Complexity of Care Is Associated With Distressing Environmental Factors

Abstract

Future research may increase understanding of relationships found in this study, and process improvement initiatives may provide targets for decreasing complexity of work patterns.

The culture contributing to interruptions in the nursing work environment: An ethnography

“…Development of nurses' situational awareness may provide a safeguard against negative outcomes from interruptions (Sitterding, Ebright, Broome, Patterson, & Wuchner, 2014). Whenever investigating interruptions in the nursing work environment, the lens of a complex system should be used as a framework (Solomon, Albert, Sun, Bowers, & Molnar, 2011).…”

Instability in patient and nurse characteristics, unit complexity and patient and system outcomes

“…This in turn can result in constantly changing nursing work which adds to what Solomon et al . () define as the complexity of care. Managing this complexity requires great skill and competence.…”

“…No matter how well planned staffing may be for a shift, day or week, there are patient and nurse factors on the ward which when unstable, increase unit complexity. This in turn can result in constantly changing nursing work which adds to what Solomon et al (2011) define as the complexity of care. Managing this complexity requires great skill and competence.…”

Patient‐related complexity of nursing care in acute care hospitals – an updated concept

“…Some authors highlighted nurses' perceptions of demands and responsibilities due to difficulty, multifactorial influences, diversity and comorbidity claiming high personal competences, skills and knowledge (68). Others referred to definitions of 'work and cognitive complexity' (69)(70)(71)(72). 'Work complexity' entails impaired processes in patient care; 'cognitive complexity' encompasses RNs knowledge of patients and typical patient profiles, strategies for managing care proactively and ensuring patient safety (69).…”