Intervention Program for Alarm Fatigue in NICU Nurses Based on ABC-X Model

NCT07025863 | Enrolling By Invitation

• 1 other identifier: 2024282
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

Monitors in newborn intensive care (NICU) help keep babies safe, but the constant beeping can overwhelm nurses. This 'alarm fatigue' makes it harder for nurses to identify real emergencies, stresses them out, and can impact patient care, including infant care. While we know this problem exists, there aren't many proven solutions. This study aims to develop and evaluate a new support program for nurses in the NICU who experience alarm fatigue. We first talked to NICU nurses to understand their challenges and needs. Then, using a stress management model (called the ABC-X model), we designed a program specifically to help them cope. Experts helped refine the program. Finally, we'll introduce this program to NICU nurses and see how well it works. The goal is to reduce nurses' alarm fatigue, improve their well-being, and ultimately enhance the safety and quality of care for newborns.

Conditions

Alert Fatigue, Health Personnel

Keywords

Neonatal Intensive Care Unit; Alarm Fatigue; ABC-X Model

Outcome Measures

Primary Outcomes (1)

• the level of alarm fatigue

  The Nurses' Alarm Fatigue Questionnaire (NAFQ) was developed by Iranian scholars Torabizadeh et al. in 2017 and is currently one of the most widely used self-assessment tools for quantifying the degree of alarm fatigue among ICU nurses. Chinese scholars Liu Jie et al. translated this questionnaire in 2021. It consists of 13 items, each using a 5-point Likert scale, with scores ranging from 0 to 4 representing "always, often, occasionally, very rarely, never," respectively. Items 1 and 9 are positively scored, while the remaining items are negatively scored. The total score ranges from 0 to 52 points, with higher scores indicating more severe alarm fatigue among ICU nurses. The Chinese version of the scale has a Cronbach's α coefficient of 0.771, a test-retest reliability of 0.966, and a content validity of 0.920, demonstrating good reliability and validity.

  Baseline and 1 week after intervention

Secondary Outcomes (1)

• The NICU Nurse Alarm Fatigue Intervention Program Satisfaction

  1 week after intervention

Study Arms (1)

intervention group

EXPERIMENTAL

This study employed a self-control before-and-after experimental design. The aim is to initially apply the NICU nurse alarm fatigue intervention program based on the ABC-X theoretical model. By evaluating the implementation effect of the intervention and the satisfaction of the nurses, the effectiveness of the program will be verified and the program will be improved.

Behavioral: Alarm Fatigue Intervention Program

Interventions

Alarm Fatigue Intervention Program BEHAVIORAL

Train nurses in terms of alarm fatigue stressors, coping resources, and cognition. The training content for stress management includes forming a multidisciplinary team, selecting appropriate equipment, replacing accessories and dressings in a timely manner, and comforting the children promptly. The training content for dealing with resources includes standardizing alarm response procedures, increasing manpower allocation, enhancing knowledge, skills, and psychological adjustment, etc. The training content of cognition includes fostering a positive attitude and strengthening responsibility, etc.

intervention group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Be informed and agree to participate in this study
• Have worked continuously in the NICU for at least 1 year
• Be a registered nurse with a practicing qualification certificate

You may not qualify if:

• Rotate and train nurses
• Those who are not on duty during the research period
• Those who did not directly participate in clinical work
• Those who withdrew from the research voluntarily during training
• Those whose attendance rate was less than 90% due to personal reasons

Sponsors & Collaborators

• Guizhou Medical University: lead
• The Affiliated Hospital Of Guizhou Medical University: collaborator

Study Sites (1)

Guizhou Medical University

Guiyang, Guizhou, 561113, China

Location

MeSH Terms

Conditions

Alert Fatigue, Health Personnel

Condition Hierarchy (Ancestors)

Mental Fatigue; Fatigue; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior

Study Officials

• Yaling Li

  Guizhou Medical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 9, 2025
• First Posted: June 18, 2025
• Study Start: March 3, 2025
• Primary Completion: October 31, 2025
• Study Completion: October 31, 2025
• Last Updated: June 18, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Following final publication of primary results (anticipated within 12 months of study completion).
• Access Criteria: Researchers providing: * Approved ethics protocol * Signed data use agreement upon direct request to the principal investigator.

Locations

CN (1)