Nursing Interruptions in a Trauma Intensive Care Unit

Craker, Nicole; Myers, Robert A.; Eid, Jessy; Parikh, Priti; McCarthy, Mary C.; Zink, Kathy; Parikh, Pratik

doi:10.1097/nna.0000000000000466

Cited by 17 publications

(31 citation statements)

References 17 publications

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“…Over time, this may develop a fundamental common condition among staff not to miss out on anything. The consequence may be that nurses interrupt colleagues anywhere, at anytime with anything, either to be more time effective, as part of mentoring, to speed up a work process or because of other urgent or important matters (Berg, Florin, et al., ; Craker et al., ; Monteiro et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…The above mentioned can lead to stress and force nurses to develop strategies to maintain and keep up with the work pace (Monteiro et al., ) and may result in forgetfulness, reduced job satisfaction and other stress‐related symptoms (Filer et al., ; Tucker & Spear, ; Werner & Holden, ). However, interruptions may be positive when contributing to share essential knowledge to increase the quality of care (Craker et al., ; McCurdie, Sanderson, Aitken, et al. ; Prates Dde & Silva, ).…”

Section: Introductionmentioning

confidence: 99%

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Coping with interruptions in clinical nursing—A qualitative study

Laustsen

Brahe

2018

Journal of Clinical Nursing

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Coping with interruptions is important for the nursing profession, quality of care and patient safety. Changing practice requires multidisciplinary cooperation accepting different agendas at personal, group and organisational levels. Nurses must understand the meaning and nature of different types of interruptions to develop coping strategies and maintain quality in care and patient safety in multidisciplinary teamwork.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coping with interruptions in clinical nursing—A qualitative study

Laustsen

Brahe

2018

Journal of Clinical Nursing

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“…27 It should be emphasized that the four studies that discussed the exchange of information as important pointed out the alert to professionals regarding the continuity of an unsafe act, that is, the interception of errors, that prevents the harm to the patient. 13,16,19,21 A Brazilian study was identified that reports that interruptions, besides preventing errors, help the professional to be more precise in their activities. 4 Another positive point of the interruption, understood as a factor that makes the efficiency of the work process feasible, while other studies approach interruption as an action that increases the problem-solving capacity.…”

Section: Level IVmentioning

confidence: 99%

“…14,16,24 The reduction of clinical performance, efficiency, effectiveness and productivity of the professional is emphasized. 10,13,15,19, The increase in nurses' workload is indicated as a consequence of the interruption. 10-2; 24 It complements, in a Swiss study, that, when finishing the secondary activity, the professional demands certain time to resume the initial task, which causes an increase of the work load.…”

Section: Level IVmentioning

confidence: 99%

“…It is also known that interruptions considered unnecessary by professionals can cause stress, irritability, frustration and demotivation. 6,10,13,16,19, It is stated in a Brazilian study that interruptions can trigger, besides these feelings, the feeling of incapacity and discouragement in the professionals, since the irrelevant interruptions make difficult the continuous assistance. 4 It should be stressed that it is fundamental to differentiate between interruptions favorable to the work process and those that undermine it.…”

Section: Level IVmentioning

confidence: 99%

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Interrupções no trabalho do enfermeiro e na segurança do paciente

Paiva

Oliveira²,

Silva

et al. 2019

Rev enferm UFPE on line.

