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Alarm Fatigue: A Concept Analysis

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Alarm Fatigue: A Concept Analysis
Alarm Fatigue in Health Care: A Concept Analysis
Chamberlain College of Nursing
NR-501: Theoretical Basis for Advanced Nursing Practice

Alarm Fatigue in Health Care: A Concept Analysis
Alarm fatigue in health care has grown to be an ever-growing concern in the health care arena, especially when looking at patient safety concerns. There must be an understanding of the problem before we can develop policies and effective strategies to counter this problem. The concept of alarm fatigue in health care will be evaluated utilizing the method developed by Walker and Avant (2010) that identifies and gives the significance of the attributes, antecedents, and end-consequences of alarm fatigue in health care. This will be developed based off of literature review, along with the use of model and contradictory cases to emphasize the data discovered in the review stage. Key words utilized during the search include alarm, fatigue, alarm fatigue, nursing, interruptions, & distractions. Throughout the hospital environment, there are many different noises and sounds to be heard. Many of those sounds heard by nurses, as well as patients and their families are coming from different machines, monitors and even patients. As the quality and number of monitors and special equipment continue to increase, so do the number of patients that are connected to them. This in turn exposes not only patients, but also nurses to a significant amount of noise and alarms, ultimately leading to the clinical problem called alarm fatigue. As defined by the Joint Commission, alarm fatigue is known as the desensitization of medical staff as a result of sensory overload. This overload ultimately results in a delay of an alarm being answered, and sometimes someone completely missing the alarm altogether (The Joint Commission, 2015). Alarm fatigue has been recognized as a contributing factor to clinical distractions, interfering with patient care. This end result is a decrease in patient



References: Burgess, L., Herdman, T., Berg, B., Feaster, W., & Hebser, S. (2009). Alarm limit settings for early warning system to identify at-risk patients. Journal of Advanced Nursing. Cvach, M. (2012). Monitor alarm fatigue: An integrative review. Biomedical Engineering and Technology, 46(4), pp. 268-277. Emergency Care Research Institute. (2014). Top 10 Technology Hazards for 2015. Emergency Care Research Institute. Keller, J. P. (2012). Clinical alarm hazards: A top ten health technology safety concern. Journal of Electrocardiology. Li, Q., & Clifford, G. (2012). Signal quality and data fusion for false alarm reduction in the intensive care unit. Journal of Electrocardiology. Macmillan Publishers. (2015). Macmillan Dictionary. Retrieved from macmillandictionary.com Macmillan Thesaurus Medical Dictionary. (2015). Retrieved from A Medical Dictionary of Medical Terminology: medical-dictionary.com Merriam-Webster Dictionary Stedman, T. L., & Dirckx, J. H. (2001). Stedman 's concise medical dictionary for the health professions. Lippincott, Williams & Wilkins. The Joint Commission. (2013). Sentinal Event Alert: Medical Device Alarm Safety in Hospitals. Retrieved from www.jointcommission.org/assets/1/18/SEA_50_alarms_4_5_13_FINAL1.pdf The Joint Commission Townsend, L., & Scanlan, J. M. (2011). Self-Efficacy Related to Student Nurses in the Clinical Setting: A Concept Analysis. International Journal of Nursing Education Scholarship, 8(1). Walker, L. O., & Avant, K. C. (2010). Concept Analysis.

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