摘要
目的:了解国内外重症监护室(ICU)护士报警疲劳的研究现况。方法:按照范围综述方法框架,计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、the Cochrane Library、EMbase等数据库中有关ICU护士报警疲劳的文献,检索时限为建库至2024年3月9日,由2名研究者独立进行筛选和数据提取,并对纳入文献进行总结并报告结果。结果:共纳入26篇文献,研究显示影响ICU护士报警疲劳的因素有一般人口学因素、环境因素、报警相关因素和心理因素。研究中应对护士报警疲劳的干预策略差异性不大,主要围绕教育培训、报警系统与参数优化、多学科合作及综合干预措施等。结论:ICU护士的报警疲劳的影响因素是多方面的,部分研究变量的作用有待进一步探讨,同时,还需要加强ICU护士报警疲劳本土化测评工具的研发。目前的干预措施以教育培训为主,未来可在监测和报警处理上引入机器算法上推动临床实践的发展。
Objective:To understand the current research status of alarm fatigue among intensive care unit(ICU)nurses at home and abroad.Methods:According to the scoping review method framework,the literature on alarm fatigue of ICU nurses in the CNKI,WanFang Database,VIP,CBM,PubMed,Web of Science,the Cochrane Library,and EMbase was searched.The search time limit was set from the establishment of the database to On March 9,2024.Two researchers independently conducted screening and data extraction,summarized the included literature and reported the results.Results:A total of 26 documents were included,and the research showed that factors affecting ICU nurses′alarm fatigue including general demographic factors,environmental factors,alarm-related factors,and psychological factors.The intervention strategies to deal with nurse alarm fatigue in the study were not very different,and mainly focus on education and training,alarm system and parameter optimization,multidisciplinary cooperation and comprehensive intervention measures.Conclusion:The influencing factors of ICU nurses′alarm fatigue are multifaceted,and the role of some research variables needs to be further explored.At the same time,it is also necessary to strengthen the development of localized assessment tools for ICU nurses′alarm fatigue.The current intervention measures are mainly education and training.In the future,machine algorithms can be introduced in monitoring and alarm processing to promote the development of clinical practice.
作者
陈汉骞
董霞
李秋霖
夏红燕
段华庆
CHEN Hanqian;DONG Xia;LI Qiulin;XIA Hongyan;DUAN Huaqing(School of Nursing,Gannan Medical University,Jiangxi 341000 China)
出处
《循证护理》
2024年第23期4245-4251,共7页
Chinese Evidence-Based Nursing
基金
江西省教育厅科学技术研究项目,编号:GJJ211515。
关键词
护士
重症监护室
报警疲劳
范围综述
nurses
intensive care unit,ICU
alarm fatigue
scoping review
