Interruptions Experienced by Emergency Nurses: Implications for Subjective and Objective Measures of Workload

Forsyth, Katherine L.; Hawthorne, Hunter J.; El-Sherif, Nibras; Varghese, Rachelen S.; Ernste, Vickie K.; Koenig, Jordyn; Blocker, Renaldo C.

doi:10.1016/j.jen.2018.02.001

Cited by 26 publications

(30 citation statements)

References 25 publications

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“…The term “nursing interruption” refers to a sudden external behaviour that interrupts or delays the ongoing nursing procedures and distracts nurses’ attention from the delivery of care for patients under a specified time, role and environment (Xie et al., 2020). A greater number of studies (Al‐Jumaili & Doucette, 2017; Clinta et al., 2018; Xie et al., 2020) have highlighted the negative aspects of nursing interruptions such as the increased workload (Kim et al., 2019), decreased work efficiency and experience (Forsyth et al., 2018) and increased likelihood of cognitive distractions, thereby increasing the risk of committing adverse nursing events (Raja et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Nursing interruptions in emergency room in China: An observational study

et al. 2021

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Aim To analyse the frequency and core elements of nursing work interruptions in Chinese emergency nursing settings. Background Little is known about nursing interruptions, which affect the quality of services in Chinese emergency nursing setting. Method(s) A cross‐sectional observational study was conducted in three units of an emergency department in a Chinese tertiary hospital. Participants comprised 60 nurses. Data were collected using a questionnaire developed by the researchers specifically for this study. Results In total, 25,965 min of work was observed and 2333 interruptions were identified. Most interruptions were from patients, their families and nurses. Therapeutic nursing and patient observation and documentation were the most frequently interrupted procedures. Most interruptions were negative, and a majority of the nurses immediately responded to interruptions. Significant differences existed in the overall distribution of the core elements among the three nursing units. Conclusions The frequency of emergency nursing interruptions was moderate. Most interruptions tend to lead to negative treatment outcomes for patients. Implications for Nursing Management Emergency nursing managers should recognize the importance of interruptions, understand work situations better and develop ways to reduce the incidence of interruptions. Thus, nursing risks can be avoided by reducing the adverse outcomes caused by work interruptions.

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Section: Introductionmentioning

confidence: 99%

Nursing interruptions in emergency room in China: An observational study

et al. 2021

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“…Finally, some authors estimate the physiological workload according to different parameters, which were not observed in other studies. Forsyth et al (2018) measure the workload according to the interruptions that occurred during the workday; Merchaoui et al (2016) use Body Mass Index (BMI) to estimate the load; whereas for Oakman et al (2014), one of the ways used to measure load is by using indices related to discomfort or pain while working. Yet, for Roman- Liu (2013), measuring the amplitude, acceleration, and frequency of vibrations is a valid way to measure workload.…”

Section: Tablementioning

confidence: 99%

“…Also, the electrodes and other tools used to make measurements during work may interfere in the performance of the real work during the study. Evaluating them in the laboratory would be a solution, but this would not reflect the reality of the work done (Brandt et al, 2015;Forsyth et al, 2018;Le and Marras, 2016).…”

Section: Limitations In Estimating Physiological Workload Studiesmentioning

confidence: 99%

Identification and estimation of physiological workload in nursing: Concepts, methods and gaps in the literature

Neto

Amaral

2020

International Journal of Industrial Ergonomics

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The increasing technological evolution in hospitals, combined with stressful and burdensome working conditions causes distress in nursing professionals. These elements suggest an increase in the physiological workload of workers in this service. This paper aims to identify the parameters or variables used to estimate the physiological workload of dynamic tasks in hospital workers, as well as the methods used to measure it and their specificities. A systematic literature review was performed using the PRISMA protocol, in journal databases such as Scopus, Science Direct, and Pubmed Central. Our searches retrieved 1321 articles and, after classification, we selected 35 articles for full analysis. The results showed a lack of consensual physiological workload definition, although there are several parameters and methods to measure it. Finally, based on the concepts studied, we found insufficiencies in the methodologies that combine the main parameters to estimate the physiological workload among nursing professionals.

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“…However, nursing work interruptions frequently occur in the intensive care unit and can harm patients [ 5 ]. When work periods are longer, more interruptions occur [ 6 ]. The COVID-19 isolation units are emergency care units, which require nurses to work for longer periods at high intensity, giving them increased work pressure.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Nurses’ Work Interruption in Wuhan Isolation Wards During the COVID-19 Pandemic

et al. 2021

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Background Through January 2021, the novel coronavirus (COVID-19) continued to create significant pressure on medical staff who have worked to treat patients with the disease and control its spread. This study aimed to increase understanding of the situation and influencing factors of nurses’ work interruption in Wuhan’s isolation ward during the COVID-19 pandemic. Material/Methods A self-designed general situation questionnaire and work interruption questionnaire were used to survey 160 nurses from Beijing, Chongqing, and Jilin who worked during the COVID-19 pandemic in Wuhan in March 2020. The questionnaire could only be answered once by each nurse via a WeChat account. The submitted answers were verified by 2 researchers. Results The results showed that the rate of interruption of work among nurses in the isolation ward was 25%, and the rate of nurses experiencing a negative experience was 96.9%. The results of univariate analysis showed that the following factors were related to the work interruption of the nurses in the isolation ward (all P <0.05): emergency public incident training; emergency public incident treatment experience; knowledge of COVID-19 pneumonia; hours worked per shift in the quarantine area; and negative physiologic experience. Logistic regression analysis showed that negative experience, hours worked per shift, and emergency public incident training were the independent factors influencing work interruption among nurses in the isolation wards. Conclusions The incidence of interruption of work among nurses in the isolation ward was 25%. Negative experiences, long working hours per shift, and lack of emergency public incident training made the nurses more prone to work interruption.

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Interruptions Experienced by Emergency Nurses: Implications for Subjective and Objective Measures of Workload

Cited by 26 publications

References 25 publications

Nursing interruptions in emergency room in China: An observational study

Nursing interruptions in emergency room in China: An observational study

Identification and estimation of physiological workload in nursing: Concepts, methods and gaps in the literature

Factors Influencing Nurses’ Work Interruption in Wuhan Isolation Wards During the COVID-19 Pandemic

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