Literature DB >> 27627123

Interruptions of activities experienced by nursing professionals in an intensive care unit.

Daniele de Oliveira Prates1, Ana Elisa Bauer de Camargo Silva2.   

Abstract

OBJECTIVE: to analyze the interruptions experienced by nursing professionals while undertaking care activities.
METHOD: an observational study undertaken in two intensive care units. Two nurses observed 33 nursing professionals for three hours. The data were recorded in real time, using a semistructured instrument.
RESULTS: after 99 hours of observation of 739 activities, it was identified that 46.82% were interrupted, resulting in 7.85 interruptions per hour. On average, the interruptions compromised 9.42% of the nursing professionals' worktime. The activities geared towards indirect care of the patient suffered the highest number of interruptions (56.65%), with the nursing records being the activity interrupted most. The principal source of the interruptions was external, coming from the health professionals (51%), and the main causes were those related to the patients (34.70%) and to interpersonal communication (26.47%).
CONCLUSION: the activity of nursing suffers a high number of interruptions, mainly caused by the health professionals themselves, indicating that the work environment needs to undergo interventions aiming to reduce the risk of compromising of the professional's performance and to increase the patients' safety. OBJETIVO: analisar as interrupções experienciadas por profissionais de enfermagem durante realização de atividades assistenciais. MÉTODO: estudo observacional realizado em duas unidades de tratamento intensivo. Dois enfermeiros observaram 33 profissionais de enfermagem, por três horas. Os dados foram registrados em tempo real, usando um instrumento semiestruturado. RESULTADOS: após 99 horas de observação de 739 atividades, foi identificado que 46,82% sofreram interrupções, perfazendo 7,85 interrupções por hora. As interrupções comprometeram, em média, 9,42% do tempo de trabalho dos profissionais de enfermagem. As atividades direcionadas ao cuidado indireto do paciente foram as que sofreram maior número de interrupções (56,65%), sendo o registro de enfermagem a atividade mais interrompida. A principal fonte das interrupções foi externa, proveniente dos profissionais de saúde (51%), e as principais causas foram as relacionadas aos pacientes (34,70%) e às comunicações interpessoais (26,47%). CONCLUSÃO: A enfermagem sofre um grande número de interrupções, causadas principalmente pelos próprios profissionais de saúde, indicando que o ambiente de trabalho deve sofrer intervenções que objetivem reduzir o risco de comprometimento do desempenho do profissional e aumentar a segurança dos pacientes. OBJETIVO: analizar las interrupciones experimentadas por profesionales de enfermería durante la realización de actividades asistenciales. MÉTODO: estudio observacional realizado en dos unidades de tratamiento intensivo. Dos enfermeros observaron 33 profesionales de enfermería, durante tres horas. Los datos fueron registrados en tiempo real, usando un instrumento semiestructurado. RESULTADOS: después de 99 horas de observación de 739 actividades, fue identificado que 46,82% sufrieron interrupciones, haciendo 7,85 interrupciones por hora. En promedio, las interrupciones comprometieron 9,42% del tiempo de trabajo de los profesionales de enfermería. Las actividades orientadas al cuidado indirecto del paciente fueron las que sufrieron el mayor número de interrupciones (56,65%), siendo el registro de enfermería la actividad más interrumpida. La principal fuente de interrupciones fue externa, proveniente de los profesionales de la salud (51%), y las principales causas fueron las relacionadas a pacientes (34,70%) y a comunicaciones interpersonales (26,47%). CONCLUSIÓN: La enfermería sufre un gran número de interrupciones, causadas principalmente por los propios profesionales de la salud, indicando que el ambiente de trabajo debe sufrir intervenciones que objetiven reducir el riesgo de comprometer el desempeño del profesional y aumentar la seguridad de los pacientes.

Entities:  

Mesh:

Year:  2016        PMID: 27627123      PMCID: PMC5048727          DOI: 10.1590/1518-8345.0997.2802

Source DB:  PubMed          Journal:  Rev Lat Am Enfermagem        ISSN: 0104-1169


  19 in total

1.  Association of interruptions with an increased risk and severity of medication administration errors.

Authors:  Johanna I Westbrook; Amanda Woods; Marilyn I Rob; William T M Dunsmuir; Richard O Day
Journal:  Arch Intern Med       Date:  2010-04-26

2.  Losing the moment: understanding interruptions to nurses' work.

Authors:  Linda McGillis Hall; Cheryl Pedersen; Laura Fairley
Journal:  J Nurs Adm       Date:  2010-04       Impact factor: 1.737

3.  Interruptions and multitasking in nursing care.

Authors:  Beatrice J Kalisch; Michelle Aebersold
Journal:  Jt Comm J Qual Patient Saf       Date:  2010-03

4.  Interruption management in the intensive care unit: Predicting resumption times and assessing distributed support.

Authors:  Tobias Grundgeiger; Penelope Sanderson; Hamish G MacDougall; Balasubramanian Venkatesh
Journal:  J Exp Psychol Appl       Date:  2010-12

5.  A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective.

Authors:  A Joy Rivera
Journal:  Appl Ergon       Date:  2013-10-06       Impact factor: 3.661

6.  Identification and interference of intraoperative distractions and interruptions in operating rooms.

Authors:  Sophia Antoniadis; Stefanie Passauer-Baierl; Heiko Baschnegger; Matthias Weigl
Journal:  J Surg Res       Date:  2013-12-12       Impact factor: 2.192

Review 7.  Interruptions during nurses' work: A state-of-the-science review.

Authors:  Susan G Hopkinson; Bonnie Mowinski Jennings
Journal:  Res Nurs Health       Date:  2012-10-15       Impact factor: 2.228

8.  Interruptions in clinical nursing practice.

Authors:  Erik E Sørensen; Liselotte Brahe
Journal:  J Clin Nurs       Date:  2013-09-05       Impact factor: 3.036

9.  Interruptions experienced by cardiovascular intensive care unit nurses: an observational study.

Authors:  Farzan Sasangohar; Birsen Donmez; Anthony Easty; Helen Storey; Patricia Trbovich
Journal:  J Crit Care       Date:  2014-05-28       Impact factor: 3.425

Review 10.  Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.

Authors:  Magdalena Z Raban; Johanna I Westbrook
Journal:  BMJ Qual Saf       Date:  2013-08-26       Impact factor: 7.035

View more
  1 in total

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

Authors:  Wen-Guang Zhang; Jia-Wei Liu; Su-Yun Yang; Qiao-Qian Wang; Chen-Xing Liu; Yao Li
Journal:  Risk Manag Healthc Policy       Date:  2021-07-12
  1 in total

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