Situation Awareness and Interruption Handling During Medication Administration

Mary Cathryn Sitterding, Patricia Ebright, Marion Broome, Emily S. Patterson, Staci Wuchner

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 themes). Projected or anticipated interventions (Level 3 themes) reflected workload balance between team and patient foregrounds. The prevalence of cognitive time-sharing during the medication administration process was remarkable. Findings substantiated the importance of the concept of SA within nursing as well as the contribution of CTA in understanding the cognitive work of nursing during medication administration.

Original languageEnglish
Pages (from-to)891-916
Number of pages26
JournalWestern Journal of Nursing Research
Volume36
Issue number7
DOIs
StatePublished - Aug 27 2014

Fingerprint

Nursing
Medication Errors
Workload
Uncertainty
Cause of Death
Nurses
Handling (Psychology)

Keywords

  • cognitive work of nursing
  • interruptions
  • medication safety
  • situation awareness

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Sitterding, M. C., Ebright, P., Broome, M., Patterson, E. S., & Wuchner, S. (2014). Situation Awareness and Interruption Handling During Medication Administration. Western Journal of Nursing Research, 36(7), 891-916. https://doi.org/10.1177/0193945914533426

Situation Awareness and Interruption Handling During Medication Administration. / Sitterding, Mary Cathryn; Ebright, Patricia; Broome, Marion; Patterson, Emily S.; Wuchner, Staci.

In: Western Journal of Nursing Research, Vol. 36, No. 7, 27.08.2014, p. 891-916.

Research output: Contribution to journalArticle

Sitterding, MC, Ebright, P, Broome, M, Patterson, ES & Wuchner, S 2014, 'Situation Awareness and Interruption Handling During Medication Administration', Western Journal of Nursing Research, vol. 36, no. 7, pp. 891-916. https://doi.org/10.1177/0193945914533426
Sitterding, Mary Cathryn ; Ebright, Patricia ; Broome, Marion ; Patterson, Emily S. ; Wuchner, Staci. / Situation Awareness and Interruption Handling During Medication Administration. In: Western Journal of Nursing Research. 2014 ; Vol. 36, No. 7. pp. 891-916.
@article{0f7853c01c2e4647abb95e759496d98e,
title = "Situation Awareness and Interruption Handling During Medication Administration",
abstract = "Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 themes). Projected or anticipated interventions (Level 3 themes) reflected workload balance between team and patient foregrounds. The prevalence of cognitive time-sharing during the medication administration process was remarkable. Findings substantiated the importance of the concept of SA within nursing as well as the contribution of CTA in understanding the cognitive work of nursing during medication administration.",
keywords = "cognitive work of nursing, interruptions, medication safety, situation awareness",
author = "Sitterding, {Mary Cathryn} and Patricia Ebright and Marion Broome and Patterson, {Emily S.} and Staci Wuchner",
year = "2014",
month = "8",
day = "27",
doi = "10.1177/0193945914533426",
language = "English",
volume = "36",
pages = "891--916",
journal = "Western Journal of Nursing Research",
issn = "0193-9459",
publisher = "SAGE Publications Inc.",
number = "7",

}

TY - JOUR

T1 - Situation Awareness and Interruption Handling During Medication Administration

AU - Sitterding, Mary Cathryn

AU - Ebright, Patricia

AU - Broome, Marion

AU - Patterson, Emily S.

AU - Wuchner, Staci

PY - 2014/8/27

Y1 - 2014/8/27

N2 - Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 themes). Projected or anticipated interventions (Level 3 themes) reflected workload balance between team and patient foregrounds. The prevalence of cognitive time-sharing during the medication administration process was remarkable. Findings substantiated the importance of the concept of SA within nursing as well as the contribution of CTA in understanding the cognitive work of nursing during medication administration.

AB - Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 themes). Projected or anticipated interventions (Level 3 themes) reflected workload balance between team and patient foregrounds. The prevalence of cognitive time-sharing during the medication administration process was remarkable. Findings substantiated the importance of the concept of SA within nursing as well as the contribution of CTA in understanding the cognitive work of nursing during medication administration.

KW - cognitive work of nursing

KW - interruptions

KW - medication safety

KW - situation awareness

UR - http://www.scopus.com/inward/record.url?scp=84912053921&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84912053921&partnerID=8YFLogxK

U2 - 10.1177/0193945914533426

DO - 10.1177/0193945914533426

M3 - Article

VL - 36

SP - 891

EP - 916

JO - Western Journal of Nursing Research

JF - Western Journal of Nursing Research

SN - 0193-9459

IS - 7

ER -