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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

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Work-Arounds Observed by Fourth-Year Nursing Students.

Judith Westphal¹, Rachelle Lancaster², Diane Park²

¹University of Wisconsin-Oshkosh, USA westphaj@uwosh.edu.

Western Journal of Nursing Research

|November 29, 2013

Summary

Nurses often use work-arounds for patient care, especially in infection control and medication management. High workload is a key factor influencing these deviations from standard policies and procedures.

Keywords:

infection prevention and control medication management work-around workload

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Area of Science:

Nursing
Patient Safety
Healthcare Quality

Background:

Healthcare professionals must promote policies for safe, high-quality care.
Nurses sometimes deviate from policies to achieve patient care goals, creating work-arounds.
Understanding these deviations is crucial for improving care delivery.

Purpose of the Study:

To identify common nursing work-arounds in clinical settings.
To describe factors influencing nurses' engagement in work-arounds.
To gather observations from fourth-year baccalaureate nursing students.

Main Methods:

A descriptive qualitative approach was employed.
Data were collected from a Quality and Safety Education for Nurses (QSEN)-based assignment.
Analysis included 96 individual student assignments.

Main Results:

Common work-around themes identified were infection prevention and control and medication management.
The primary influencing factor identified by students was nurse workload.
Work-arounds represent deviations from established policies and procedures.

Conclusions:

Workload significantly influences nurses' use of work-arounds.
Further research is needed to understand the impact of work-arounds on patient outcomes.
Addressing workload may reduce the need for work-arounds and improve patient safety.