Interruptions of nursing activities: contributions to patient and professional safety

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Monteiro, Cintia
Machado Avelar, Ariane Ferreira
Goncalves Pedreira, Mavilde Luz
Griffith University Author(s)
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2020
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Abstract

Objective: To classify activities performed by nurses, to identify interruptions and to verify human and environmental factors associated with interruptions. Methods: Observational study conducted with a sample comprising 25 nurses working in pediatric or adult, surgical or intensive care units of a university hospital. Results: We observed 2,295 activities, most of them were classified as indirect patient care (38.6%) and direct patient care (22.5%). Seven hundred and nineteen (31.3%) interrupted activities were identified, with mean of 1.6 interruptions in the same activity, thus totaling 1,180 interruptions. There was greater number of interruptions during the indirect care (44.7%), and their main sources were the nursing (43.3%), and the physicians and residents (16.5%) staffs. The number of individuals in the units (staff and family/visitors), the proportion of patients under high-dependency, the number of healthcare and allied professionals influenced the number of interruptions. Conclusion: There were interruptions in all types of activities performed by the nurses, even in those characterized as bedside interventions, which can jeopardize patient safety.

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Acta Paulista de Enfermagem

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33

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© The Author(s) 2020. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Nursing

Science & Technology

Life Sciences & Biomedicine

Nursing

Workflow

Safety management

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Monteiro, C; Machado Avelar, AF; Goncalves Pedreira, ML, Interruptions of nursing activities: contributions to patient and professional safety, Acta Paulista de Enfermagem, 2020, 33, pp. 1-10

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