Exploring the turbulent nature of nurses' workflow

Area of Science:

• Nursing Science
• Healthcare Management
• Organizational Behavior

Background:

• Workflow turbulence is a significant, yet understudied, aspect of nursing.
• Existing conceptualizations of turbulence require expansion to encompass broader contributing factors.

Purpose of the Study:

• To refine and expand the conceptualization of workflow turbulence in nursing.
• To identify sources, consequences, and interventions for managing turbulence.

Main Methods:

• Conceptual analysis and refinement of existing turbulence models.
• Identification of new contributing factors to turbulence (human resources, built environment).
• Exploration of consequences (cognitive work, workarounds, well-being) and interventions.

Main Results:

• Communication (interruptions, handoffs) and workload (patient turnover, supplies/equipment) are key turbulence sources.
• Human resources and the built environment are newly identified contributors.
• Turbulence leads to increased cognitive load, workarounds, and reduced nurse well-being.

Conclusions:

• Addressing workflow turbulence requires multifaceted interventions.
• Strategies include education, practice environment improvements (staffing, supplies, technology), and further research.
• Managing turbulence is crucial for enhancing nurse well-being and optimizing healthcare delivery.