{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:37:12Z","timestamp":1793605032231,"version":"4.5.0"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartandlung.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart &amp; Lung"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.hrtlng.2025.09.013","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T20:48:46Z","timestamp":1758574126000},"page":"117-124","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Exploring intensive care unit nurses\u2019 decision-making in alarm management: A qualitative study"],"prefix":"10.1016","volume":"75","author":[{"given":"Nikola","family":"Haskell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davina","family":"Banner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley Raffin","family":"Bouchal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"King-Shier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrtlng.2025.09.013_bib0001","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.jcrc.2016.07.015","article-title":"What is an intensive care unit? A report of the task force of the world federation of societies of intensive and critical care medicine","volume":"37","author":"Marshall","year":"2017","journal-title":"J Crit Care"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0002","series-title":"Oh\u2019s Intensive Care Manual","author":"Bersten","year":"2019"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0003","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1097\/CCM.0b013e3181cb0888","article-title":"Intensive care unit alarms\u2014how many do we need?","volume":"38","author":"Siebig","year":"2010","journal-title":"Crit Care Med"},{"issue":"5","key":"10.1016\/j.hrtlng.2025.09.013_bib0004","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1213\/ane.0b013e31819bdfbb","article-title":"Improving alarm performance in the medical intensive care unit using delays and clinical context","volume":"108","author":"G\u00f6rges","year":"2009","journal-title":"Anesth Analg"},{"issue":"9","key":"10.1016\/j.hrtlng.2025.09.013_bib0005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjopen-2013-003354","article-title":"The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study","volume":"3","author":"Inokuchi","year":"2013","journal-title":"BMJ Open"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0006","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jcrc.2008.09.001","article-title":"Collection of annotated data in a clinical validation study for alarm algorithms in intensive care\u2014a methodologic framework","volume":"25","author":"Siebig","year":"2010","journal-title":"J Crit Care"},{"issue":"10","key":"10.1016\/j.hrtlng.2025.09.013_bib0007","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0110274","article-title":"Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive Intensive Care Unit Patients","volume":"9","author":"Drew","year":"2014","journal-title":"PLoS One"},{"issue":"4","key":"10.1016\/j.hrtlng.2025.09.013_bib0008","doi-asserted-by":"crossref","DOI":"10.1111\/anec.13054","article-title":"An annotated ventricular tachycardia (VT) alarm database: toward a uniform standard for optimizing automated VT identification in hospitalized patients","volume":"28","author":"Pelter","year":"2023","journal-title":"Ann Noninvasive Electrocardiol"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0009","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.cnc.2025.02.001","article-title":"False crisis alarms in cardiopulmonary monitoring: identification, causes, and clinical implications","volume":"37","author":"Wung","year":"2025","journal-title":"Crit Care Nurs Clin N Am"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2023.105285","article-title":"Interdisciplinary collaboration in critical care alarm research: a bibliometric analysis","volume":"181","author":"Agha-Mir-Salim","year":"2024","journal-title":"Int J Med Inform"},{"issue":"4","key":"10.1016\/j.hrtlng.2025.09.013_bib0011","doi-asserted-by":"crossref","first-page":"378","DOI":"10.4037\/NCI.0b013e3182a903f9","article-title":"Alarm fatigue","volume":"24","author":"Sendelbach","year":"2013","journal-title":"AACN Adv Crit Care"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0012","series-title":"Top 10 health technology hazards for 2023","year":"2023"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0013","series-title":"Top 10 health technology hazards for 2025","year":"2025"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0014","doi-asserted-by":"crossref","first-page":"46","DOI":"10.4258\/hir.2016.22.1.46","article-title":"Clinical alarms in intensive care units: perceived obstacles of alarm management and alarm fatigue in nurses","volume":"22","author":"Cho","year":"2016","journal-title":"Healthc Inform Res"},{"issue":"3","key":"10.1016\/j.hrtlng.2025.09.013_bib0015","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/nuf.12338","article-title":"Perceptions and practices related to clinical alarms","volume":"54","author":"Mirhafez","year":"2019","journal-title":"Nurs Forum"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0016","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/DCC.0000000000000220","article-title":"Assessment of clinical alarms influencing nurses\u2019 perceptions of alarm fatigue","volume":"36","author":"Petersen","year":"2017","journal-title":"Dimens Crit Care Nurs"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0017","doi-asserted-by":"crossref","DOI":"10.2196\/humanfactors.4196","article-title":"Nurses\u2019 perceptions and practices toward clinical alarms in a transplant cardiac intensive care unit: exploring key issues leading to alarm fatigue","volume":"2","author":"Sowan","year":"2015","journal-title":"JMIR Hum Factors"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0018","doi-asserted-by":"crossref","DOI":"10.2196\/humanfactors.5098","article-title":"Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project","volume":"3","author":"Sowan","year":"2016","journal-title":"JMIR Hum Factors"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0019","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.iccn.2018.05.004","article-title":"Critical care nurses\u2019 knowledge of alarm fatigue and practices towards alarms: a multicentre