Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Abstract

How to cite this article:Sassaki RL, Perroca MG. Interruptions and their effects on the dynamics of the nursing work. Rev Gaúcha Enferm. 2017;38(2):e67284. doi: http://dx.doi. org/10.1590/1983-1447.2017.02.67284. doi: http://dx.doi. org/10.1590/1983-1447.2017.02.67284 Interruptions and their effects on the dynamics of the nursing work* Results:Most of the nurses have reported frequent and recurring interruptions during their work activities. The interruptive processes are more frequent during the documentation process (n=118; 91.5%) and guidance to the patient/family (n=58; 45%). They are caused by the ringing of the phone (n=114; 87%), and by problem solving in the unit (n=107; 81.7%). Conclusions:According to the nurses' opinion, the interruptive processes have repercussions on the working dynamics, on the caring process and on the patient's safety. Keywords:Workflow. Time management. Nursing staff. Nursing process. RESUMO Objetivos: Investigar a percepção de enfermeiros sobre as interrupções durante a dinâmica de trabalho e suas implicações no ambiente de prática profissional. Métodos:Pesquisa survey conduzida junto a 133 enfermeiros de um hospital de ensino no interior do Estado de São Paulo nos meses de outubro de 2015 a março de 2016, mediante utilização de um questionário autoadministrado. Empregou-se os testes Qui--quadrado e Fisher para análise estatística.Resultados: A maioria dos enfermeiros relatou interrupções constantes e recorrentes durante atividades de trabalho. Os processos interruptivos são mais frequentes durante o processo de documentação (n=118; 91,5%) e orientação ao paciente/família (n=58; 45%). São ocasionados por toque de telefone (n=114; 87%) e resolução de problemas na unidade (n=107; 81,7%). Conclusões:No parecer dos enfermeiros, os processos interruptivos repercutem sobre a dinâmica de trabalho, o processo de cuidar e a segurança dos pacientes.Palavras-chave: Fluxo de trabalho. Gerenciamento do tempo. Recursos humanos de enfermagem. Processos de enfermagem. RESUMEN Objetivos: Investigar la percepción de los enfermeros sobre las interrupciones durante el flujo de trabajo y sus consecuencias sobre el ambiente de la práctica profesional.Métodos: Realizada con 133 enfermeros de un hospital universitario de octubre de 2015 a marzo de 2016 mediante el uso de un cuestionario autoadministrado. Se utilizó la prueba de chi-cuadrado y de Fischer para el análisis estadístico.Resultados: La mayoría de las enfermeras reportaron interrupciones constantes y recurrentes durante las actividades laborales. Los procesos interrumpibles son más frecuentes durante el proceso de documentación (n=118; 91,5%) y la orientación al paciente/ familia (n = 58; 45%). Son causadas por el tono de llamada (n=114; 87%), resolución de problemas en la unidad (n=107; 81,7%).Conclusiones: En la opinión de los enfermeros, los procesos que se interrumpen repercuten en el flujo de trabajo, el proceso de atención y la seguridad del paciente.

Interrupções no trabalho do enfermeiro e na segurança do paciente

“…As with other effects cited, the patient's longer waiting time for care and concern about imprecise instructions. 19,23 Patients are perceived to be disrespectful and vulnerable due to exposure of their health problems to the switch. 23,25 It is understood that patients may feel devalued when there are frequent interruptions during the delivery of their care, according to a US study.…”

“…19,23 Patients are perceived to be disrespectful and vulnerable due to exposure of their health problems to the switch. 23,25 It is understood that patients may feel devalued when there are frequent interruptions during the delivery of their care, according to a US study. 32 The analysis of the results of the studies, in which consistent support for the negative relation of the interruptions is not found, although they are more frequent, despite their implications in the nurse's work routine and patient safety, is denoted.…”

Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians

“…However, international data indicate that 71% of catheters are inserted by nurses (3) , and this data is unknown in Brazil, which leads to the hypothesis that such intervention is generally performed by nursing technicians, since nurses are responsible for multiple managerial and administrative activities in your clinical practice (13) .…”

A Study on the Improvement of Nursing Interruption Risk by a Closed-Loop Management Model

“…With the rapid development of medical technology, the expansion of nursing functions, and the high risk of nursing, disruptions to nurses' work are increasing, accompanied by unpredictable risks. [14][15][16] Nursing disruption events seriously reduce nurses' work efficiency and may cause medical errors and threaten patient safety. [17][18][19] Therefore, effectively managing these events is the core issue of this project.…”