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June 12, 2026Frontiers in Public HealthOpen Access

A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

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Population

1,154 hemodialysis nurses from 126 units in Henan Province, China

Design

Cross-sectional

Key result

A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

Authors

LZLiyang Zhu鷺蘇鷺梅 蘇ZCZhen Chen

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Overview

Most exhibit medium KAP levels; leaves open whether education interventions improve cardiovascular prevention behaviors.

Key Points

  • This study aims to examine the variances in knowledge, attitude, and practice towards medical device alarm fatigue among hemodialysis nurses.
  • Cross-sectional study conducted with 1,154 hemodialysis nurses from 126 units in Henan Province.
  • Utilized a KAP questionnaire and resilience scale for data collection.
  • Latent profile analysis categorized KAP levels, and multinomial logistic regression identified influencing factors.
  • KAP levels categorized as medium-level group (73.9%), knowledge deficit group (10.3%), and high-level group (15.8%).
  • Nurses under 30 years and with 1-5 years of experience had higher odds of being in the medium-level group (OR not specified).
  • Higher resilience and training on device-related knowledge correlate with lower odds of being in the medium-level or knowledge-deficit groups.

Study Design

Type

Cross-Sectional (n=1,154)

Multicenter

Yes

Structured PICO

P
Population
1,154 certified hemodialysis nurses with at least 3 months of experience from 126 units in Henan Province, China, assessed for knowledge, attitude, and practice regarding medical device alarm fatigue.
O
Outcome
Knowledge, attitude, and practice (KAP) levels concerning medical device alarm fatiguepatient reported

Main Result

Odds Ratio: 0.79 (95% CI 0.76–0.82)

p-value: p=<0.001

Hemodialysis nurses exhibit heterogeneous knowledge, attitude, and practice levels regarding medical device alarm fatigue, highlighting the need for targeted interventions based on experience, training, and resilience.

Limitations

  • All primary measures were self-reported, subjecting the study to social desirability bias, recall bias, and common method variance
  • Convenience sampling within a single province limits generalizability
  • Cross-sectional design precludes causal inference
  • Unmeasured confounders (e.g., unit-level alarm policies, staffing levels) may influence profile membership
  • Latent profile analysis remains probabilistic with residual classification uncertainty
  • Self-reported data relying on participants' perceptions and recollections
  • Lack of objective measures such as direct observation of alarm response behaviors or physiological measures of fatigue
  • Inherent biases of self-report methodology

Cite This Study

Zhu et al. (2026) conducted a cross-sectional in Medical device alarm fatigue (n=1,154). Psychological resilience vs. Lower psychological resilience (per 1-point increase) was evaluated on Membership in the medium-level knowledge, attitude, and practice (KAP) profile compared to the high-level profile (OR 0.79, 95% CI 0.76-0.82, p=<0.001). A one-point increase in psychological resilience score was associated with 21% lower odds of being in the medium-level KAP group (OR 0.79) compared to the high-level group among hemodialysis nurses.

synapsesocial.com/papers/6a2bd1056550ea4541ffe7a9https://doi.org/10.3389/fpubh.2026.1852268
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