Emergency Department of West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Institute of Disaster Medicine, Sichuan University, Chengdu, China.
J Nurs Manag. 2021 Oct;29(7):2189-2198. doi: 10.1111/jonm.13372. Epub 2021 Jun 7.
To analyse the frequency and core elements of nursing work interruptions in Chinese emergency nursing settings.
Little is known about nursing interruptions, which affect the quality of services in Chinese emergency nursing setting.
METHOD(S): A cross-sectional observational study was conducted in three units of an emergency department in a Chinese tertiary hospital. Participants comprised 60 nurses. Data were collected using a questionnaire developed by the researchers specifically for this study.
In total, 25,965 min of work was observed and 2333 interruptions were identified. Most interruptions were from patients, their families and nurses. Therapeutic nursing and patient observation and documentation were the most frequently interrupted procedures. Most interruptions were negative, and a majority of the nurses immediately responded to interruptions. Significant differences existed in the overall distribution of the core elements among the three nursing units.
The frequency of emergency nursing interruptions was moderate. Most interruptions tend to lead to negative treatment outcomes for patients.
Emergency nursing managers should recognize the importance of interruptions, understand work situations better and develop ways to reduce the incidence of interruptions. Thus, nursing risks can be avoided by reducing the adverse outcomes caused by work interruptions.
分析中国急诊护理环境中护理工作中断的频率和核心要素。
在中国急诊护理环境中，护理中断影响服务质量，但人们对此知之甚少。
本研究为横断面观察性研究，在中国一所三级医院的三个急诊单元进行。参与者包括 60 名护士。使用研究人员专门为此研究开发的问卷收集数据。
共观察 25965 分钟的工作时间，发现 2333 次中断。大多数中断来自患者、患者家属和护士。治疗性护理和患者观察及记录是最常被中断的操作。大多数中断是负面的，大多数护士会立即对中断做出反应。三个护理单元的核心要素整体分布存在显著差异。
急诊护理中断的频率中等。大多数中断往往会导致患者的治疗结果恶化。
急诊护理管理者应认识到中断的重要性，更好地了解工作情况，并制定减少中断发生的方法。通过减少工作中断引起的不良后果，可以避免护理风险。
