NUR 440: Critique of Evidence-Based Nursing Practice Research Article

This report is a critique of a research article titled "False Alarms and Overmonitoring: Major Factors in Alarm Fatigue Among Labor Nurses." The critique analyzes the study's purpose, which was to explore perceptions of clinical alarms among labor nurses compared to ICU nurses. The study used a qualitative, descriptive design with focus groups. The critique evaluates the validity, reliability, findings, and conclusions of the research, highlighting strengths such as the clear description of alarm impacts and patient safety implications, as well as limitations like the small sample size and focus on ICU settings. The findings indicated that false alarms and excessive devices contributed to alarm fatigue, with many alarms lacking clinical relevance. The author's conclusion suggested monitoring only patients whose conditions warrant it. The critique also provides suggestions for future research, such as increasing the sample size.

Running head: EVIDENCE BASED NURSING PRACTICE
EVIDENCE BASED NURSING PRACTICE
Name of the Student
Name of the University
Author note

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The article used - Simpson, K. R., & Lyndon, A. (2019). False Alarms and Overmonitoring:
Major Factors in Alarm Fatigue Among Labor Nurses. Journal of nursing care quality, 34(1),
66-72.
Critique
Purpose
The purpose of this experiment was in exploring the differences and the similarities in the
perceptions of the clinical alarms by the labour nurses, especially who are taking care of
generally for the healthy women compared with the perceptions of the neonatal ICU and the
adult ICU nurses who are taking care of the patients who are critically ill. The goal of this
research was to do the development of the parameters for alarm for the maternal and the fetal
status via EFM with the specificity which is acceptable.
Design and methods
The study design of this experiment was qualitative study and also a descriptive study,
which are conducted using the focussed groups (Wolgemuth et al., 2015). The methodology of
the experiment was an ideal one. Two hospitals were selected as the sites for the clinical studies.
The bed community of the first site is 787 and the site B had 183 beds accommodation for urban
maternity and paediatric patients. The researchers were able to choose the appropriate
participants by including the nurses who were practicing currently as staff nurses. The methods
that were used for conducting the experiment were rigorous and no doubt a systematic method.
Two experienced nurse scientists were there who were very much expert in maintaining the
safety of the patients, in conducting qualitative research, methodology and in properly
researching on the background of the research question.

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Validity and reliability
The results that were obtained from the experiment were quite valid and reliable. The
total number of nurses or the total number of participants in the experiment were mentioned. The
types of alarm were described and also the effects of the alarms on the participants were
discussed based on the researches done on the participants (Miller et al., 2015). The information
obtained were completely valid and reliable.
Findings and conclusions
The results of this experiment clearly stated that the alarms which are false and that too
many devices which generates alarm contributed fatigue and most of the alarms did not have any
relevance with the clinical significance (Sowan et al., 2015). The authors clearly deduced the
results. The authors concluded that only those patients need monitoring whose conditions have
worsened and also those who are losing the psychological values.
Evaluation
Like other research papers, this paper also has some strengths and weaknesses. The
strengths of this paper are that this paper is clearly describing the impacts of the alarms on the
nurses or the participants. The paper is dealing with the implications of the safety of the patient.
The paper is providing suggestions for the improvement in the clinical alarms and alarms. The
limitations of the research are the themes which are generated from the groups which were
focussed are consistent with the findings with the alarms in the settings of ICU. The participants
who were involved in the experiment were new and had the monitoring technology more
sophisticated. Another limit is that the sample size was very small and it should be increased
(Honan et al., 2015). The conclusion was appropriate because the authors clearly mentioned with

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proper rationale the need to monitor the participants. In future also researches can be done on
this topic and if such researches are done the sample size can be increased.

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References
Honan, L., Funk, M., Maynard, M., Fahs, D., Clark, J. T., & David, Y. (2015). Nurses’
perspectives on clinical alarms. American Journal of Critical Care, 24(5), 387-395.
Miller, A., Moon, B., Anders, S., Walden, R., Brown, S., & Montella, D. (2015). Integrating
computerized clinical decision support systems into clinical work: a meta-synthesis of
qualitative research. International journal of medical informatics, 84(12), 1009-1018.
Sowan, A. K., Tarriela, A. F., Gomez, T. M., Reed, C. C., & Rapp, K. M. (2015). Nurses'
perceptions and practices toward clinical alarms in a transplant cardiac intensive care
unit: Exploring key issues leading to alarm fatigue. JMIR human factors, 2(1), e3.
Wolgemuth, J. R., Erdil-Moody, Z., Opsal, T., Cross, J. E., Kaanta, T., Dickmann, E. M., &
Colomer, S. (2015). Participants’ experiences of the qualitative interview: Considering
the importance of research paradigms. Qualitative research, 15(3), 351-372.