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Eun-Jeong Yu1
, Eun-Nam Lee2, Jang-Mi Kim3, Hey-Jung Jun1
, Eun-Nam Lee2, Jang-Mi Kim3, Hey-Jung Jun1
Abstract
Purpose
The purpose of this study was to identify the attributes, antecedents, and consequences of nurse's work interruptions.
Methods
Walker and Avant's concept analysis method was used to analyze this concept. Relevant articles published before August 2018 were searched through MEDLINE, CINAHL, EMBASE, KISS, and RISS databases using “interruption,” “work or task,” and “nurse” as keywords.
Results
The attributes of work interruption by nurses were as follows: 1) new tasks to do; 2) cognitive transition of work priorities; 3) loss of work continuity; 4) tasks to be resumed. The antecedents of work interruption were intrusion of unplanned events, internal and external factors that result in nurses forgetting their original intentions, an unpredictable work environment, and cultural climate where interruptions are considered as a part of the work process. The consequences of work interruption were decline in job satisfaction, trigger of work errors, lengthening of work completion time, decline in work productivity, increase in work stress, and delay of transferring needed information in a timely manner.
Figures and Tables
Appendix
Appendix 1
The List of Articles applied in Concept Analysis
A1. Baethge A, Rigotti T. Interruptions to workflow: Their relationship with irritation and satisfaction with performance, and the mediating roles of time pressure and mental demands. Work & Stress. 2013;27(1):43-63. https://doi.org/10.1080/02678373.2013.761783
A2. Berg LM, Kallberg AS, Ehrenberg A, Florin J, Ostergren J, Djarv T, et al. Factors influencing clinicians' perceptions of interruptions as disturbing or non-disturbing: A qualitative study. International Emergency Nursing. 2016;27:11-16. https://doi.org/10.1016/j.ienj.2016.01.003
A3. Biron AD, Lavoie-Tremblay M, Loiselle CG. Characteristics of work interruptions during medication administration. Journal of Nursing Scholarship. 2009;41(4):330-336. https://doi.org/10.1111/j.1547-5069.2009.01300.x
A4. Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. Interruptions in workflow for RNs in a level one trauma center. AMIA Annual Symposium Proceedings. 2005:86-90.
A5. Brixey JJ, Robinson DJ, Turley JP, Zhang J. The roles of MDs and RNs as initiators and recipients of interruptions in workflow. International Journal of Medical Informatics. 2010;79 (6):e109-e115. https://doi.org/10.1016/j.ijmedinf.2008.08.007
A6. Brixey JJ, Tang Z, Robinson DJ, Johnson CW, Johnson TR, Turley JP, et al. Interruptions in a level one trauma center: A case study. International Journal of Medical Informatics. 2008;77(4):235-241. https://doi.org/10.1016/j.ijmedinf.2007.04.006
A7. Cole G, Stefanus D, Gardner H, Levy MJ, Klein EY. The impact of interruptions on the duration of nursing interventions: A direct observation study in an academic emergency department. BMJ Quality & Safety. 2016;25(6):457-465. https://doi.org/10.1136/bmjqs-2014-003683
A8. Craker NC, Myers RA, Eid J, Parikh P, McCarthy MC, Zink K, et al. Nursing interruptions in a trauma intensive care unit: A prospective observational study. The Journal of Nursing Administration. 2017;47(4):205-211. https://doi.org/10.1097/NNA.0000000000000466
A9. Dante A, Andrigo I, Barone F, Bonamico R, De Chiara A, Nait M, et al. Occurrence and duration of interruptions during nurses' work in surgical wards: Findings from a multicenter observational Study. Journal of Nursing Care Quality. 2016; 31(2):174-182. https://doi.org/10.1097/ncq.0000000000000159
A10. Elfering A, Grebner S, Ebener C. Workflow interruptions, cognitive failure and near-accidents in health care. Psychology, Health & Medicine. 2015;20(2):139-147. https://doi.org/10.1080/13548506.2014.913796
A11. Grundgeiger T, Sanderson P, MacDougall HG, Venkatesh B. Interruption management in the intensive care unit: Predicting resumption times and assessing distributed support. Journal of Experimental Psychology. 2010;16(4):317-334. https://doi.org/10.1037/a0021912
A12. Jeanmonod R, Boyd M, Loewenthal M, Triner W. The nature of emergency department interruptions and their impact on patient satisfaction. Emergency Medicine Journal. 2010;27 (5):376-379. https://doi.org/10.1136/emj.2008.071134
A13. Johnson KD, Alhaj-Ali A. Using simulation to assess the impact of triage interruptions. Journal of Emergency Nursing. 2017;43(5):435-443. https://doi.org/10.1016/j.jen.2017.04.008
A14. Kreckler S, Catchpole K, Bottomley M, Handa A, McCulloch P. Interruptions during drug rounds: an observational study. British Journal of Nursing. 2008;17(21):1326-1330. https://doi.org/10.12968/bjon.2008.17.21.31732
A15.Mamykina L, Carter EJ, Sheehan B, Stanley HR, Twohig BC, Kaufman DR. Driven to distraction: The nature and apparent purpose of interruptions in critical care and implications for HIT. Journal of Biomedical Informatics. 2017;69:43-54. https://doi.org/10.1016/j.jbi.2017.01.015
A16.McGillis HL, Pedersen C, Fairley L. Losing the moment: Understanding interruptions to nurses' work. The Journal of Nursing Administration. 2010;40(4):169-176. https://doi.org/10.1097/NNA.0b013e3181d41162
A17.Monteiro C, Avelar AF, Pedreira ML. Interruptions of nurses' activities and patient safety: An integrative literature review. Revista Latino-Americana de Enfermagem. 2015;23(1):169-179. https://doi.org/10.1590/0104-1169.0251.2539
A18. Pereira D, Muller P, Elfering A. Workflow interruptions, social stressors from supervisor (s) and attention failure in surgery personnel. Industrial Health. 2015;53(5):427-433. https://doi.org/10.2486/indhealth.2013-0219
A19. Potter P, Wolf L, Boxerman S, Grayson D, Sledge J, Dunagan C, et al. Understanding the cognitive work of nursing in the acute care environment. The Journal of Nursing Administration. 2005;35(7-8):327-335. https://doi.org/10.1097/00005110-200507000-00004
A20. Rivera AJ. A socio-technical systems approach to studying interruptions: Understanding the interrupter's perspective. Applied Ergonomics. 2014;45(3):747-756. https://doi.org/10.1016/j.apergo.2013.08.009
A21. Sasangohar F, Donmez B, Easty AC, Trbovich PL. Effects of nested interruptions on task resumption: A laboratory study with intensive care nurses. Human Factors. 2017;59(4): 628-639. https://doi.org/10.1177/0018720816689513
A22. Rhu EJ, Lee EN. Relationship among task interruption and task performance and burn-out in emergency room nurses. Journal of Korean Critical Care Nursing. 2013;6(1):34-43.
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