Losing the moment: understanding interruptions to nurses' work
Linda McGillis Hall1, Cheryl Pedersen, Laura Fairley
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada M5T 1P8. l.mcgillishall@utoronto.ca
The Journal of Nursing Administration
|March 23, 2010
Summary
Nursing interruptions significantly impact patient safety. This study analyzed causes and discussed system improvements to reduce disruptions in the nursing work environment.
Area of Science:
- Nursing Science
- Patient Safety Research
- Healthcare Management
Background:
- Interruptions in the nursing work environment are a frequent occurrence.
- These disruptions have been linked to adverse effects on patient safety.
- Understanding the nature and causes of these interruptions is crucial for improving healthcare delivery.
Purpose of the Study:
- To explore the phenomenon of interruptions within the nursing work environment.
- To identify the primary causes and contributing factors of nursing interruptions.
- To discuss potential systems processes for mitigating interruptions and enhancing patient safety.
Main Methods:
- A mixed-method approach was employed, combining direct work observation with focus group discussions.
- Qualitative data were gathered through focus groups to understand nurses' experiences with interruptions.
- Quantitative insights were potentially derived from work observation, though not explicitly detailed.
Main Results:
- A substantial number of interruptions were reported by nursing staff.
- The study analyzed various causes contributing to these frequent interruptions.
- Specific patterns and triggers for interruptions were identified within the observed nursing work environment.
Conclusions:
- Interruptions pose a significant threat to patient safety in nursing settings.
- Addressing the root causes of interruptions requires systemic changes and process improvements.
- Implementing targeted strategies can reduce disruptions and enhance the safety and efficiency of nursing care.
Related Concept Videos
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
Current Trends in Nursing I
Current trends in nursing include:
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Nurses' Legal Responsibilities II
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Communication between nurses and patients...

