Alarm management systems are an essential part of nursing routines and workflows, ensuring patient safety and effective communication of adverse medical events. These solutions cover a variety of use cases and ward-specific requirements. This research studied the requirements of nurses regarding medical alarm management and smartphonebased alarm management applications, gaining insight from the perspectives of both nurses and alarm management system integrators.

Semi-structured interviews were conducted with nurses and alarm management system integrators to gain insight into their experiences with current alarm management tool, requirements for alarm management applications, barriers and facilitators for adoption, and attitudes towards technology. The findings revealed a heterogenous requirements landscape and the need for customizable solutions to address department specific needs. Furthermore, user involvement and active change management were identified as key factors to support successful implementation.

The interview findings informed the development of a high-level framework design, addressing the identified issues through seven distinct project phases; project initiation, context analysis, co-design, configuration & testing, change facilitation, rollout & support, and evaluation & iteration. The framework design was evaluated by semistructured expert interviews, supported by a Likert-scale questionnaire. Expert feedback and recommendations were then incorporated in the development of the final framework.The socio-technical framework developed in this thesis provides actionable guidelines for alarm management system implementation projects, enabling healthcare institutions to leverage end user involvement to improve the adoption of alarm management applications in nursing. This thesis contributes to the limited available research into alarm management in nursing, by providing deep insight into the end user perspective.