Berg Lena M, Florin Jan, Ehrenberg Anna, Östergren Jan, Djärv Therese, Göransson Katarina E
Department of Medicine Solna, Karolinska Institutet, and Department of Emergency Medicine Solna, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Int Emerg Nurs. 2016 Nov;29:21-26. doi: 10.1016/j.ienj.2016.06.001. Epub 2016 Jun 20.
Emergency department team members frequently need to interact with each other, a circumstance causing multiple interruptions. However, information is lacking about the motives underlying these interruptions and this study aimed to explore clinicians' reasons to interrupt colleagues during emergency department work.
Semi-structured interviews with 10 physicians and 10 registered nurses at two Swedish emergency departments. The interviews were analyzed inductively using content analysis.
The working conditions to some extent sustained the clinicians' need to interrupt, for example different routines. Another reason to interrupt was to improve the initiator's work process, such as when the initiators perceived that the interruption had high clinical relevance. The third reason concerns the desire to influence the work process of colleagues in order to prevent mistakes and provide information for the person being interrupted to improve patient care.
The three identified categories for why emergency department clinicians interrupt their colleagues were related to working conditions and a wish to improve/influence the work processes for both initiators and recipients. Several of the reasons given for interrupting colleagues were done in order to improve patient care. Interruptions perceived as negative to the recipient were mostly related to the working conditions.
急诊科团队成员经常需要相互交流，这种情况会导致多次打断。然而，关于这些打断背后的动机的信息却很缺乏，本研究旨在探讨临床医生在急诊科工作期间打断同事的原因。
对瑞典两家急诊科的10名医生和10名注册护士进行半结构化访谈。采用内容分析法对访谈进行归纳分析。
工作条件在一定程度上满足了临床医生打断他人的需求，例如不同的工作流程。打断的另一个原因是为了改进发起者的工作流程，比如当发起者认为打断具有高度临床相关性时。第三个原因是希望影响同事的工作流程，以防止出错，并为被打断者提供信息以改善患者护理。
确定的急诊科临床医生打断同事的三类原因与工作条件以及改善/影响发起者和接受者工作流程的愿望有关。给出的几个打断同事的原因是为了改善患者护理。被认为对接受者有负面影响的打断大多与工作条件有关。
