Browse > Article
http://dx.doi.org/10.14371/QIH.2022.28.2.2

The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses  

Doo-Nam Oh (Department of Nursing, Hoseo University)
Ye-Won Lee (Nursing Department, Kangbuk Samsung Hospital)
Publication Information
Quality Improvement in Health Care / v.28, no.2, 2022 , pp. 2-13 More about this Journal
Abstract
Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.
Keywords
Hospital unit; Nurses; Workload; Patient Safety;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Kim EK, Kim YM, Park SH, Choi YK, Hwang JH. Quality management in health care organization. Seoul, Korea: Koonja Puvlishing Inc.;2014.
2 Chisholm CD, Collison EK, Nelson DR, Cordell WH. Emergency department workplace interruptions are emergency physicians "interrupt-driven" and "multitasking"? Academic Emergency Medicine. 2000;7(11):1239-43.   DOI
3 Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Services Research. 2006;41(3p1):643-62.   DOI
4 Yu EJ, Lee EN, Kim JM, Jun HJ. Concept analysis of the work interruption by nurses. Journal of Korean Academy of Nursing Administration. 2019 Sep;25(4):272-81. https://doi.org/10.11111/jkana.2019.25.4.272   DOI
5 Altmann EM, Trafton JG. Timecourse of recovery from task interruption: data and a model. Psychonomic Bulletin and Review. 2007;14(6):1079-84. doi: 10.3758/BF03193094   DOI
6 Myny D, Van Goubergen D, Gobert M, Vanderwee K, Van Hecke A, Defloor T. Non-direct patient care factors influencing nursing workload: a review of the literature. Journal of Advanced Nursing. 2011;67(10):2109-29.   DOI
7 Cho E, Lee NJ, Kim EY, Kim S, Lee K, Park KO, et al. Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. International Journal of Nursing Studies. 2016;60:263-71. https://doi.org/10.1016/j.ijnurstu.2016.05.009   DOI
8 Ahn SH, Jung SH, You JH, Lee MA. Nursing tasks and practice environment for nursing work perceived by nurses working on comprehensive wards versus general wards. Journal of Korean Academy of Nursing Administration. 2018 Jan;24(1):10-20. https://doi.org/10.11111/jkana.2018.24.1.10   DOI
9 Ko YK, Park BH. The relationship of the nursing work environment and nursing outcome among its nurses and content analysis of nurses' workload. Korean Journal of Hospital Management. 2014;19(1):54-67.
10 Kunecka D. Working time intervals and total work time on nursing positions in Poland. Medycyna Pracy. 2015;66(2):165-72.   DOI
11 Park JH. Effects of nurses' patient safety management importance, patient safety culture and nursing service quality on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Nursing Administration. 2020 Jun;26(3):181-91. https://doi.org/10.11111/jkana.2020.26.3.181   DOI
12 Kim MK, Lee SM. The causal relationships among staff nurses' job stress factors, patient safety culture perception and patient safety nursing activities in a university hospital. Journal of Korean Academy of Nursing Administration. 2019 Sep;25(4):340-52. https://doi.org/10.11111/jkana.2019.25.4.340   DOI
13 Rhu EJ, Lee EN. Relationship among task interruption and task performance and burn-out in emergency room nurses. Journal of Korean Critical Care Nursing, 2013;6(1):34-43.
14 You JE, Lee EN. Reasons, incidences, and influencing factors of work interruptions in intensive care unit nurses. Journal of Muscle and Joint Health, 2020;27(3):247-54.   DOI
15 Noh S, Kim TI. The effects of organizational commitment and perceived patient safety culture on patient safety nursing activities among nurses in comprehensive nursing care units. Journal of Korean Clinical Nursing Research. 2021;27(1):12-22.   DOI
16 Jang HM, Park JY, Choi YJ, Park SW, Lim HN. Effect of general hospital nurses' perception of patient safety culture and burnout on safety management activities. Journal of Korean Academy of Nursing Administration. 2016 Jun;22(3):239-50. https://doi.org/10.11111/jkana.2016.22.3.239   DOI
17 Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-Ang University;2015.
18 Yu EJ. Development of work interruption measurement scale of nurses [dissertation]. Busan: Dong-A University;2020.
19 Park JH. Influencing factors and consequences of near miss experience in nurses' medication error [dissertation]. Busan: Dong-A University;2017.
20 Hoonakker P, Carayon P, Gurses AP, Brown R, Khunlertkit A, McGuire K, et al. Measuring workload of ICU nurses with a questionnaire survey: the NASA Task Load Index (TLX). IIE Transactions on Healthcare Systems Engineering. 2011;1(2):131-43. doi: 10.1080/19488300.2011.609524   DOI
21 So HE, Hwang JI. A comparison of nursing work environment, role conflict, and job embeddedness of nurses working in comprehensive nursing care service wards and general wards in a tertiary hospital. Quality Improvement in Health Care, 2020;26(1):11-22.   DOI
22 Cho SH, Lee JY, Hong KJ, Huh I. The relationship between average length of stay and nurse staffing in general hospitals from 1996 to 2016. Journal of Korean Academy of Nursing Administration. 2020 Dec;26(5):521-32. https://doi.org/10.11111/jkana.2020.26.5.521   DOI
23 Kim TJ, Yu JG. Comparative study of clinical nurses' role conflict, emotional labor and nursing performance between comprehensive nursing care service wards and General wards. Journal of Muscle and Joint Health, 2018;25(1):12-20.   DOI
24 Cho MS, Cho YA, Kim KH, Kwon IG, Kim MS, Lee JL. Development of clinical ladder system model for nurses: for tertiary care hospitals. Journal of Korean Clinical Nursing Research. 2015;21(3):277-92   DOI
25 Lee TW, Kim PJ, Lee HY, Shin HK, Lee HS, Choi Y. Factors affecting patient safety culture of clinical nurses: focusing on authentic leadership and team effectiveness. Journal of Korean Academy of Nursing Administration. 2021 Jan;27(1):34-42. https:// doi.org/10.11111/jkana.2021.27.1.34   DOI
26 Kim SE, Han JY. Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing care service wards and general wards. Journal of Korean Academy of Nursing Administration. 2017;23(3):336-45. https://doi.org/10.11111/jkana.2017.23.3.336   DOI