Interruption in the work of nursing professionals: conceptual analysis

Freitas, Weslen Carlos Junior de; Menezes, Aline Carrilho; Mata, Luciana Regina Ferreira da; Lira, Ana Luísa Brandão de Carvalho; Januário, Letícia Helena; Ribeiro, Helen Cristiny Teodoro Couto

doi:10.1590/0034-7167-2020-1392

Cited by 3 publications

(4 citation statements)

References 41 publications

(121 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings might be attributed mainly to labor resources, as indicated by a recent study conducted by Al-Faouri et al (2020) which revealed that inadequacy of clerical employees, patient transporters, and other assistive staff has a significant contribution to high prevalence of performing NNTs by registered nurses and high level of missed nursing care (Al-Faouri et al, 2020). Furthermore, a conceptual study conducted by Freitas et al (2022) revealed that answering phone calls was deemed as considerable contributing factor to the concept of "interruption in the work of nursing personnel" and was found to affect the attention and concentration of registered nurses during performing caring interventions to their clients, and thus increasing the frequency and severity of malpractice, negligence, and medications errors.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession

Ayasreh

Hayajneh

Awamleh

2022

Nurs. Med. J. Nursing

View full text Add to dashboard Cite

Background: Performing non-nursing tasks (NNTs) by registered nurses is considered as one of the most challenging issues faced by nursing sector worldwide. The negative impacts of nurses’ engagement in NNTs were not limited to nurses or clients, but also nursing students who train in clinical areas. Performance of NNTs is found to aggravate nurses’ confusion about their professional roles and identity. However, the impact of performance of NNTs on nursing students has not been yet studied. Purpose: This study aimed to investigate the impact of witnessing performance of non-nursing tasks by registered nurses on nursing students’ attitudes toward the nursing profession.Methods: A descriptive comparative study was conducted from September 2021 to January 2022. A convenience sampling was used and 409 valid questionnaires were obtained from Jordanian nursing students who were at least in their second academic year and had completed at least one clinical training period in one of the clinical settings. Attitude Scale for Nursing Profession was used to explore the participants’ attitudes toward the nursing profession. Descriptive statistics and independent t-test test were used for data analysis.Results: The results revealed that approximately 48% of the participants witnessed performance of NNTs by registered nurses during their clinical training. Student participants who witnessed performance of NNTs (M=154.4, SD=17.5) showed significantly less positive attitude toward the nursing profession than those who did not witness (M=157.4, SD=12.2), t(407)=-2.03, p=0.007).Conclusion: Around half of student participants witnessed performance of NNTs by registered nurses during clinical training. Performance of NNTs had a significant effect on nursing students’ attitudes toward nursing profession. Appropriate measures should be prior to clinical training to enhance nurse students’ awareness about professional scope of nursing profession.

show abstract

Section: Discussionmentioning

confidence: 99%

The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession

Ayasreh

Hayajneh

Awamleh

2022

Nurs. Med. J. Nursing

View full text Add to dashboard Cite

show abstract

“…Interruption refers to a reaction triggered by external stimuli or secondary activities that interrupt focused concentration on a primary task, thus leading to task switching or concurrent multitasking [ 2 , 3 ]. The definition includes the source, attributes, outcomes and responses.…”

Section: Introductionmentioning

confidence: 99%

“…The definition includes the source, attributes, outcomes and responses. The attributes of interruptions are classified as intrusions, distractions, discrepancies, and breaks [ 3 ]. The outcomes of interruptions can be either positive or negative.…”

Section: Introductionmentioning

confidence: 99%

Surgical counting interruptions in operating rooms

Lujun,

Yuan,

Wei

2024

BMC Nurs

View full text Add to dashboard Cite

Background Operating rooms are complex working environments with high workloads and high levels of cognitive demand. The first surgical count which occurs during the chaotic preoperative stage and is considered a critical phase, is a routine task in ORs. Interruptions often occur during the first surgical count; however, little is known about the first surgical counting interruptions. This study aimed to observe and analyse the sources, outcomes, frequency of the first surgical counting interruptions and responses to interruptions. Methods A retrospective observational study was carried out to examine the occurrence of the first surgical counting interruptions between 1st August 2023 and 30th September 2023. The data were collected using the “Surgical Counting Interruption Event Form”, which was developed by the researchers specifically for this study. Results A total of 66 circulating nurses (CNs) and scrub nurses (SNs) were observed across 1015 surgeries, with 4927.8 min of surgical count. The mean duration of the first surgical count was 4.85 min, with a range of 1.03 min to 9.51 min. In addition, 697 interruptions were identified, with full-term interruptions occurring an average of 8.7 times per hour. The most frequent source of interruption during the first surgical counts was instruments (N = 144, 20.7%). The first surgical counting interruptions mostly affected the CN (336 times; 48.2%), followed by the ORNs (including CNs and SNs) (243 times; 34.9%) and the SN (118 times; 16.9%). Most of the outcomes of interruptions were negative, and the majority of the nurses responded immediately to interruptions. Conclusions The frequency of the first surgical counting interruption is high. Managers should develop interventions for interruptions based on different surgical specialties and different nursing roles.

show abstract

“…Distraction is classified as deviation of the nurses' attention without, however, interrupting the primary task. 11 The busy and complex ward environment thus creates interruptions and distractions for nurses during the MA process that could resulted in ME. Therefore, appropriate strategies need to be identified to safeguard against ME, especially insulin omission errors, given the serious consequences for adult diabetic surgical patients.…”

Section: Introductionmentioning

confidence: 99%

Reducing insulin omission errors among patients with diabetes mellitus in general surgical wards: a best practice implementation project

Ng,

Goh

2024

JBI Evidence Implementation

View full text Add to dashboard Cite

Introduction and objectives: Omission of insulin, a high-alert medication with one of the highest locally reported errors, could lead to severe hyperglycemia, which could result in coma or death if not treated timeously. This study aimed to identify, evaluate, and implement strategies to reduce the occurrence of insulin omission errors in diabetic adult patients requiring insulin. Methods: This project followed the JBI Evidence Implementation Framework and conducted context analysis, strategy implementation, and evaluation of outcomes according to evidence-based quality indicators. The JBI PACES and JBI GRiP situational analysis tools were used to support data collection and implementation planning. There was one evidence-based criterion and five sub-criteria, with a sample size of 22 patients. Results: There was increased compliance with best practices to reduce interruptions and distractions from baseline audit (50%) to follow-up audits 1 (45.4%) and 2 (31.8%), and no insulin omission incidences during the implementation period. In the post-implementation analysis, there were notable improvements in compliance with strategies related to nurses; however, reduced compliance was observed related to patients. Key barriers to implementation included patients still disturbing nurses despite the nurses wearing the medication vests and patients forgetting instructions not to disturb nurses during medication administration. Strategies to improve compliance included ensuring coverage in each cubicle during insulin preparation and administration, tending to patients’ needs prior to insulin administration, and use of posters as reminders. Conclusions: There was an overall increase in compliance with best practice to reduce interruptions and distractions and no insulin omission incidences related to interruptions and distractions during the implementation phase. Spanish abstract: http://links.lww.com/IJEBH/A219

show abstract

Interruption in the work of nursing professionals: conceptual analysis

Cited by 3 publications

References 41 publications

The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession

The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession

Surgical counting interruptions in operating rooms

Reducing insulin omission errors among patients with diabetes mellitus in general surgical wards: a best practice implementation project

Contact Info

Product

Resources

About