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Objetivo: identificar os efeitos das interrupções na rotina de trabalho do enfermeiro e na segurança do paciente. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, com a coleta de dados nas bases de dados MEDLINE, CINAHL, Web of Science e LILACS, em artigos indexados de 2013 a 2017, analisando-os de forma descritva, após a apresentação em figuras. Resultados: encontraram-se 17 artigos e se percebeu que revelaram aspectos negativos em relação à interrupção na rotina de trabalho do enfermeiro e na segurança do paciente e 76,5% mostraram, também, pontos positivos. Salienta-se que os resultados analisados não apoiaram consistentemente a relação negativa entre as interrupções e as suas implicações na rotina de trabalho do enfermeiro e na segurança do paciente. Conclusão: evidenciaram-se aspectos que favorecem a ocorrência de interrupções na prática do enfermeiro, entretanto, há poucos estudos que descrevem o impacto das interrupções na prática e na segurança do paciente. Faz-se necessária uma ampla compreensão dos fatores que ocasionam as interrupções e colocam em risco a segurança do paciente. Descritores: Enfermagem; Segurança do Paciente; Interrupção; Fluxo de Trabalho; Cuidados de Enfermagem; Gerenciamento do Tempo.ABSTRACTObjective: to identify the effects of disruptions on the nurse's work routine and patient safety. Method: this is a bibliographical, descriptive, type-integrative review of literature, with the collection of data in the MEDLINE, CINAHL, Web of Science and LILACS databases, in indexed articles from 2013 to 2017, analyzing them in a descriptive way, after the presentation in figures. Results: 17 articles were found and it was noticed that they revealed negative aspects regarding interruption in the nurse's work routine and patient safety, and 76.5% also showed positive points. It should be noted that the results analyzed did not consistently support the negative relationship between the interruptions and their implications in the nurse's work routine and patient safety. Conclusion: aspects that favor the occurrence of interruptions in nurses' practice were evidenced, however, there are few studies that describe the impact of interruptions on the practice and safety of the patient. There is a need for a broad understanding of the factors that cause disruption and jeopardize patient safety. Descriptors: Nursing; Patient Safety; Interruption; Workflow; Nursing Care; Time Management.RESUMENObjetivo: identificar los efectos de las interrupciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Método: se trata de un estudio bibliográfico, descriptivo, tipo revisión integradora de literatura, con la recolección de datos en las bases de datos MEDLINE, CINAHL, Web of Science y LILACS, en artículos indexados de 2013 a 2017, analizándolos de manera descriptiva, después de la presentación en figuras. Resultados: se encontraron 17 artículos y se observó que revelaron aspectos negativos relacionados con la interrupción en la rutina de trabajo del enfermero y en la seguridad del paciente, y el 76.5% mostraron también puntos positivos. Cabe señalar que los resultados analizados no apoyaron de manera consistente la relación negativa entre las interrupciones y sus implicaciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Conclusión: se evidenciaron aspectos que favorecen la ocurrencia de interrupciones en la práctica del enfermero, sin embargo, existen pocos estudios que describan el impacto de las interrupciones en la práctica y en la seguridad del paciente. Se hace necesaria una amplia comprensión de los factores que causan las interrupciones y ponen en riesgo la seguridad del paciente. Descriptores: Enfermería; Seguridad del Paciente; Interrupción; Flujo de Trabajo; Atención de Enfermería; Administración del Tiempo.

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The Effects of Clinical Task Interruptions on Subsequent Performance of a Medication Pre-Administration Task

Williams

Morgan

Christopher

et al. 2019

Advances in Intelligent Systems and Computing

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There is a surge of research exploring the role of task interruptions in the manifestation of primary task errors both in controlled experimental settings, and safety critical workplaces such as healthcare. Despite such research providing valuable insights into the disruptive properties of task interruption, and, the importance of considering the likely disruptive consequences of clinical task interruptions in healthcare environments, there is an urgent need for an approach that best mimics complex working environments such as healthcare, whilst allowing better control over experimental variables with minimal constraints. We propose that this can be achieved with ecologically sensitive experimental tasks designed to have high levels of experimental control so that theoretical as well as practical parameters and factors can be tested. We developed a theoretically and ecologically informed procedural memory-based task-the CAMROSE Medication Pre-Administration Task. Results revealed significantly more sequence errors were made on low, moderate and high complex conditions compared to no interruption condition. There was no significant difference in non-sequence errors. Findings reveal the importance of developing ecologically valid tasks to explore non-observable characteristics of clinical task interruptions. Both theoretical and possible practical implications are discussed.

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Nursing Interruptions in a Trauma Intensive Care Unit

Abstract: A deeper understanding of individual factors and their complex interactions related to interruptions experienced by ICU RNs are vital to understanding the clinical significance of these interruptions and intervention design.

Cited by 17 publications

References 17 publications

Coping with interruptions in clinical nursing—A qualitative study

Coping with interruptions in clinical nursing—A qualitative study

Interrupções no trabalho do enfermeiro e na segurança do paciente

The Effects of Clinical Task Interruptions on Subsequent Performance of a Medication Pre-Administration Task

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