598/ijn.34.6.1]
3. Keshavarzi N, Nourian M, Oujian P, Alaee Karahroudi F. Clinical competence and its relationship with job stress among neonatal intensive care unit nurses: A descriptive study. Nurs Midwifery J. 2021;19(7):527-38. [Persian] [Link] [DOI:10.52547/unmf.19.7.2]
4. Mirlashari J, Qommi R, Nariman S, Bahrani N, Begjani J. Clinical competence and its related factors of nurses in neonatal intensive care units. J Caring Sci. 2016;5(4):317-24. [Link] [DOI:10.15171/jcs.2016.033]
5. Johnson DE. Competence in practice: Technical and professional. Nurs Outlook. 1966;14(10):30-3. [Link]
6. Benner P. From novice to expert. Am J Nurs. 1982;82(3):402-7. [Link] [DOI:10.1097/00000446-198282030-00004]
7. WHO. Responding to community spread of COVID-19. Geneva: World Health Organization; 2020. [Link]
8. Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. Int J Nurs Sci. 2019;6(4):421-5. [Link] [DOI:10.1016/j.ijnss.2019.09.007]
9. Meretoja R, Isoaho H, Leino‐Kilpi H. Nurse competence scale: Development and psychometric testing. J Adv Nurs. 2004;47(2):124-33. [Link] [DOI:10.1111/j.1365-2648.2004.03071.x]
10. Dudding KM, Bordelon C, Sanders AN, Shorten A, Wood T, Watts P. Improving quality in neonatal care through competency-based simulation. Neonatal Netw. 2022;41(3):159-67. [Link] [DOI:10.1891/NN-2021-0014]
11. Tai C, Chen D, Zhang Y, Teng Y, Li X, Ma C. Exploring the influencing factors of patient safety competency of clinical nurses: A cross-sectional study based on latent profile analysis. BMC Nurs. 2024;23(1):154. [Link] [DOI:10.1186/s12912-024-01817-z]
12. Atashzadeh‐Shoorideh F, Shirinabadi Farahani A, Pishgooie AH, Babaie M, Hadi N, Beheshti M, et al. A comparative study of patient safety in the intensive care units. Nurs Open. 2022;9(5):2381-9. [Link] [DOI:10.1002/nop2.1252]
13. Bahreini M, Shahamat S, Hayatdavoudi P, Mirzaei M. Comparison of the clinical competence of nurses working in two university hospitals in Iran. Nurs Health Sci. 2011;13(3):282-8. [Link] [DOI:10.1111/j.1442-2018.2011.00611.x]
14. Lewandowska K, Weisbrot M, Cieloszyk A, Mędrzycka-Dąbrowska W, Krupa S, Ozga D. Impact of alarm fatigue on the work of nurses in an intensive care environment-A systematic review. Int J Environ Res Public Health. 2020;17(22):8409. [Link] [DOI:10.3390/ijerph17228409]
15. Seifert M, Tola DH, Thompson J, McGugan L, Smallheer B. Effect of bundle set interventions on physiologic alarms and alarm fatigue in an intensive care unit: A quality improvement project. Intensive Crit Care Nurs. 2021;67:103098. [Link] [DOI:10.1016/j.iccn.2021.103098]
16. Varisco G, Van De Mortel H, Cabrera‐Quiros L, Atallah L, Hueske‐Kraus D, Long X, et al. Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU. Acta Paediatr. 2021;110(4):1141-50. [Link] [DOI:10.1111/apa.15615]
17. Huo J, Wung S, Roveda J, Li A. Reducing false alarms in intensive care units: A scoping review. Explor Res Hypothesis Med. 2023;8(1):57-64. [Link]
18. Ali Al-Quraan H, Eid A, Alloubani A. Assessment of alarm fatigue risk among oncology nurses in Jordan. SAGE Open Nurs. 2023;9:23779608231170730. [Link] [DOI:10.1177/23779608231170730]
19. Torabizadeh C, Yousefinya A, Zand F, Rakhshan M, Fararooei M. A nurses' alarm fatigue questionnaire: Development and psychometric properties. J Clin Monit Comput. 2017;31(6):1305-12. [Link] [DOI:10.1007/s10877-016-9958-x]
20. Yousefinya A, Torabizadeh C, Zand F, Rakhshan M, Fararooei M. Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units. Invest Educ Enferm. 2021;39(2):e11. [Link] [DOI:10.17533/udea.iee.v39n2e11]
21. Sayadi L, Seylani K, Akbari Sarruei M, Faghihzadeh E. Physiologic monitor alarm status and nurses' alarm fatigue in coronary care units. HAYAT. 2019;25(3):342-55. [Persian] [Link]
22. Johnson KR, Hagadorn JI, Sink DW. Alarm safety and alarm fatigue. Clin Perinatol. 2017;44(3):713-28. [Link] [DOI:10.1016/j.clp.2017.05.005]
23. Jämsä JO, Uutela KH, Tapper AM, Lehtonen L. Clinical alarms and alarm fatigue in a University Hospital Emergency Department-A retrospective data analysis. Acta Anaesthesiol Scand. 2021;65(7):979-85. [Link] [DOI:10.1111/aas.13824]
24. Ding S, Huang X, Sun R, Yang L, Yang X, Li X, et al. The relationship between alarm fatigue and burnout among critical care nurses: A cross‐sectional study. Nurs Crit Care. 2023;28(6):940-7. [Link] [DOI:10.1111/nicc.12899]
25. Gündoğan G, Erdağı Oral S. The effects of alarm fatigue on the tendency to make medical errors in nurses working in intensive care units. Nurs Crit Care. 2023;28(6):996-1003. [Link] [DOI:10.1111/nicc.12969]
26. Soroush F, Zargham-Boroujeni A, Namnabati M. The relationship between nurses' clinical competence and burnout in neonatal intensive care units. Iran J Nurs Midwifery Res. 2016;21(4):424-9. [Link] [DOI:10.4103/1735-9066.185596]
27. Deldar M, Bahreini M, Ravanipour M, Bagherzadeh R. The relationship of nurses' clinical competence and communication skills with parents' anxiety during neonates and children's hospitalization. Q J Nurs Manag. 2020;9(2):42-55. [Persian] [Link]
28. Sendelbach S, Funk M. Alarm fatigue: A patient safety concern. AACN Adv Crit Care. 2013;24(4):378-86. [Link] [DOI:10.4037/NCI.0b013e3182a903f9]
29. Queen-Lomas M. Night shift acute care nurse narratives: Exploring collaborative solutions to reduce burnout, increase morale and engagement, and improve retention [dissertation]. Hattiesburg: The University of Southern Mississippi; 2024. [Link]
30. Skorobogatova N, Žemaitienė N, Šmigelskas K, Tamelienė R, Markūnienė E, Stonienė D. Limits of professional competency in nurses working in Nicu. Open Med. 2018;13(1):410-5. [Link] [DOI:10.1515/med-2018-0060]
31. Franck LS, Bisgaard R, Cormier DM, Hutchison J, Moore D, Gay C, et al. Improving family-centered care for infants in neonatal intensive care units: Recommendations from frontline healthcare professionals. Adv Neonatal Care. 2022;22(1):79-86. [Link] [DOI:10.1097/ANC.0000000000000854]