Medical and Health Sciences

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https://hdl.handle.net/20.500.11888/18295

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Browsing Medical and Health Sciences by Author "Abdullah, Jafar Ahmad"

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    THE EFFECT OF IMPLEMENTING CLINICAL ALARM NURSING INTERVENTION PROGRAM ON NURSES' KNOWLEDGE, PRACTICE AT ACADEMIC MEDICAL CENTER INTENSIVE CARE UNITS
    (An-Najah National University, 2025-12-18) Abdullah, Jafar Ahmad
    Background: Clinical monitoring alarms play an important role in enhancing patient safety systems in intensive care units, and work as a vital warning in case of patient physiological changes. The effectiveness of this system is related to the clinical competency and clinical comprehension of the nursing staff. Objective:To evaluate the effectiveness of LMS based educational program on knowledge, and practice among critical care nurses in intensive care units at NNUH • To evaluate the effectiveness of an LMS-based educational program in improving nurses' knowledge and practices related to clinical alarm systems among critical care nurses in intensive care units at NNUH Methods: A quasi-experimental approach design was utilized. The study was conducted in the Intensive Care Units (ICUs) of a tertiary academic hospital in Palestine. Eighty-two registered ICU nurses participated in the study. The study adopted a pre- and post-intervention test using the modified version of the Health Technology Foundation’s (HTF, 2011) Clinical Alarms Survey, the data collected from the participants using the LMS platform. The intervention incorporated a video module and a guided presentation, both available on the hospital's LMS during a three-month implementation period. The study inspected the changes in the following seven dimensions: nuisance alarms, the experience with alarm systems, alarm notification, smart alarms, institutional requirements, clinical alarm management enhancements, and clinical incidents. Results: the results showed that six out of seven contracts had a significant improvement, and one contrast had negative efficiency. There was a significant improvement in compliance in the areas of the Institutional Requirements domain (p < 0.001, d = 0.68) and Clinical Alarm Management Improvements domain (p < 0.001, d = 0.64). In addition to Smart Alarms, Alarm Notification, Experience with the Alarm System, and Adverse Events, which also showed significant improvement (p < 0.001) While there was a change in the Nuisance Alarms domain, but it was not statistically significant (p = 0.057). Correlation analysis showed moderately to highly positive correlations between pre- and post-intervention test results among the participants, and this provides evidence of the effectiveness of the structured and organized training program. Conclusion: the study highlighted and emphasized that the organized and structured training programs based on the learning management systems are an efficient and effective approach for improving the clinical alarm management in critical care units. It recommends continuous professional development to enhance a safer and more responsive, and proficient nursing attitude in clinical alarm technology in critical care settings