Zhao Junwen, Zhang Xiaoling, Lan Qiaoling, Wang Wuni, Cai Yinsha, Xie Xiaohua, Xie Jianfei, Zeng Yingchun
Department of Pediatrics, The Second People's Hospital of Shenzhen, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Department of Nursing, The Second People's Hospital of Shenzhen, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
J Spec Pediatr Nurs. 2019 Oct;24(4):e12265. doi: 10.1111/jspn.12265. Epub 2019 Jul 23.
The objectives of this study were to describe (a) the frequency of interruptions experienced by a pediatric nurse per hour, (b) the sources of interruptions experienced by a pediatric nurse, and (c) the interruption outcomes during pediatric medication administration.
This design of this study was a cross-sectional observational study. A convenience sample of pediatric nurses was used in this study. The interruption observation sheet was used to collect data about the frequency, sources, and outcomes of interruptions.
There was a total of 43 nurses were observed in more than 180 medication administration rounds. An interruption rate of 94.51% occurred during pediatric medication administration. The frequency of interruptions was three or more times (51.04%). The most common source of interruption was attributed to the working environment (32.37%). The second most frequent reason for interruption came from personnel, such as caregivers (24.48%), followed by physicians (10.79%), and other nursing staff (9.54%). The third most common source of interruption was communication issues, including patient interviews, patient reports, and case discussion (8.71%). Six errors (2.49%) were reported out of 241 interruptions as a result of interruptions. In specific, causes of errors during pediatric medication administration were due to wrong medication dose.
This study provides important information on interruptions experienced by pediatric nurses during medication administration in Chinese hospital settings and found that interruptions frequently occur in pediatric units.
本研究的目的是描述（a）儿科护士每小时经历的中断频率，（b）儿科护士经历的中断来源，以及（c）儿科药物给药期间的中断结果。
本研究的设计为横断面观察性研究。本研究采用了便利抽样的儿科护士样本。中断观察表用于收集有关中断频率、来源和结果的数据。
在超过180轮药物给药过程中，共观察了43名护士。儿科药物给药期间的中断率为94.51%。中断频率为三次或更多次（51.04%）。最常见的中断来源归因于工作环境（32.37%）。第二常见的中断原因来自人员，如护理人员（24.48%），其次是医生（10.79%）和其他护理人员（9.54%）。第三常见的中断来源是沟通问题，包括患者访谈、患者报告和病例讨论（8.71%）。在241次中断中，有6次（2.49%）报告因中断出现错误。具体而言，儿科药物给药期间的错误原因是用药剂量错误。
本研究提供了关于中国医院环境中儿科护士在药物给药期间经历的中断的重要信息，并发现儿科病房频繁发生中断。
