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The association between alarm burden and nurse burnout in U.S. hospitals
Halley Ruppel1, Maura Dougherty2, Mahima Kodavati3
1Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA; Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA; Clinical Futures, Children's Hospital of Philadelphia Research Institute, Philadelphia, PA.
Background:
Alarms pervade the hospital environment, often increasing nurses' workload. Hospital nurses are experiencing burnout at unprecedented rates.
Puropse:
This study examined the association between nurses' experience of alarms and burnout.
Methods:
Survey data from U.S. nurses (n = 2,131) were analyzed.
Findings:
Nurses who frequently/occasionally experienced overwhelm from alarms had 2.47 (95% CI [1.93, 3.16]) greater odds of high burnout than those who rarely/never experienced alarm overwhelm; those who frequently/occasionally had to delay alarm response had 2.13 [1.67, 2.70] greater odds of high burnout than those who rarely/never did; and those who frequently/occasionally encountered situations where no one responded to an urgent alarm had 2.5 [2.07, 3.03] greater odds of high burnout than those who rarely/never encountered such situations. The associations remained largely unchanged after adjusting for hospital characteristics, nurse practice environment, and nurse staffing.
Conclusion:
Although this study was cross-sectional, the potential impact of alarms on nurses' well-being is an important consideration as technology advances.
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