الفهرس 
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Abstract
Alarms play a crucial role alerting people on emergency situations. Clinical alarms in thehospital in the same sense are very crucial in determining the patient’s condition. This is more so in the critical care units where patients are unconscious and cannot speak out. (Meng’anyi, et al., 2017)
Alarm management in ICU is an important task in the management of patient care to ensure patient safety. It is an area that is not well explored and does require additional awareness. Awareness of the concepts of alarm management and what factors contribute to poor management of alarms would be beneficial. In the healthcare industry it is important that we provide appropriate working conditions and resources for healthcare staff to be able to carry out their responsibilities and duties of delivering quality patient care.
Alarms on medical devices do not replace the nurse’s ability to manage her patient but is an aid in identifying potential changes in patient condition as a means of early warning. The misuse of these medical device alarm aids can be detrimental to patient care and hence continuous training and evaluation of alarms in ICU is a necessity. (Ramlaul, 2015)
Aim of the Study:
This study aims to:
Assess the nurses’ performance regarding devices alarms in intensive care units through the following:
1- Assess nurses’ knowledge regarding devices alarms in intensive care units.
2- Assess nurses’ practice regarding devices alarms in intensive care units.
3- Assess Nurses’ attitude regarding devices alarms in intensive care units.
Research Questions:
1- What are the nurses’ knowledge regarding devices alarms in intensive care units?
2- What is the nurses’ practice regarding devices alarms in intensive care units?
3- What are the nurses’ attitude regarding devices alarms in intensive care units?
Subject and Methods:
Research design:
A descriptive exploratory design was conducted to achieve the aim of this study.
Setting:
This study was conducted in the open heart intensive care unit at Academy of Heart affiliated to Ain shams University Hospitals.
Sample:
A Convenience sample was composed of all the available nurses working in the above mentioned setting.
Tools of data collection:
The data were collected through using the following tools:
I-Self-administered questionnaire
The self-administered questionnaire was used to assess nurses’ level of knowledge regarding devices alarms in intensive care units.
II- Evaluation practice checklist
To assess nurses’level of practice regarding devices alarms in intensive care units.
III-Evaluation Nurses` attitude rating scale
To assess nurses’ attitude regarding devices alarms in intensive care units.
The present study revealed that:
Regarding gender, the results revealed that (70%) of them were females. As regards to age, (66.7%) of them were from 30 to less than 40 years old. In relation to educational level, (53.3%) of them were nursing diploma. While regarding the years of experience (66.6%) of them had experience more than 15 years. Regarding training courses and performance enhancement (76.7%) of them didn’t attendance any training courses and seven ofthem represented (85.7%) had benefit from this training regarding management of patient undergoing bariatric surgery.
Concerning the study nurses performance regarding ICU devices alarms, (77%) of them had unsatisfactory knowledge, (80%) of them study nurses had unsatisfactory practice, and (54%) of them had positive attitude.
There was a highly significant correlation between total nurses’ knowledge and total nurses’ practice (r=0.784at p< 0.001).
There was a highly significant correlation between total nurses’ Practice and total nurses’ Attitude (r=0.678at p< 0.001).
Conclusion
The study revealed that more than two third of the studied nurses had unsatisfactory knowledge as well as practice regarding management of ICU devices alarms. Moreover, there was highly statistically significant correlation between studied nurses’ knowledge, practice and attitude. In addition to, there was highly statistically significant correlation between studied nurses’ knowledge, practice, attitude and their demographic characteristics.
Recommendations
• Replication of the current study on large sample and different hospitals settings to be able to generalize the results.
• Further study is recommended to evaluate the reflection of educational training program regarding management ICU devices alarms on nurses’ performance and consequently on the patients outcomes.