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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Nurses Competency in Alarm Protocol and Its Management in Critical Care Setting: A Systematic Review |
| Authors Name: | Sweta Kumari , Dr. Sanjay Kumar Singh |
| Unique Id: | IJSDR2312073 |
| Published In: | Volume 8 Issue 12, December-2023 |
| Abstract: | Abstract Aim: Synthesize the evidence on critical care Nurses efficiency about cardiac alarm management and to prevent alarm fatigue. Design: Systematic review, without meta-analysis, with pre and post efficiency comparison after intervention. Data sources: Five electronic databases were searched from January 2010 to January 2022. Reference lists of identified reviews, study protocols and included documents were scrutinized for further studies Review methods: A systematic review of the literature was carried out according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol. The content of electronic databases was searched through, i.e., PubMed, Google Scholar, EMBASE, CTRI, and Cochrane Library. The keywords used in the search included: “critical care unit,” “nurse,” “alarm protocol,” “efficiency/knowledge,” and “clinical alarm.” The review also covered studies carried out among nurses employed at an adult intensive care unit. Finally, eight publications were taken into consideration. Data were analyzed both descriptively and quantitatively, calculating a weighted average for specific synthetized data. Papers on the Nurses efficiency in Alarm Protocol and Its Management in Critical Care Setting that addressed acute care patients and provided comparative data on Nurses management of alarm protocol to reduce alarm fatigue. Two reviewers undertook study selection and quality appraisal independently. Results: In the analyzed studies, 1473 nurses were tested, working in different intensive care units. All studies described the efficiency of nurses in terms of quantity, based on the knowledge questionnaire. Intensive care nurses think clinical alarms as burdensome and too frequent, which interfere with caring of patients. They lack knowledge about alarm protocol and its management. There is no clear system and existing well defined protocol for managing the alarms of monitoring devices. Conclusion: This review suggests in-service training program should be conducted for nurses regarding alarm management and increase nurses' awareness of the presence of alarm fatigue. Impact: The review addressed the policy and protocol development imperative to reduce the alarm fatigue , reduce critical care patient death due to alarm mismanagement .The findings may impact social change by decreasing nurses’ stress levels related to cognitive workloads, improving patient outcomes, and supporting increased levels of nurses’ workforce satisfaction. Keywords: alarm fatigue; clinical alarms protocol; critical care nurse; nurse’s efficiency. |
| Keywords: | alarm fatigue; clinical alarms protocol; critical care nurse; nurse’s efficiency. |
| Cite Article: | "Nurses Competency in Alarm Protocol and Its Management in Critical Care Setting: A Systematic Review ", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 12, page no.554 - 560, December-2023, Available :http://www.ijsdr.org/papers/IJSDR2312073.pdf |
| Downloads: | 000338720 |
| Publication Details: | Published Paper ID: IJSDR2312073 Registration ID:209600 Published In: Volume 8 Issue 12, December-2023 DOI (Digital Object Identifier): Page No: 554 - 560 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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