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dc.contributor.authorBower, Rachel
dc.contributor.authorManning, Joseph C
dc.date.accessioned2022-07-28T10:35:48Z
dc.date.available2022-07-28T10:35:48Z
dc.date.issued2018
dc.identifier.citationBower, R.A., Coad, J.E., Manning, J.C. and Pengelly, T.A. (2018) 'A qualitative, exploratory study of nurses' decision-making when interrupted during medication administration within the Paediatric Intensive Care Unit', Intensive & critical care nursing, 44, pp. 11-17. doi: https://dx.doi.org/10.1016/j.iccn.2017.04.012.en_US
dc.identifier.issn1532-4036
dc.identifier.urihttp://hdl.handle.net/20.500.12904/15657
dc.description.abstractOBJECTIVE: In the paediatric intensive care unit (PICU), medication administration is challenging. Empirical studies demonstrate that interruptions occur frequently and that nurses are fundamental in the delivery of medication. However, little is known about nurse's decision making when interrupted during medication administration. Therefore, the objective is to understand decision making when interrupted during medication administration within the PICU., RESEARCH DESIGN: A qualitative study incorporating non-participant observation and audio recorded semi-structured interviews. A convenience sample of ten PICU nurses were interviewed. Each interview schedule was informed by two hours of observation which involved a further 29 PICU nurses. Data was analysed using Framework Analysis., SETTING: A regional PICU located in a university teaching hospital in the United Kingdom., FINDINGS: Analysis resulted in four overarching themes: (1) Guiding the medication process, (2) Concentration, focus and awareness, (3) Influences on interruptions (4) Impact and recovery CONCLUSION: Medication administration within the PICU is an essential but complex activity. Interruptions can impact on focus and concentration which can contribute to patient harm. Decision making by PICU nurses is influenced by interruption awareness, fluctuating levels of concentration, and responding to critically ill patient and families' needs. Copyright © 2017 Elsevier Ltd All rights reserved.
dc.description.urihttps://dx.doi.org/10.1016/j.iccn.2017.04.012en_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.subjectDecision makingen_US
dc.subjectInterpersonal relationsen_US
dc.subjectIntensive care unitsen_US
dc.subjectMedication systemsen_US
dc.titleA qualitative, exploratory study of nurses' decision-making when interrupted during medication administration within the paediatric intensive care uniten_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecord10.1016/j.iccn.2017.04.012en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2018
atmire.accessrights
html.description.abstractOBJECTIVE: In the paediatric intensive care unit (PICU), medication administration is challenging. Empirical studies demonstrate that interruptions occur frequently and that nurses are fundamental in the delivery of medication. However, little is known about nurse's decision making when interrupted during medication administration. Therefore, the objective is to understand decision making when interrupted during medication administration within the PICU., RESEARCH DESIGN: A qualitative study incorporating non-participant observation and audio recorded semi-structured interviews. A convenience sample of ten PICU nurses were interviewed. Each interview schedule was informed by two hours of observation which involved a further 29 PICU nurses. Data was analysed using Framework Analysis., SETTING: A regional PICU located in a university teaching hospital in the United Kingdom., FINDINGS: Analysis resulted in four overarching themes: (1) Guiding the medication process, (2) Concentration, focus and awareness, (3) Influences on interruptions (4) Impact and recovery CONCLUSION: Medication administration within the PICU is an essential but complex activity. Interruptions can impact on focus and concentration which can contribute to patient harm. Decision making by PICU nurses is influenced by interruption awareness, fluctuating levels of concentration, and responding to critically ill patient and families' needs. Copyright © 2017 Elsevier Ltd All rights reserved.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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