Systematic review on influencing factors of nurses' clinical alarm response
10.3760/cma.j.cn115682-20201019-05808
- VernacularTitle:护士临床警报应对影响因素的系统综述
- Author:
Siqi ZHANG
1
;
Mengling LI
;
Yuelan QIN
;
Zhen LI
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）小儿骨科，长沙 410005
- Keywords:
Nurses;
Clinical alarms;
Alarm response;
Influencing factors;
Systematic review
- From:
Chinese Journal of Modern Nursing
2021;27(15):2020-2026
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the influencing factors of nurses' clinical alarm response behavior.Methods:PubMed, Web of Science, Google Scholar, Spischolar, CNKI, Wanfang, VIP and other databases were searched from January 2004 to December 2019. Relevant studies on the influencing factors of nurses' clinical alarm response were searched, and the quality of articles meeting the inclusion criteria was evaluated, the contents were extracted and analyzed.Results:A total of 11 English articles were included, including 10 descriptive studies and 1 cohort study. Finally, 5 influencing factors ( P<0.01) related to nurses' response to clinical alarms were extracted, which were a large number of false alarms ( OR=0.84, 95% CI: 0.82-0.86) , nurses' risk assessment of patients' condition ( OR=0.77, 95% CI: 0.71-0.82) , clinical noise and multiple alarms ( OR=0.87, 95% CI: 0.85-0.89) , effective management of alarms ( OR=0.50, 95% CI: 0.43-0.58) and insufficient nursing staff ( OR=0.63, 95% CI: 0.57-0.68) . There is a lack of strong evidence on whether the nurses' work experience, clinical nurses' team cooperation degree, clinical alarm type identification, clinical alarm duration and working hours were the influencing factors of nurses' clinical alarm response. Conclusions:Nurses' clinical alarm response is affected by many factors. Targeted management should be carried out to improve response efficiency. More in-depth observational researches or intervention researches are suggested to be carried out to further improve the quality of nursing services.
