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Assessing the Link Between Alarm Fatigue, Stress, and Perceived Performance Among Critical Care Nurses in Egypt
Sameer A Alkubati1, Basma Basha2, Abdulsalam M Halboup3
1Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
SAGE Open Nursing
|July 23, 2026
Summary
Critical care nurses experience high alarm fatigue, anxiety, and depression, negatively impacting their performance. Addressing these issues and providing support is crucial for improving intensive care unit working conditions.
Area of Science:
- Nursing
- Critical Care Medicine
- Psychology
Background:
- Alarm fatigue and psychological stress are prevalent among critical care nurses.
- These factors can impair nurses' perceived performance in intensive care units (ICUs).
Purpose of the Study:
- To assess alarm fatigue, anxiety, depression, and perceived performance in critical care nurses.
- To analyze the interrelationships between these variables.
Main Methods:
- A cross-sectional descriptive correlational study was conducted with 200 critical care nurses in Egypt.
- Data were collected using validated questionnaires for alarm fatigue, anxiety, depression (HADS), and perceived performance.
Main Results:
- Nurses reported low perceived performance, with significant levels of anxiety (29.5%) and depression (47.5%).
- Alarm fatigue, anxiety, and depression were positively correlated with each other.
- Alarm fatigue and psychological stress (anxiety, depression) were negatively correlated with perceived performance.
Conclusions:
- High alarm fatigue, anxiety, and depression negatively affect critical care nurses' performance.
- Interventions targeting alarm management and psychological support are recommended to enhance ICU work environments.
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