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ROBINKRINSKYFINALTHESIS2015.pdf (2.44 MB)

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Fatigue and Alarm Fatigue in Critical Care Nurses

Krinsky, Robin S
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757

Abstract Details

2015, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
The study of nurse fatigue is of vital importance in the quality and safety of patient care, as the demands of the critical care environment place the nurse in a susceptible position for the development of fatigue and the ensuing consequences that fatigue has. The purpose of this quantitative study of 195 Critical Care Nurses was to examine chronic fatigue, acute fatigue, intershift recovery, identify the workload dimensions of the task of responding to cardiac monitor alarms, examine the perceptions and issues critical care nurses have about alarms, and describe the relationships that exist among those who report higher fatigue levels and issues surrounding clinical alarms. The Occupational Fatigue Exhaustion Recovery scale, the National Aeronautics and Space Administration Task Load Index scale, and the Healthcare Technology Foundation Clinical Alarms Survey were used to measure and describe these variables. Statistically significant relationships were found between the three types of fatigue present in this sample of critical care nurses: a low/moderate level of chronic fatigue, moderate to high levels of acute fatigue, and low/moderate levels of intershift recovery. The subjective workload of responding to cardiac monitoring alarms was above industry standards for several domains of workload and overall total workload. Critical Care Nurses were most concerned with the impact of nuisance alarms, confusing visual and auditory alarm signals, the integration of smart alarm technology, alarm fatigue, and the lack of responsiveness staff has to alarms. These findings can aid in designing interventions to mitigate and eliminate fatigue in critical care environments, influence industry to take greater consideration in preventing alarm fatigue when developing monitoring equipment, create a culture of safety for critical care nurses, and improve the overall quality of patient care.
Dr. Joyce Fitzpatrick (Committee Chair)
Dr. Mary Ann Whelan-Gales (Committee Member)
Dr. Mary Dolansky (Committee Member)
249 p.
Nursing
Fatigue, Alarm Fatigue, Critical Care Nurses, Workload, Alarms

Recommended Citations

Citations

  • Krinsky, R. S. (2015). Fatigue and Alarm Fatigue in Critical Care Nurses [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757

    APA Style (7th edition)

  • Krinsky, Robin. Fatigue and Alarm Fatigue in Critical Care Nurses. 2015. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757.

    MLA Style (8th edition)

  • Krinsky, Robin. "Fatigue and Alarm Fatigue in Critical Care Nurses." Doctoral dissertation, Case Western Reserve University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757

    Chicago Manual of Style (17th edition)

casednp1428102757
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© 2015, all rights reserved.
This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.