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Intensive care unit nurse‘s reaction experience to patient monitoring medical device alarms

Title
Intensive care unit nurse‘s reaction experience to patient monitoring medical device alarms
Authors
Kim E.Kim M.
Ewha Authors
김미영
SCOPUS Author ID
김미영scopus
Issue Date
2021
Journal Title
Journal of Korean Academy of Nursing Administration
ISSN
1225-9330JCR Link
Citation
Journal of Korean Academy of Nursing Administration vol. 27, no. 3, pp. 215 - 226
Keywords
Clinical alarmsIntensive care unitsNursesPhenomenology
Publisher
Korean Academy of Nursing Administration
Indexed
SCOPUS; KCI scopus
Document Type
Article
Abstract
Purpose: This study was done to explore the meaning of the intensive care unit (ICU) nurse’s alarm reaction and identify essential structure of the reaction experience. Methods: Data were collected through in-depth interviews with 10 intensive care unit nurses working in higher general hospital. Data collection and analysis were conducted simultaneously by applying Giorgi's phenomenological method. Results: The ICU nurse’s alarm reaction was shown to be in a dynamic structure to recognize and respond to alarms. Medical device alarms were recognized through alarm sounds and the importance of alarms was determined through previous experience of alarms and whether alarms were true or false. The problem solving ability to manipulate the alarm devices increased with reaction to alarms, and the nurses showed flexibility to individualize alarm settings according to patients’ situations, or respond to alarms according to priority considering the degree of emergency of alarms. In addition, nurses resolved alarms while feeling a sense of mutual responsibility among colleagues in emergency situations. Conclusion: The essential structure of ICU nurses’ alarm reaction revealed through this study was the recognition of and reaction to alarms, and the major characteristics explaining this structure were sensitivity, judgment, problem solving ability, flexibility, and mutual responsibility. © 2021 Korean Academy of Nursing Administration
DOI
10.11111/JKANA.2021.27.3.215
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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