1. Interruptions experienced by nurses during pediatric medication administration in China: An observational study.
- Author
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Zhao, Junwen, Zhang, Xiaoling, Lan, Qiaoling, Wang, Wuni, Cai, Yinsha, Xie, Xiaohua, Xie, Jianfei, and Zeng, Yingchun
- Subjects
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ACADEMIC medical centers , *CAREGIVERS , *CLINICAL medicine , *COMPARATIVE studies , *CONCEPTUAL structures , *STATISTICAL correlation , *DRUG administration , *RESEARCH methodology , *EVALUATION of medical care , *MEDICAL quality control , *MEDICATION errors , *NURSE-patient relationships , *NURSING , *SCIENTIFIC observation , *PEDIATRIC nursing , *RELIABILITY (Personality trait) , *RESEARCH funding , *STATISTICAL sampling , *WORK environment , *EMPLOYEES' workload , *PEER relations , *COMMUNICATION barriers , *KEY performance indicators (Management) , *DISTRACTION , *CROSS-sectional method , *PATIENT-centered care , *DATA analysis software , *DESCRIPTIVE statistics , *TERTIARY care , *CHILDREN ,RESEARCH evaluation - Abstract
Purpose: 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. Design and Methods: 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. Results: 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. Practice Implications: 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. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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