study","volume":"48","author":"Casey","year":"2018","journal-title":"Intensive Crit Care Nurs"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0020","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/01.ccm.0000474648.68026.66","article-title":"Flaws in clinical alarm safety studies: the value of mixed methods and objective alarm data","volume":"43","author":"Sowan","year":"2015","journal-title":"Crit Care Med"},{"issue":"15-16","key":"10.1016\/j.hrtlng.2025.09.013_bib0021","doi-asserted-by":"crossref","first-page":"3033","DOI":"10.1111\/jocn.14866","article-title":"Critical care nurses\u2019 clinical reasoning about physiologic monitor alarm customisation: an interpretive descriptive study","volume":"28","author":"Ruppel","year":"2019","journal-title":"J Clin Nurs"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0022","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.cnc.2018.02.002","article-title":"Critical care nurses\u2019 cognitive ergonomics related to medical device alarms","volume":"30","author":"Wung","year":"2018","journal-title":"Crit Care Nurs Clin N Am"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0023","series-title":"Interpretive Description: Qualitative Research for Applied Practice","author":"Thorne","year":"2016"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0024","series-title":"Routledge International Handbook of Qualitative Nursing Research","first-page":"295","article-title":"Interpretive description","author":"Thorne","year":"2013"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/160940690400300101","article-title":"The Analytic challenge in interpretive description","volume":"3","author":"Thorne","year":"2004","journal-title":"Int J Qual Methods"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0026","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/(SICI)1098-240X(199704)20:2<169::AID-NUR9>3.0.CO;2-I","article-title":"Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge","volume":"20","author":"Thorne","year":"1997","journal-title":"Res Nurs Health"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0027","series-title":"Naturalistic Inquiry","author":"Lincoln","year":"1985"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0028","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0029","unstructured":"GE Healthcare. CARESCAPE monitors B850 and B650: user\u2019s manual software version 2. 2013. Accessed March 31, 2025. https:\/\/hit.healthsystem.virginia.edu\/index.cfm\/_api\/render\/file\/?fileID=0B2D9590-17A4-77A0-3E7456AFB970EF54&fileEXT=.pdf."},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0030","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/01.JCE.0000305872.86942.66","article-title":"Fault tree analysis of clinical alarms","volume":"33","author":"Hyman","year":"2008","journal-title":"J Clin Eng"},{"issue":"4","key":"10.1016\/j.hrtlng.2025.09.013_bib0031","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/CCM.0000000000002093","article-title":"Healthcare provider perceptions of causes and consequences of ICU capacity strain in a large publicly funded integrated health region: a qualitative study","volume":"45","author":"Bagshaw","year":"2017","journal-title":"Crit Care Med"},{"issue":"8","key":"10.1016\/j.hrtlng.2025.09.013_bib0032","doi-asserted-by":"crossref","first-page":"4018","DOI":"10.3390\/ijerph18084018","article-title":"Impact of hospital nurses\u2019 perception on clinical alarms and patient safety culture on alarm management practice","volume":"18","author":"Lee","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"5","key":"10.1016\/j.hrtlng.2025.09.013_bib0033","first-page":"447","article-title":"Patient safety and patient safety culture: Foundations of excellent health care delivery","volume":"41","author":"Ulrich","year":"2014","journal-title":"Am Nephrol Nurses\u2019 Assoc"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0034","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-025-03084-y","article-title":"Exploring ICU nurses\u2019 response to alarm management and strategies for alleviating alarm fatigue: a meta-synthesis and systematic review","volume":"24","author":"Xu","year":"2025","journal-title":"BMC Nurs"},{"issue":"1","key":"10.1016\/j.hrtlng.2025.09.013_bib0035","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-024-02374-1","article-title":"Coping strategies of Intensive Care Units Nurses in alarm management: a qualitative research study","volume":"23","author":"Lu","year":"2024","journal-title":"BMC Nurs"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0036","unstructured":"The Joint Commission. National patient safety goals effective January 2022 for the hospital program. 2022. Accessed March 31, 2025. https:\/\/www.jointcommission.org\/\/media\/tjc\/documents\/standards\/national-patient-safety-goals\/2022\/npsg_chapter_hap_jan2022.pdf."},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0037","series-title":"The Sonification Handbook","first-page":"493","article-title":"Intelligent auditory alarms","author":"Guillaume","year":"2011"},{"key":"10.1016\/j.hrtlng.2025.09.013_bib0038","series-title":"From Novice to Expert","author":"Benner","year":"1984"},{"issue":"2","key":"10.1016\/j.hrtlng.2025.09.013_bib0039","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/CNQ.0b013e3181d91475","article-title":"Changing tides","volume":"33","author":"Race","year":"2010","journal-title":"Crit Care Nurs Q"}],"container-title":["Heart &amp; Lung"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956325002043?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956325002043?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T15:37:26Z","timestamp":1763566646000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0147956325002043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":39,"alternative-id":["S0147956325002043"],"URL":"https:\/\/doi.org\/10.1016\/j.hrtlng.2025.09.013","relation":{},"ISSN":["0147-9563"],"issn-type":[{"value":"0147-9563","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploring intensive care unit nurses\u2019 decision-making in alarm management: A qualitative study","name":"articletitle","label":"Article Title"},{"value":"Heart & Lung","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrtlng.2025.09.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}