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Introduction In critical care units, improper alarm settings for bedside monitoring systems promotes numerous alarms and may lead to nurse fatigue. Purpose Achieve an integrative review of the literature to identify the factors that influence the nurse in her decision to set and modulate the alarm parameters of bedside monitoring systems in the intensive care unit. Method An integrative review of the literature according to the five steps of the Whittemore and Knafl method was carried out from the literature relate