{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:58:52Z","timestamp":1785499132687,"version":"3.56.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Alarm fatigue threatens patient safety in intensive care units (ICUs), yet no validated Japanese instrument exists. We cross\u2010culturally adapted the Charit\u00e9 Alarm Fatigue Questionnaire (CAFQa) into Japanese following COSMIN guidelines and evaluated it in 129 clinicians (103 nurses, 26 physicians) at five hospitals, with 102 retested. Confirmatory factor analysis supported the two\u2010factor structure (CFI\u2009=\u20090.922; RMSEA\u2009=\u20090.041; SRMR\u2009=\u20090.076), but the inter\u2010factor correlation was near zero (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.05), suggesting that Alarm Stress and Alarm Coping behave as largely independent dimensions. Cronbach's alpha was 0.805 (Stress) and 0.649 (Coping); test\u2013retest ICCs ranged 0.62\u20130.75. Alarm Stress correlated with job stress (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.256) and insomnia (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.369), whereas Alarm Coping related selectively to relational and environmental factors and to ICU experience. Given the orthogonal subscales, we recommend subscale\u2010level rather than total\u2010score interpretation.\n                  <\/jats:p>","DOI":"10.1111\/nicc.70576","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:00:58Z","timestamp":1783425658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross\u2010Cultural Adaptation and Validation of the Japanese Charit\u00e9 Alarm Fatigue Questionnaire (\n                    <scp>CAFQa<\/scp>\n                    ) Among\n                    <scp>ICU<\/scp>\n                    Nurses and Physicians: A Multicentre Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4036-4629","authenticated-orcid":false,"given":"Tomoo","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Nursing Kindai University  Sakai City, Osaka Japan"},{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuko","family":"Ishiseki","sequence":"additional","affiliation":[{"name":"Adult and Child Health Care Nursing Region, Acute Care Nursing Division Kobe City College of Nursing  Kobe City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-5213","authenticated-orcid":false,"given":"Yuki","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"},{"name":"Center for Postgraduate Clinical Training and Career Development Nagoya University Hospital  Nagoya\u2010city Japan"},{"name":"Center for Medical Education, Graduate School of Medicine Nagoya University  Nagoya\u2010city Japan"},{"name":"Department of Healthcare Epidemiology, Graduate School of Medicine Kyoto University  Kyoto Japan"},{"name":"Department of International and Community Oral Health Tohoku University Graduate School of Dentistry  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7195-2055","authenticated-orcid":false,"given":"Hidehiro","family":"Someko","sequence":"additional","affiliation":[{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"},{"name":"Department of Internal Medicine Nagoya Tokushukai General Hospital  Kasugai Japan"},{"name":"Department of Healthcare Epidemiology Kyoto University Graduate School of Medicine\/Public Health  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8865-1945","authenticated-orcid":false,"given":"Hiroki","family":"Sato","sequence":"additional","affiliation":[{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"},{"name":"Faculty of Rehabilitation Kawasaki University of Medical Welfare  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6903-7723","authenticated-orcid":false,"given":"Kota","family":"Minami","sequence":"additional","affiliation":[{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"},{"name":"Medical Training Center Saga University Hospital  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9510-013X","authenticated-orcid":false,"given":"Takao","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Scientific Research WorkS Peer Support Group (SRWS\u2010PSG)  Osaka Japan"},{"name":"Department of Rehabilitation Yamagata Prefectural Central Hospital  Yamagata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0903-0201","authenticated-orcid":false,"given":"Chikashi","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health Kyoto University  Kyoto Japan"},{"name":"Department of Anesthesia Kyoto University Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Crosby","sequence":"additional","affiliation":[{"name":"Kobe City College of Nursing  Kobe City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.4037\/NCI.0b013e3182a903f9"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12200"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2017-000202"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09688-x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2017.05.005"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12870"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1754-9493-8-29"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1583"},{"issue":"11","key":"e_1_2_12_10_1","first-page":"358","article-title":"The Risks That Should Be at the Top of Your Prevention List","volume":"40","author":"Top 10 Technology Hazards 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