What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Medical device alarm fatigue (n=1154). Intervention: Psychological resilience vs. Lower psychological resilience (per 1-point increase). Primary outcome: Membership in the medium-level knowledge, attitude, and practice (KAP) profile compared to the high-level profile (OR 0.79, 95% CI 0.76-0.82, p=<0.001).

What question did this study set out to answer?

This study aims to examine the variances in knowledge, attitude, and practice towards medical device alarm fatigue among hemodialysis nurses.

June 12, 2026Frontiers in Public HealthOpen Access

Higher psychological resilience is linked to ~21% lower odds of medium versus high KAP in nurses.

Q: What are the key findings of this study?

A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

Q: What question did this study set out to answer?

This study aims to examine the variances in knowledge, attitude, and practice towards medical device alarm fatigue among hemodialysis nurses.

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Why the study?

Characteristic variances and influencing factors regarding knowledge, attitude, and practice concerning medical device alarm fatigue among hemodialysis nurses needed investigation.

Population

1,154 hemodialysis nurses from 126 units in Henan Province

Design

Cross-sectional study

Key result

A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

Authors

LZLiyang Zhu 鷺蘇鷺梅蘇 ZCZhen Chen

Discussion

Member takes

Overview

Most exhibit medium KAP levels; leaves open whether education interventions improve cardiovascular prevention behaviors.

Key Points

This study aims to examine the variances in knowledge, attitude, and practice towards medical device alarm fatigue among hemodialysis nurses.
Cross-sectional study conducted with 1,154 hemodialysis nurses from 126 units in Henan Province.
Utilized a KAP questionnaire and resilience scale for data collection.
Latent profile analysis categorized KAP levels, and multinomial logistic regression identified influencing factors.
KAP levels categorized as medium-level group (73.9%), knowledge deficit group (10.3%), and high-level group (15.8%).
Nurses under 30 years and with 1-5 years of experience had higher odds of being in the medium-level group (OR not specified).
Higher resilience and training on device-related knowledge correlate with lower odds of being in the medium-level or knowledge-deficit groups.

Study Design

Type

Cross-Sectional (n=1,154)

Multicenter

Yes

Structured PICO

Population

1,154 certified hemodialysis nurses with at least 3 months of experience from 126 units in Henan Province, China, assessed for knowledge, attitude, and practice regarding medical device alarm fatigue.

Outcome

Knowledge, attitude, and practice (KAP) levels concerning medical device alarm fatiguepatient reported

Main Result

Odds Ratio: 0.79 (95% CI 0.76–0.82)

p-value: p=<0.001

Hemodialysis nurses exhibit heterogeneous knowledge, attitude, and practice levels regarding medical device alarm fatigue, highlighting the need for targeted interventions based on experience, training, and resilience.

Limitations

All primary measures were self-reported, subjecting the study to social desirability bias, recall bias, and common method variance
Convenience sampling within a single province limits generalizability
Cross-sectional design precludes causal inference
Unmeasured confounders (e.g., unit-level alarm policies, staffing levels) may influence profile membership
Latent profile analysis remains probabilistic with residual classification uncertainty
Self-reported data relying on participants' perceptions and recollections
Lack of objective measures such as direct observation of alarm response behaviors or physiological measures of fatigue
Inherent biases of self-report methodology

Cite This Study

Zhu et al. (2026) conducted a cross-sectional in Medical device alarm fatigue (n=1,154). Psychological resilience vs. Lower psychological resilience (per 1-point increase) was evaluated on Membership in the medium-level knowledge, attitude, and practice (KAP) profile compared to the high-level profile (OR 0.79, 95% CI 0.76-0.82, p=<0.001). A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

synapsesocial.com/papers/6a2bd1056550ea4541ffe7a9 https://doi.org/10.3389/fpubh.2026.1852268

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June 12, 2026Frontiers in Public HealthOpen Access

Higher psychological resilience is linked to ~21% lower odds of medium versus high KAP in nurses.

View Full Paper

Ask AI

Bookmark

Why the study?

Characteristic variances and influencing factors regarding knowledge, attitude, and practice concerning medical device alarm fatigue among hemodialysis nurses needed investigation.

Population

1,154 hemodialysis nurses from 126 units in Henan Province

Design

Cross-sectional study

Key result

A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

Authors

LZLiyang Zhu 鷺蘇鷺梅蘇 ZCZhen Chen

Discussion

Member takes

Overview

Most exhibit medium KAP levels; leaves open whether education interventions improve cardiovascular prevention behaviors.

Key Points

This study aims to examine the variances in knowledge, attitude, and practice towards medical device alarm fatigue among hemodialysis nurses.
Cross-sectional study conducted with 1,154 hemodialysis nurses from 126 units in Henan Province.
Utilized a KAP questionnaire and resilience scale for data collection.
Latent profile analysis categorized KAP levels, and multinomial logistic regression identified influencing factors.
KAP levels categorized as medium-level group (73.9%), knowledge deficit group (10.3%), and high-level group (15.8%).
Nurses under 30 years and with 1-5 years of experience had higher odds of being in the medium-level group (OR not specified).
Higher resilience and training on device-related knowledge correlate with lower odds of being in the medium-level or knowledge-deficit groups.

Study Design

Type

Cross-Sectional (n=1,154)

Multicenter

Yes

Structured PICO

Population

Outcome

Knowledge, attitude, and practice (KAP) levels concerning medical device alarm fatiguepatient reported

Main Result

Odds Ratio: 0.79 (95% CI 0.76–0.82)

p-value: p=<0.001

Limitations

All primary measures were self-reported, subjecting the study to social desirability bias, recall bias, and common method variance
Convenience sampling within a single province limits generalizability
Cross-sectional design precludes causal inference
Unmeasured confounders (e.g., unit-level alarm policies, staffing levels) may influence profile membership
Latent profile analysis remains probabilistic with residual classification uncertainty
Self-reported data relying on participants' perceptions and recollections
Lack of objective measures such as direct observation of alarm response behaviors or physiological measures of fatigue
Inherent biases of self-report methodology

Cite This Study

synapsesocial.com/papers/6a2bd1056550ea4541ffe7a9 https://doi.org/10.3389/fpubh.2026.1852268

Also Consider

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