Abebe AsmamawKebede Hana2020-12-062023-11-052020-12-062023-11-052020-06http://etd.aau.edu.et/handle/123456789/23865Background: Audible clinical alarms have been an essential part of patient monitoring since the 1950s.Alarm fatigue is the desensitization of a clinician to an alarm stimulus that occurs when caregivers areexposed to a great number of repeated alarms. Due to a number of clinical alarms from medical machines within the ICU, there is a high risk of nurses becoming desensitized to the sound of patientalarms. Moreover, physiologic alarms may be disabled, silenced, or ignored. These practices canpotentially affect the patient care negatively. Objectives: To assess the nurses' level of knowledge of alarm fatigue, practices towards alarms andassociated factors among nurses working in adult ICUs of federal government hospitals in Addis Ababacity, Ethiopia, Jan-Jun 2020 G.C. Methods: A descriptive cross-sectional quantitative study design was conducted to determine theknowledge of alarm fatigue, practices towards alarms and associated factors among nurses working inAdult ICUs of federal governmental hospitals in Addis Ababa, Ethiopia from Jan -Jun 2020 GC. A totalof 162 nurses was recruited by the convienience sampling method. The data were collected by usingsemi structured, self-administer questioner. SPSS version 25 for Windows was used for data entry andanalysis, descriptive statistics and bivariate and multivariate logistic regression were used to analyze thedata. Result: In this study, 42% of participants had poor practice towards alarms and 57.8% have goodpractice. The majority of, 107 (66%) respondents had good knowledge on alarm fatigue. The majority ofnurses 140 (86.4%)answered correctly that Non actionable/nuisance alarms disrupt patient care. Nurseswho don’t have in service training on alarm management are 2 times, having a poor practice than thosewho took in service training (AOR=1.974, 95% CI (1.296, 4.024)). Conclusion and Recommendation: Although the improvement of nurses' knowledge and practicesregarding alarm management will directly or indirectly reduce the harms related to poor alarm management, Nurses have remarkable gaps and alarming skill performance related to alarms. Therefore,periodic on-job and pre-service training regarding alarm management, guidelines as well as protocolsshould be provided to all ICU nurses. There is also a need for further research to include more settings would be valuable. In addition, there are gaps identified for further research to strengthen findings.en-USAdult ICU, alarm fatigue, practice towards alarms.Thesis