Construction and Application of an Intervention Program for Alarm Fatigue Among NICU Nurses Based on the ABC-X Theoretical Model
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- the level of alarm fatigue
研究概览
简要总结
Monitors in newborn intensive care (NICU) help keep babies safe, but the constant beeping can overwhelm nurses. This 'alarm fatigue' makes it harder for nurses to identify real emergencies, stresses them out, and can impact patient care, including infant care. While we know this problem exists, there aren't many proven solutions. This study aims to develop and evaluate a new support program for nurses in the NICU who experience alarm fatigue. We first talked to NICU nurses to understand their challenges and needs. Then, using a stress management model (called the ABC-X model), we designed a program specifically to help them cope. Experts helped refine the program. Finally, we'll introduce this program to NICU nurses and see how well it works. The goal is to reduce nurses' alarm fatigue, improve their well-being, and ultimately enhance the safety and quality of care for newborns.
详细描述
Title: Construction and Application of an Intervention Program for Alarm Fatigue Among NICU Nurses Based on the ABC-X Theoretical Model
Background: Alarm fatigue in Neonatal Intensive Care Units (NICUs) is a critical patient safety and healthcare workers' well-being issue. The proliferation of monitoring technologies generates excessive, often clinically insignificant alarms, leading to desensitization, delayed responses, missed critical events, increased stress, burnout, and reduced quality of care among nurses. Current research primarily focuses on describing and quantifying alarm fatigue, with a significant gap in theory-driven intervention programs designed to mitigate its effects specifically for NICU nurses.
Objective: To develop, refine, and preliminarily apply a structured intervention program aimed at reducing alarm fatigue among NICU nurses, utilizing the ABC-X family stress model as a theoretical framework.
Methods: This study employs a multi-phase, sequential design:
Problem Exploration & Needs Assessment (Phase 1):
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be informed and agree to participate in this study
- •Have worked continuously in the NICU for at least 1 year
- •Be a registered nurse with a practicing qualification certificate
排除标准
- •Rotate and train nurses
- •Those who are not on duty during the research period
- •Those who did not directly participate in clinical work
- •Those who withdrew from the research voluntarily during training
- •Those whose attendance rate was less than 90% due to personal reasons
结局指标
主要结局
the level of alarm fatigue
时间窗: Baseline and 1 week after intervention
The Nurses' Alarm Fatigue Questionnaire (NAFQ) was developed by Iranian scholars Torabizadeh et al. in 2017 and is currently one of the most widely used self-assessment tools for quantifying the degree of alarm fatigue among ICU nurses. Chinese scholars Liu Jie et al. translated this questionnaire in 2021. It consists of 13 items, each using a 5-point Likert scale, with scores ranging from 0 to 4 representing "always, often, occasionally, very rarely, never," respectively. Items 1 and 9 are positively scored, while the remaining items are negatively scored. The total score ranges from 0 to 52 points, with higher scores indicating more severe alarm fatigue among ICU nurses. The Chinese version of the scale has a Cronbach's α coefficient of 0.771, a test-retest reliability of 0.966, and a content validity of 0.920, demonstrating good reliability and validity.
次要结局
- The NICU Nurse Alarm Fatigue Intervention Program Satisfaction(1 week after intervention)