Interruption Awareness: A Nursing Minute for Patient Safety

[bremer455]

Great Video! I often wonder with all that a nurse is asked to do in a day, shouldn't we be looking at nursing in general? What tasks must be done by a NURSE, and what can they delegate. Nurses need to get back to completing NURSING FUNCTIONS and guiding the NURSING care of their patient with the help of their team. All of these distractions are taking awary from what a nurse can do to help heal their patients, instead they are focused on tasks, not the big picture. What do you think?

[bethboynton]

@bremer455 I think you make a really important point. Delegating to skilled paraprofessionals & even family members is a big step towards improving quality, safety and job satisfaction. To be successful, skill building in leadership and teams would be important for RNs as well as organizational supports for same. Making time for conflict management and including continuity of care with consistent team members must be supported by the organization as well as individual skill set! bb

[mcgaula]

Wonderful video Beth!

[bcbridgesyoutoob]

Thanks Beth for an important piece. As an anesthesiologist working in the OR I know how difficult distraction can be to all health care providers. Thanks again for shedding some light on this issue.

[TheNerdyNurseCom]

This is a fantastic resource for nurses. This does a great job of showing the stress level caused by interuptions that nurses encounter everyday and are forced to cope with.

[bethboynton]

And here is another interesting article:

Potter P, Wolf L, Boxerman S, et al. An analysis of nurses’ cognitive work: a new perspective for understanding medical errors. In: Battles JB, Marks ES, Lewin DI, eds. Advances in Patient Safety: From Research to Implementation. Vol. 1. Rockville, MD: Agency for Healthcare Research and Quality; 2005. AHRQ publication 05-0021-1

[bethboynton]

Thanks for feedback about video! Here's a great article:

Ebright, P., (Jan. 31, 2010) "The Complex Work of RNs: Implications for Healthy Work Environments" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 1, Manuscript 4.

[martrix001]

Excellent video Beth, thank you for doing this. 

[dinubile]

Great work Beth! Important for all healthcare professionals.

(Whoops, I also posded in my "FrameWork"account-- oh well, important enough to post twice!)

--DrNick

[bethboynton]

@dinubile Thanks A LOT, Dr. Nick. For your feedback AND double posting! Take care,

Beth

[framecheck]

Great work Beth! Important for all healthcare professionals.

[medleague]

Great examples of overload and their contribution to medical errors.



[newyorkprindle]

Minimizing interruptions is of utmost importance in bedside nursing. I remind my secretaries that "when I'm giving medications out, they are to not interrupt me". I no longer accept phone calls or respond to other distractions when I'm in a patient's room and administering medications. The only time I will leave a patient while administering medications is when the code bell goes off!!! Like a quote I once saw...other than cardiac arrest, nothing is a true emergency. The video is well-done. Thnx

[bethboynton]

@newyorkprindle Thanks so much for your comments and wise approach. I think w/ nurses setting limits, like you are doing and organizations honoring them and consumers understanding the work better, we are on our way to safer care. Beth

[PABerryRN]

Excellent and insightful. Thank you. I believe that the environmental stress as well as the nurse's response to that stress creates the negative actions of workplace bullying (also known as lateral, horizontal violence, emotional abuse, and interpersonal aggression at work). Thank you for making people aware of the increasing complexity associated with nursing care.

[bethboynton]

@PABerryRN I think your point about the connection with horizontal violence is extremely valid. Honestly, I try to be my best self, but at the end of a long shift, I am irritable and not as gracious as I would like to be. A much longer conversation, but again, your point is important. Beth

bethboynton 1 sec ago

[PABerryRN]

@bethboynton I have posted to my Facebook and LinkedIn account.

[bethboynton]

@PABerryRN Excellent and thanks. I'm on FB too if you want to friend me, please do! bb

[draheja28]

Beth Boynton's message needs to get to senior managers at all the hospitals. She has presented the interruption awareness in a very vivid and powerful way. Managers need to respond proactively before too many lives are lost.

[jayhrosenberg]

Hi Beth. This was a very informative video. I really enjoyed watching it, and thought that it was a very clever way to demonstrate the power of a distraction. I have done some work in this area myself, drawing on the groundbreaking work of Dr. Theresa Pape and her use of the Sterile Cockpit rule. I plan to implement an initiative within my organization that will aim to minimize distractions/interruptions during med pass. Any chance I can have a copy of this video for use within my hospital?

[bethboynton]

@jayhrosenberg Hi jay, Thanks so much for your feedback. Sterile Cockpit rule sounds very interesting and relevant I'd be excited to have you use the video as part of your hospital's initiative to minimize distractions/interruptions! Can you use the YouTube url or do you need a different source? Good luck w/ your work! Beth

[jayhrosenberg]

@bethboynton Hi Beth and thanks for that reply. I did find a website that allows one to convert a YouTube video into a regular movie. I just wanted your permission to go ahead and pull that off the web before I did that. I will let you know how it turns out! Maybe we can chat offline about this topic?

[bethboynton]

@jayhrosenberg Great! I'm happy to chat offline. I can't seem to put my email or website here w/o error message, but contact info in box under video. Also, I'm on FB, twitter, and LI. bb

[ladyslippersewing]

Good job, Beth. Very insightful and informative!

[jj12398]

Thank you for this video Beth!

[bethboynton]

@jj12398 And thank you for watching and posting. Beth

[mellerme]

Excellent demonstration of the reality that is nursing and how very dangerous that becomes!