College of Science and Health Theses and Dissertations

Date of Award

Summer 8-25-2019

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Julia Feczko, DNP, CRNA

Second Advisor

Jeremy Carlsen, MSN, CRNA


Healthcare workers are inundated with alarms every minute, yet 80-95% of these alarms do not result in provider intervention. False alarms cause a “cry-wolf” phenomenon among providers resulting in cognitive stress and workflow interruptions. A cross-sectional design was used to examine the perceptions of alarm fatigue and alarm management of Certified Registered Nurse Anesthetists (CRNAs), Student Registered Nurse Anesthetists (SRNAs) and Anesthesiologists. This Likert-scale questionnaire was sent to approximately 150 anesthesia providers at NorthShore University HealthSystem (NSUHS) through an online survey. Data analysis revealed anesthesia trainees and providers with less total years in practice and less clinical experience exhibit statistically significant (p=0.011), higher levels (10.60%) of alarm fatigue and associated provider distress. A p value of 0.007 indicated students appreciate significantly higher levels (11.76%) of alarm fatigue than their CRNA colleagues. In conjunction with survey responses, a survey development table based on evidence and current endorsements in the literature was used to guide proposed policy recommendations for the anesthesia department at NSUHS. Future work involves adoption and implementation of the policy and evaluation to determine if it improved provider workflow, their alarm fatigue experience or patient safety.

SLP Collection


Included in

Nursing Commons