Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety
Abstract
:1. Introduction
2. Materials and Methods
2.1. Translation, Adaptation, and Modeling
2.2. Participants and Settings
2.3. Alarm Fatigue Assessment Questionnaire
2.4. Ethical Considerations
2.5. Statistical Analysis
3. Results
3.1. Analysis of the Individual Questionnaire Items
3.2. Confirmatory Factor Analysis
3.3. Reliability Analysis of the Tool
4. Discussion
5. Conclusions
Study Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Item | Text of the item in English and Polish | Acceptance/Rejection |
---|---|---|
Item 1 | I pay attention to the changes of alarm source immediately after hearing the alarm. Po usłyszeniu alarmu zwracam uwagę na to, czy jego źródło się zmieniło. | Rejected |
Item 2 | I am sure that the alarms are true. Słysząc alarm mam pewność, że jest on prawdziwy. | Accepted |
Item 3 | I go to the patient’s bed immediately after I hear an alarm. Kieruję się do łóżka pacjenta natychmiast po usłyszeniu alarmu. | Accepted |
Item 4 | During my shift, I limit the number of alarms. Ograniczam liczbę alarmów podczas swojej zmiany. | Accepted |
Item 5 | Alarms hinder my focus on professional duties. Alarmy utrudniają mi skupienie się na swoich obowiązkach służbowych. | Accepted |
Item 6 | I get nervous when I hear an alarm. Gdy słyszę alarm, staję się nerwowy(a). | Accepted |
Item 7 | I have a proper professional reaction toward alarms. Słysząc alarm reaguję w profesjonalny sposób. | Accepted |
Item 8 | I try to distinguish the informing alarms (yellow) and warning alarms (red). Staram się rozróżniać alarmamy informacyjne (żółte) od ostrzegawczych (czerwone). | Rejected |
Item 9 | I stop as I hear the alarm, maybe it is settled by itself. Po usłyszeniu alarmu zatrzymuje się—może problem sam się rozwiąże. | Accepted |
Item 10 | I pay more attention to the alarms in night shifts. Na alarmy zwracam większą uwagę podczas nocnych zmian. | Rejected |
Item 11 | In the morning shift, the crowd hinder my immediate reaction to alarms. Tłok w trakcie porannej zmiany utrudnia mi reagowanie na alarmy. | Accepted |
Item 12 | At the beginning of each shift, I pay more attention to the alarms. Na alarmy zwracam większą uwagę na początku zmiany. | Accepted |
Item 13 | I have an immediate reaction to the ventilator alarms. Na alarmy respiratora reaguję natychmiast. | Accepted |
Item 14 | I have an immediate reaction to the infusion pump alarms. Na alarmy pompy infuzyjnej reaguję natychmiast. | Accepted |
Item 15 | I have an immediate reaction to cardiac monitoring alarms. Na alarmy kardiomonitora reaguję natychmiast. | Accepted |
Item 16 | In the course of time, my sensitivity to alarms decreases. Z biegiem czasu staję się coraz mniej wyczulony(a) na alarmy. | Accepted |
Item 17 | I am indifferent to the alarms. Alarmy są mi obojętne. | Accepted |
Item 18 | During a CPR in a patient, I become indifferent to the alarms of other patients. Wykonując resuscytację na jednym pacjencie staję się obojętny(a) na alarmy innych. | Accepted |
Item 19 | By repetition of alarms, I become indifferent to them. Ciągłe powtarzanie się alarmów sprawia, że staję się na nie obojętny(a). | Accepted |
Item 20 | Multiplicity and concurrence of alarms confuse me in making decisions. Mnogość alarmów i ich jednoczesne występowanie w kilku miejscach sprawiają, że trudno jest mi podjąć decyzję. | Accepted |
Item 21 | I do not pay attention to the alarm when I do not feel well. Gdy źle się czuję, nie zwracam uwagi na alarmy. | Accepted |
Item 22 | I inactivate the alarms in the night shifts. Podczas nocnej zmiany wyłączam alarmy. | Accepted |
Item 23 | I become confused with successive sounds of alarms. Powtarzające się raz po raz alarmy wywołują u mnie zdezorientowanie. | Accepted |
Parameter | Total (N = 103) | |
