Interruptions in clinical nursing practice

Sørensen, Erik Elgaard; Brahe, Liselotte

doi:10.1111/jocn.12329

Cited by 46 publications

(88 citation statements)

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“…According to the reports, the patients (n=16, 51.6%) have caused fewer interruptions than the nursing team (n=20; 64.5%), a situation confirmed in another study (14) . This duality of professionals between the requirement to keep their concentration on the quality of the activities performed and to be collaborative with their co-workers can become a problem that demands learning and skills (16)(17) .…”

Section: Discussionmentioning

confidence: 99%

Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Sassaki

Perroca

2017

Rev. Gaúcha Enferm.

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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.

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Section: Discussionmentioning

confidence: 99%

Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Sassaki

Perroca

2017

Rev. Gaúcha Enferm.

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“…This is strongly supported by the literature. 10,[25][26][27][28] Studies reveal that the main sources of interruption for nurses are other healthcare professionals, nursing staff, patients, relatives, visitors and self-interruption. 25 A recent review of the literature showed that little is known of how nurses deal with interruptions and distractions during medication administration, and points to the urge for innovative and sustainable strategies to overcome this problem.…”

Section: Discussionmentioning

confidence: 99%

Medication System: Analysis of Actions Taken by Professionals in Psychiatric Units

Souta¹,

Filho

Vedana

et al. 2016

Texto contexto - enferm.

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This study analyzed the medication systems in psychiatric units of a general hospital and a psychiatric hospital in the state of São Paulo, Brazil. It is a quantitative and cross-sectional, exploratory survey study with 144 professionals from the areas of medication, nursing and pharmacy. Data were collected by direct, non-participative observation and by medical records review. Data were analyzed using descriptive statistics. Factors that affect patient safety, such as interruptions during prescription, handwritten changes to electronic prescriptions, limited handling of the electronic prescription system, unavailable clinical pharmacy, mistakes in activities related to the preparation and administration of medications and other factors were identified. The study reveals the susceptible points for the occurrence of medication errors in psychiatric hospitalization departments and discusses recommendations and technological resources that can promote security in the medication system. DESCRITORS: Medication errors. Safety management. Medication system. Mental health. SISTEMA DE MEDICAÇÃO: ANÁLISE DAS AÇÕES DOS PROFISSIONAIS EM UNIDADES DE INTERNAÇÃO PSIQUIÁTRICARESUMO: Este estudo analisou os sistemas de medicação em unidades de psiquiatria de um hospital geral e de um hospital psiquiátrico, do interior de São Paulo, Brasil. Trata-se de estudo quantitativo, transversal, tipo survey exploratório e realizado com 144 profissionais da medicina, enfermagem e farmácia. Os dados foram coletados por observação não participante direta e revisão em prontuários e foram analisados por estatística descritiva. Foram identificados fatores que desfavorecem a segurança do paciente como interrupções, durante a atividade de prescrição, alterações manuscritas em prescrições eletrônicas, restrições no manuseio do sistema eletrônico de prescrição, indisponibilidade de farmácia clínica, falhas nas atividades relacionadas ao preparo e à administração dos medicamentos e outros. Este estudo revela pontos vulneráveis para a ocorrência de erros de medicação em serviços de internação psiquiátrica e discute recomendações e recursos tecnológicos que podem promover a segurança no sistema de medicação. DESCRITORES:Erros de medicação. Gerenciamento de segurança. Sistema de medicação. Saúde mental. SISTEMA DE MEDICACÍON: ANÁLISIS DE LAS ACCIONES PROFESIONALES EN UNIDADES PSIQUIÁTRICAS RESUMEN:Este estudio analizó los sistemas de medicación en unidades psiquiátricas de un hospital general y de un hospital psiquiátrico del interior del estado de Sao Paulo, en Brasil. Estudio cuantitativo, transversal y exploratorio. Participaron de la encuesta 144 profesionales de medicina, enfermería y farmacia. Los datos fueron obtenidos por medio de observación no participante directa y revisión de fichas médicas y se analizaron por estadística descriptiva. Fueron identificados factores que no favorecen la seguridad del paciente como: interrupciones durante la actividad de prescripción; modificaciones escritas en prescripciones electrónicas; restriccion...

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“…There is a need for new knowledge to develop interventions to reduce unnecessary interruptions in clinical nursing. 2,[9][10][11] Background Within the last decade, research on interruptions and especially the association between interruptions and medication has expanded. 3,4,8,9,[12][13][14] Interruptions challenge nurses due to a dilemma between being accessible and staying focused.…”

Section: Introductionmentioning

confidence: 99%

Applying the Delphi method to generate interventions to reduce unnecessary interruptions in clinical nursing

Laustsen

Brahe

2015

Nordic Journal of Nursing Research

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The objective of this study was to describe a panel process of selecting interventions to reduce unnecessary interruptions in clinical nursing. Interruptions in nursing may jeopardise patient safety, disorganise planning, and lead to ineffective working procedures. The Delphi panel process may be useful to create consensus on interventions to reduce interruptions. Using the Delphi method, a structured group-based decision-making tool, a panel of 14 nurses agreed on interventions to reduce interruptions. The results showed that a consensus on reducing interruptions was reached in four focus areas: expectations, physical framework, work procedures, and medication room procedures. The panel process was chosen as a means to involve nursing staff to create consensus and ownership about interventions. Our conclusions are that the Delphi panel process was a feasible method of selecting multi-factorial interventions to reduce interruptions. The panel process contributed to dialogue, staff involvement, and competency development. Further prospective studies are needed to explore whether these multi-factorial interventions can reduce unnecessary interruptions and improve patient safety.

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Interruptions in clinical nursing practice

Cited by 46 publications

References 15 publications

Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Medication System: Analysis of Actions Taken by Professionals in Psychiatric Units

Applying the Delphi method to generate interventions to reduce unnecessary interruptions in clinical nursing

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