Revision and validation of the Chinese version of the Intensive Care Unit Nurses’ Alarm Fatigue Questionnaire

This study aimed to translate and adapt the Intensive Care Unit (ICU) Nurses’ Alarm Fatigue Questionnaire for use in China, and to assess its reliability and validity in this context. Initially, 180 ICU nurses were surveyed, resulting in 175 valid responses, which were subjected to item analysis and exploratory factor analysis to finalize the scale. Subsequently, 290 ICU nurses participated in the formal assessment, yielding 281 valid responses. We conducted confirmatory factor analysis and internal consistency reliability tests. The Maslach Burnout Inventory-General Survey was used to explore the correlation between burnout and alarm fatigue. A subgroup of 150 participants was retested after two weeks to evaluate test–retest reliability. The final Chinese version of the questionnaire included 13 items and demonstrated good structural validity and reliability, with an internal consistency coefficient of .89 and a test–retest reliability of .82. This revised questionnaire is a reliable tool for measuring alarm fatigue in Chinese ICU nurses.