Measuring alarm fatigue in intensive care units: translation and validation of the Charité Alarm Fatigue Questionnaire: a multi-centre study
Authors' conclusion
CAFQa was translated and validated in a Dutch speaking population for the first time.
Study context
- Population
- Nurses and physicians in Dutch-speaking Intensive Care Units (ICUs) (10 Dutch, 1 Belgian centre)
- Participants
- 418 nurses · 11 centres
- Outcome
- Validity and internal homogeneity of the Dutch Charité Alarm Fatigue Questionnaire (CAFQa) (confirmatory factor analysis, Cronbach's alpha, convergent validity)
Methodological detailsmulti-centre, confirmatory factor analysis
- Multi-centre
- Confirmatory factor analysis
Performance
As reported in the abstract
Psychometric properties of Dutch CAFQa
- Cronbach's alpha, overall
- 0.69
- Cronbach's alpha, alarm stress scale
- 0.74
- Cronbach's alpha, alarm coping scale
- 0.46
- Correlation with self-reported alarm fatigue, overall (r)
- 0.51
- Correlation with self-reported alarm fatigue, alarm stress (r)
- 0.48
- Correlation with self-reported alarm fatigue, alarm coping (r)
- 0.30
- CFI
- 0.961
- TLI
- 0.946
- RMSEA
- 0.052
- Factor loadings, all (all statistically significant)
- 0.20-0.74
- Factor loadings, alarm stress
- 0.60-0.74
- Factor loadings, alarm coping
- 0.21-0.70
Further findings
Translation and face validity
- Translated into Dutch, approved by expert panel; cognitive interviews showed good face validity
Original publication
Measuring alarm fatigue in intensive care units: translation and validation of the Charité Alarm Fatigue Questionnaire: a multi-centre study. J Crit Care. Published 27 August 2025. doi:10.
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