THE EFFECT OF IMPLEMENTING CLINICAL ALARM NURSING INTERVENTION PROGRAM ON NURSES' KNOWLEDGE, PRACTICE AT ACADEMIC MEDICAL CENTER INTENSIVE CARE UNITS
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Date
2025-12-18
Authors
Abdullah, Jafar Ahmad
Journal Title
Journal ISSN
Volume Title
Publisher
An-Najah National University
Abstract
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