---|---|---|
Sex | Female | 97 (94.17%) |
Male | 6 (5.83%) | |
Age [years] | Mean (SD) | 40.4 (11.05) |
Seniority [years] | Mean (SD) | 17.14 (11.55) |
Median (quartiles) | 17 (5–28) | |
Range | 1–38 | |
Missing | 0 | |
Number of workplaces | One | 36 (34.95%) |
More than one | 67 (65.05%) | |
Profession | Physician | 11 (10.68%) |
Nurse | 87 (84.47%) | |
Paramedic | 5 (4.85%) | |
Education | Secondary | 14 (13.59%) |
Bachelor’s degree | 31 (30.10%) | |
Master’s dergree | 58 (56.31%) | |
Unit | ICU—adults | 46 (44.66%) |
ICU—children | 57 (55.34%) |
Item | Floor Effect | Ceiling Effect | Missing |
---|---|---|---|
1 | 78.6% | 0.0% | 0.0% |
2 | 26.2% | 1.0% | 0.0% |
3 | 54.4% | 0.0% | 0.0% |
4 | 11.7% | 38.8% | 0.0% |
5 | 10.7% | 11.7% | 0.0% |
6 | 5.8% | 15.5% | 0.0% |
7 | 49.5% | 0.0% | 0.0% |
8 | 56.3% | 0.0% | 0.0% |
9 | 2.9% | 27.2% | 0.0% |
10 | 28.2% | 19.4% | 0.0% |
11 | 3.9% | 15.5% | 0.0% |
12 | 8.7% | 22.3% | 0.0% |
13 | 68.9% | 0.0% | 0.0% |
14 | 56.3% | 0.0% | 0.0% |
15 | 56.3% | 0.0% | 0.0% |
16 | 5.8% | 30.1% | 0.0% |
17 | 3.9% | 75.7% | 0.0% |
18 | 7.8% | 33.0% | 0.0% |
19 | 3.9% | 28.2% | 0.0% |
20 | 2.9% | 34.0% | 0.0% |
21 | 1.9% | 48.5% | 0.0% |
22 | 1.9% | 77.7% | 0.0% |
23 | 3.9% | 23.3% | 0.0% |
Model | Chi-Squared Test | RMSEA * | CFI * | TLI * | SRMR * | ||
---|---|---|---|---|---|---|---|
χ² | df | p | |||||
Model I | 281,559 | 230 | 0.011 | 0.047 | 0.963 | 0.959 | 0.101 |
Model II | 162,156 | 170 | 0.654 | >0.001 | >0.999 | >0.999 | 0.093 |
Model III | 142,759 | 168 | 0.922 | >0.001 | >0.999 | >0.999 | 0.088 |
Item | Loadings (Model I) | Loadings (Model III) | p (Model III) |
---|---|---|---|
1 | −0.009 | --- | --- |
2 | 0.232 | 0.203 | p = 0.029 |
3 | 0.222 | 0.224 | p = 0.021 |
4 | −0.579 | −0.579 | p < 0.001 |
5 | −0.455 | −0.454 | p < 0.001 |
6 | −0.642 | −0.643 | p < 0.001 |
7 | 0.216 | 0.22 | p = 0.047 |
8 | 0.001 | --- | --- |
9 | −0.586 | −0.587 | p < 0.001 |
10 | −0.053 | --- | --- |
11 | −0.586 | −0.568 | p < 0.001 |
12 | −0.281 | −0.252 | p = 0.018 |
13 | 0.385 | 0.388 | p < 0.001 |
14 | 0.273 | 0.274 | p = 0.002 |
15 | 0.489 | 0.472 | p < 0.001 |
16 | −0.718 | −0.724 | p < 0.001 |
17 | −0.686 | −0.688 | p < 0.001 |
18 | −0.593 | −0.596 | p < 0.001 |
19 | −0.766 | −0.769 | p < 0.001 |
20 | −0.688 | −0.689 | p < 0.001 |
21 | −0.751 | −0.753 | p < 0.001 |
22 | −0.362 | −0.362 | p = 0.005 |
23 | −0.695 | −0.699 | p < 0.001 |
Item | Alpha if Item Deleted | Item-Total Correlation |
---|---|---|
2 | 0.883 | 0.207 |
3 | 0.882 | 0.236 |
4 | 0.875 | 0.544 |
5 | 0.878 | 0.417 |
6 | 0.872 | 0.613 |
7 | 0.882 | 0.222 |
9 | 0.873 | 0.559 |
11 | 0.873 | 0.558 |
12 | 0.886 | 0.248 |
13 | 0.88 | 0.379 |
14 | 0.881 | 0.28 |
15 | 0.877 | 0.48 |
16 | 0.868 | 0.682 |
17 | 0.87 | 0.65 |
18 | 0.874 | 0.553 |
19 | 0.867 | 0.724 |
20 | 0.87 | 0.65 |
21 | 0.868 | 0.703 |
22 | 0.88 | 0.333 |
23 | 0.87 | 0.65 |
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Rypicz, Ł.; Rozensztrauch, A.; Fedorowicz, O.; Włodarczyk, A.; Zatońska, K.; Juárez-Vela, R.; Witczak, I. Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety. Int. J. Environ. Res. Public Health 2023, 20, 1734. https://doi.org/10.3390/ijerph20031734
Rypicz Ł, Rozensztrauch A, Fedorowicz O, Włodarczyk A, Zatońska K, Juárez-Vela R, Witczak I. Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety. International Journal of Environmental Research and Public Health. 2023; 20(3):1734. https://doi.org/10.3390/ijerph20031734
Chicago/Turabian StyleRypicz, Łukasz, Anna Rozensztrauch, Olga Fedorowicz, Aleksander Włodarczyk, Katarzyna Zatońska, Raúl Juárez-Vela, and Izabela Witczak. 2023. "Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety" International Journal of Environmental Research and Public Health 20, no. 3: 1734. https://doi.org/10.3390/ijerph20031734