重症监护病房临床实习期间巴勒斯坦护生的警报疲劳及其与感知压力、心理韧性和应对行为的关联：一项横断面研究
Alarm fatigue and its association with perceived stress, resilience, and coping behaviors among Palestinian nursing students during clinical internship in critical care units: a cross-sectional study.
作者信息
Salameh Basma, Abdallah Jihad, Malak Malakeh Z, Shehadeh Anas, Hammad Bahaeddin
机构信息
Critical Care Nursing, Faculty of Nursing, Arab American University, Jenin, Palestine.
Department of Animal Production, An-Najah National University, Nablus, Jenin, Palestine.
出版信息
BMC Psychol. 2025 May 8;13(1):486. doi: 10.1186/s40359-025-02809-7.
BACKGROUND
There is a lack of studies on alarm fatigue among nursing students during their internships in critical care units. Therefore, this study aimed to examine the association between alarm fatigue and perceived stress, resilience, and coping behaviors among Palestinian nursing students during their internships in critical care units.
METHODS
A cross-sectional study was adopted involving 141 nursing students during their internships in critical care units in Palestine. A self-reported online questionnaire was used to collect data. It included the Alarm Fatigue Questionnaire, Perceived Stress Scale (PSS), Brief Resilience Scale (BRS), and Coping Behavior Inventory (CBI). Descriptive statistics, correlation, and multiple linear regression were used for data analysis. The data were collected at the end of the internships in January 2024.
FINDINGS
The results showed that the participants had moderate levels of alarm fatigue (M = 21.71, SD = 7.78 out of 52), perceived stress (M = 1.36, SD = 0.83 out of 4), and resilience (M = 3.25, SD = 0.60 out of 5). Problem-solving was the most frequent coping behavior. A weak positive correlation was found between alarm fatigue and perceived stress (r = 0.22, p < 0.01). In contrast, a negative moderate relationship existed between alarm fatigue and resilience (-0.40, p < 0.001) and problem-solving behavior (r= -0.34, p < 0.001). Resilience and problem-solving behavior were the main predictors of alarm fatigue.
CONCLUSION
This study highlights the importance of recognizing the correlated factors of alarm fatigue among nursing students during their internships, especially in critical care units. Strategies that foster resilience and positive coping mechanisms and minimize the perceived stress should be implemented to minimize alarm fatigue among nursing students and enhance their well-being and clinical performance. Ongoing guidance and training on effective alarm control practices are vitally important. Implementing effective stress-reduction measures, such as mindfulness-based practices and adopting positive coping strategies are essential.
背景
目前缺乏关于护理专业学生在重症监护病房实习期间警报疲劳的研究。因此，本研究旨在探讨巴勒斯坦护理专业学生在重症监护病房实习期间警报疲劳与感知压力、心理韧性及应对行为之间的关联。
方法
采用横断面研究，涉及141名在巴勒斯坦重症监护病房实习的护理专业学生。通过一份自填式在线问卷收集数据。问卷包括警报疲劳问卷、感知压力量表（PSS）、简易心理韧性量表（BRS）和应对行为量表（CBI）。数据分析采用描述性统计、相关性分析和多元线性回归。数据于2024年1月实习结束时收集。
结果
结果显示，参与者的警报疲劳程度中等（满分52分，M = 21.71，SD = 7.78），感知压力中等（满分4分，M = 1.36，SD = 0.83），心理韧性中等（满分5分，M = 3.25，SD = 0.60）。解决问题是最常采用的应对行为。警报疲劳与感知压力之间存在微弱的正相关（r = 0.22，p < 0.01）。相反，警报疲劳与心理韧性（-0.40，p < 0.001）和解决问题行为（r = -0.34，p < 0.001）之间存在中等程度的负相关。心理韧性和解决问题行为是警报疲劳的主要预测因素。
结论
本研究强调了认识护理专业学生实习期间，尤其是在重症监护病房中警报疲劳相关因素的重要性。应实施培养心理韧性和积极应对机制并尽量减少感知压力的策略，以最大限度地减少护理专业学生的警报疲劳，提高他们的幸福感和临床绩效。持续开展关于有效警报控制实践的指导和培训至关重要。实施有效的减压措施，如基于正念的练习和采用积极的应对策略至关重要。
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