Interruption in Nursing Practice: Literature Review

Year 2022, , 100 - 108, 11.04.2022

Selma Atay Gökçe Örücü

https://doi.org/10.31125/hunhemsire.1102094

Abstract

Aim: İnterruption of nursing practices directly affects the performance of nurses, complicates the decision-making process in complex activities that require intense concentration, and negatively affect productivity. This literature review aims to investigate the studies on the problem of interruption in nursing practices.
Material and Methods: This literature review was carried out using the keywords "nursing practices”, “interruption”, “interruption” and “nursing practices”, “interruption” and “nursing care" in Google Scholar, MEDLINE, Pubmed, CINAHL, Science Direct, Ebscohost databases and Turkish Council of Higher Education Thesis database. Turkish and English-language articles published in 2010-2020 with full-text access were included in the study. A total of 385 studies were found as a result of the literature search. Nineteen studies were selected in accordance with the research inclusion criteria.
Results: Of the studies reviewed, 14 were descriptive, 4 were pre-test, post-test quasi-experimental, and 1 was a randomized controlled trial. In the studies, it was found that the sample size consisted of at least five nurses and at most 278 nurses. Observation, interview, and questionnaire forms were used to collect the data. Most of the research has focused on interruptions in the drug administration process. According to the findings of the studies included in the review, it was determined that the nurses frequently encountered the problem of interruption, generally experienced an interruption in the drug administration process, the main reason was human-induced, and the number of divisions experienced decreased with the attempts to reduce it.
Conclusion: Although there has been an increase in the number of studies on the problem of interruption in nursing practice in recent years, it has been seen that most of them are related to its frequency and causes. It can be recommended to carry out studies on the management of the interruption problem in nursing practices.

Keywords

Interruption, nursing, nursing practice

Hemşirelik Uygulamalarında Bölünme/Kesinti Sorununa İlişkin: Literatür İncelemesi

Abstract

Amaç: Hemşirelik uygulamalarının kesintiye uğraması, hemşirelerin performansını doğrudan etkileyerek, yoğun konsantrasyon gerektiren karmaşık aktivitelerde karar verme sürecini güçleştirip verimliliği olumsuz etkilemektedir. Bu literatür incelemesinin amacı hemşirelik uygulamalarında bölünme/kesinti sorununa ilişkin yapılan çalışmaları incelemektir.
Gereç ve Yöntem: Çalışmada Google Scholar, MEDLINE, Pubmed, CINAHL, Science Direct, Ebscohost, YÖK Tez veri tabanlarında “hemşirelik uygulamaları”, “bölünme/kesinti”, “interruption” and “nursing practices”, “interruption” and “nursing care” anahtar kelimeleri kullanılarak tarama yapılmıştır. Çalışmaya 2010-2020 yıllarında yayın dili Türkçe ve İngilizce olan ve tam metin erişimi bulunan makaleler dâhil edilmiştir. Literatür tarama sonucu toplam 385 çalışmaya ulaşılmıştır. Belirlenen kriterlere uygun olan 19 çalışma araştırmaya dahil edilmiştir.
Bulgular: İncelemeye alınan çalışmalardan 14’ünün tanımlayıcı, 4’ünün ön test son test yarı deneysel ve 1’inin de randomize kontrollü çalışma olduğu görülmüştür. Araştırmalarda örneklem sayısının en az 5, en fazla 278 hemşireden oluştuğu, verilerin toplanmasında ise gözlem, görüşme ve anket formu kullanıldığı bulunmuştur. Araştırmaların çoğu ilaç yönetim süreciyle ilgili bölünme/kesintilere odaklanmıştır. Değerlendirilmeye alınan çalışmaların bulgularına göre; hemşirelerin bölünme/kesinti problemi ile sıklıkla karşılaştıkları, genellikle ilaç yönetim sürecinde bölünme/kesinti yaşadıkları, ana nedenin insan kaynaklı olduğu, azaltmaya yönelik uygulanan girişimlerle yaşanan bölünme/kesinti sayısının azaldığı görülmüştür.
Sonuç: Hemşirelik uygulamalarında bölünme/kesinti sorununa yönelik araştırmaların sayısında son yıllarda artış olsa da çoğunluğunun sıklığı ve nedenleri ile ilgili olduğu görülmüştür. Hemşirelik uygulamalarında bölünme/kesinti sorununun yönetimine ilişkin çalışmaların yapılması önerilebilir.

Keywords

Bölünme/kesinti, hemşirelik, hemşirelik uygulaması

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