{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T08:03:47Z","timestamp":1784361827415,"version":"3.55.0"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alarm fatigue and psychological stress, such as anxiety and depression, are very common among critical care nurses and may be a contributing factor to impair their perceived performance in intensive care units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to determine the levels of alarm fatigue, anxiety, depression, and perceived performance among critical care nurses and to analyze the correlation between them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional descriptive correlational study was conducted among 200 critical care nurses working in 11 intensive care units across five public hospitals in Damanhur city, Egypt, between August and November 2023. Data were collected using the Alarm Fatigue Questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Nursing Performance Instrument Questionnaire, and a demographic sheet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean score of critical care nurses\u2019 perceived performance was 24.45 \u00b1 7.44 out of 54, which falls within the low-performance category. About 29.5% of critical care nurses had experienced a high score of anxiety; less than half of them (47.5%) had experienced a high score of depression. The mean anxiety and depression scores were positively and significantly correlated with the mean score of alarm fatigue (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = .333,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .001;\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = .630,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001, respectively). In addition, the mean scores of alarm fatigue (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u2212.536,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001) and psychological stress of anxiety (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u2212.311,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001) and depression (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u2212.312,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001) were negative and significantly correlated with critical care nurses\u2019 performance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Critical care nurses in intensive care units experience high levels of alarm fatigue, anxiety, and depression, which are negatively associated with their perceived performance. Addressing alarm management and providing psychological support for critical care nurses may help improve working conditions in intensive care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608261470481","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:48:56Z","timestamp":1784195336000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the Link Between Alarm Fatigue, Stress, and Perceived Performance Among Critical Care Nurses in Egypt"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8538-5250","authenticated-orcid":false,"given":"Sameer A.","family":"Alkubati","sequence":"first","affiliation":[{"name":"University of Hail"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1372-7199","authenticated-orcid":false,"given":"Basma","family":"Basha","sequence":"additional","affiliation":[{"name":"Arab American University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulsalam","family":"M Halboup","sequence":"additional","affiliation":[{"name":"University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Loutfy","sequence":"additional","affiliation":[{"name":"Beni-Suef University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddieson Astodello","family":"Pasay-an","sequence":"additional","affiliation":[{"name":"King Khalid University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4298-1121","authenticated-orcid":false,"given":"Mohamed A.","family":"Zoromba","sequence":"additional","affiliation":[{"name":"Prince Sattam Bin Abdulaziz University"},{"name":"Mansoura University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0185-859X","authenticated-orcid":false,"given":"Heba E.","family":"El-Gazar","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration and Education, College of Nursing, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Hashem El-Monshed","sequence":"additional","affiliation":[{"name":"University of Bahrain"},{"name":"Mansoura University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Ayoub","family":"Tlili","sequence":"additional","affiliation":[{"name":"University of Hail"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimmaa Mohamed","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Damanhour University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16190"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2019.100183"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03512-z"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03225-3"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.04.008"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S452933"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02018-4"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.imu.2022.101047"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.080"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/17449871211070982"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00909-y"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-019-0160-7"},{"key":"e_1_3_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00852-y"},{"key":"e_1_3_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2017-000202"},{"key":"e_1_3_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05597.x"},{"key":"e_1_3_8_17_1","doi-asserted-by":"publisher","DOI":"10.24018\/clinicmed.2020.1.1.8"},{"key":"e_1_3_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(09)70835-7"},{"key":"e_1_3_8_19_1","volume-title":"Patient Safety and Quality: An Evidence-Based Handbook for Nurses","author":"Clarke S. 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