Interruptions In Clinical Nursing
The article Interruptions in Clinical Nursing Practice authors Erik E. Sorensen and Liselotte Brahe goal was to research and analyze how and why does negative as well as necessary interruptions affect nurses effectiveness, workflow and direct care of patients. This research would be considered an observational study. The population being nurses that are actively practicing. The sample are 5 female nurses that are between 27 and 48 years old and have been nurses for 1-26 years. A qualitative interview was done for 2 nurses. The study was conducted in January of 2007 over the period of 3 weeks. The authors and the article including the citied references and source was credible and experts in their field. Sorensen
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There were some confounding variables that was not noted in this research. The article covered many different scenarios that caused the most interruptions. A confounding variables could be the weather, the day of week, time of day . If the weather was bad during a period of the study resources would have possibly have been limited; nurses are essential personal which means no matter what we must report to work. Increase interruptions could have been a result of the medical secretary not working due to the weather in return the nurses has double duties and more interruptions. The observer noted more incidents of interruptions than the nurses did this could have been because as nurses we have become accustomed to theses “interruptions”. As a Registered Nurse I have found it normal to be constantly interrupted we are the most visible medical employees and some times the most approachable it is our nature to be accommodating and if we don’t know the answer most of us will take the time to help others. Also, as the research article stated being a competent nurse can help with interruptions the necessary as well as the unnecessary. I go to work organized and have learned proper time management to keep me on tasks especially when things are rushed and
The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
According to Stanton, low-staffed hospitals resulted in higher incidences of poor patient outcomes. Such as, UTIs, pneumonia, and fall. However, poor patient outcomes not only result from short-staffed nurses, but can also result from inadequate nursing assistants as well. NAs play a great role in providing basic daily care of patients. These professionals are very crucial in the healthcare industry but sadly, there are NA shortages.
This in turn can cause fatigue and stress levels to rise amongst patient care workers and as a result may have adverse effects on their patients including increasing risk for errors, failure to rescue, and increased risk of mortality. To put this into reality a study was done regarding how much patients are at risk when a nurses’ patient workload exceeds what is considered safe based on the acuity of the patients the nurse is caring
The authors Rothberg et al, (2005) performed sensitivity analysis on independent variables like hourly compensation for nurses, relative risk of mortality, nurse dissatisfaction and decrease length of stay per
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of
Short staffing is one of the many challenges nurses encounter in the work environment. The impacts can be detrimental primarily to the patient’s outcome. To examine the effects of short staffing, research was conducted on 36,539 hospital inpatients to evaluate the amount of those exposed to an understaffed shift and how many patient outcomes resulted in a NSO (Twigg, Gelder, & Myers, 2015). NSO’s are nurse sensitive outcomes based on the nursing care provided to the patient. Patients exposed to short staffing had an increase of greater than one chance of NSO’s compared to patients not exposed (Twigg et al., 2015).
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
Just like a saw needs to stop being used in order to be sharpened, a nurse needs time off to recuperate; it’s as simple as that (Covey, 1989). It is important not to burn the candle at both ends, working more than the designated shifts and longer than 12 hours should be avoided. An example used regarding medication errors and working too many hours involves a nurse working a double shift on a pediatric oncology unit didn’t correctly prime an IV line and caused cardiac arrest in a patient (Kelley, 2004). Although nurses work three days a week, their hours remain the same as other full time employees that work the typical 5 day schedule. A nurse’s time off should be valued because they are the last line for patient care, they are the ones administering the medication the doctor prescribes and the pharmacy makes (Kelley, 2004).
The hypothesis was “emergency department nurses who work a non-traditional of above 40 hours or more are proven to be susceptible to medical errors and prone to fatigue which can compromise patient’s safety and their own”. Interestingly enough, the project was not their own study but really other sources like Dominican University’s databases like Iceberg. PubMed, Academic Search Complete, and Archive Grid. Jerrymi Mendoza and Nima Tso found nurses work overtime are 3X more likely to make medical errors. In conclusion, health care system should provide enough staffing to handle the high workloads in the emergency department.