Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia

Detalhes bibliográficos
Autor(a) principal: Bertolazzi, Luana Gaino
Data de Publicação: 2017
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da FAMERP
Texto Completo: http://bdtd.famerp.br/handle/tede/507
Resumo: Investigate the nursing staff workflow interruptions concerning the processes and factors involved in their activities, such as: sources and causes of interruptions, and interrupted activities; Measure the frequency and the duration of interruptions experienced by the nursing staff, as well as the total amount of time elapsed to complete the activities. Methods: This is a quantitative, observational, and analytical study carried out at the chemotherapy facility of a teaching hospital from June / 2015 to March / 2016. Study sample was composed of 11 professionals on the nursing staff (nurses; n=8 and licensed practical nurses; n=3) who accepted to have their care activities measured by the study. We used the technique of direct observation and a stopwatch to map and classify each minute of the activities performed by the nursing staff, according to the taxonomy described by Nursing Interventions Classifications, as well as the interruptions that occurred at the time. Throughout an interruption, we registered the time it started and ended, as well as the subject who was producing it and its cause. Results: We observed 106 hours of the nursing staff workflow. We identified 72 activities correlated to 33 interventions found in the taxonomy, which were carried out 4,033 times. The domain “Complex Physiological” concentrated the largest number of nursing activities performed. There were 492 (12.2%) interruptions, especially in the following domains: Complex Physiological (n=228;46.3%) and Health System (n=159;32.4%). Regarding the sources of disruptions, the main cause was the nursing team itself (n=276;55.5%), mainly motivated by the exchange of care information (n=65; 12.8%) and material supplies (n=65;12.8%). Nursing professionals interrupted their activities 4.6 times per hour, on average; registered nurses interrupted their activities 4.9 times per hour and the licensed practical nurses 3.8 times. Without being interrupted, nursing staff activities took 2:16 minutes (SD± 0:27 minutes) to be completed; when the activities were interrupted, the average time rose up to 5:59 minutes (SD±3:01 minutes). Conclusion: Interruptions were a constant during the nursing staff work at chemotherapy facility, including preparation and administration of medications. These interruptions increased the time required to complete nursing activities up to 163.9%, on average. Understanding the interruptions on nursing performance scenarios can provide support to health managers to carry out a reformulation on the structural and working processes. By doing so, health managers can reduce occurrence of interruptions and the negative impacts that may affect the productivity and safety of the patients.
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spelling Perroca, Marcia Galanhttp://lattes.cnpq.br/1838306829122711Faria, Tamara VeigaCucolo, Danielle FabianaFaria, Josimerci Ittavo Lamana38944666857http://lattes.cnpq.br/8897522782993676Bertolazzi, Luana Gaino2018-12-18T15:16:46Z2017-06-13Bertolazzi, Luana Gaino. Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia. 2017. 125 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.1407http://bdtd.famerp.br/handle/tede/507Investigate the nursing staff workflow interruptions concerning the processes and factors involved in their activities, such as: sources and causes of interruptions, and interrupted activities; Measure the frequency and the duration of interruptions experienced by the nursing staff, as well as the total amount of time elapsed to complete the activities. Methods: This is a quantitative, observational, and analytical study carried out at the chemotherapy facility of a teaching hospital from June / 2015 to March / 2016. Study sample was composed of 11 professionals on the nursing staff (nurses; n=8 and licensed practical nurses; n=3) who accepted to have their care activities measured by the study. We used the technique of direct observation and a stopwatch to map and classify each minute of the activities performed by the nursing staff, according to the taxonomy described by Nursing Interventions Classifications, as well as the interruptions that occurred at the time. Throughout an interruption, we registered the time it started and ended, as well as the subject who was producing it and its cause. Results: We observed 106 hours of the nursing staff workflow. We identified 72 activities correlated to 33 interventions found in the taxonomy, which were carried out 4,033 times. The domain “Complex Physiological” concentrated the largest number of nursing activities performed. There were 492 (12.2%) interruptions, especially in the following domains: Complex Physiological (n=228;46.3%) and Health System (n=159;32.4%). Regarding the sources of disruptions, the main cause was the nursing team itself (n=276;55.5%), mainly motivated by the exchange of care information (n=65; 12.8%) and material supplies (n=65;12.8%). Nursing professionals interrupted their activities 4.6 times per hour, on average; registered nurses interrupted their activities 4.9 times per hour and the licensed practical nurses 3.8 times. Without being interrupted, nursing staff activities took 2:16 minutes (SD± 0:27 minutes) to be completed; when the activities were interrupted, the average time rose up to 5:59 minutes (SD±3:01 minutes). Conclusion: Interruptions were a constant during the nursing staff work at chemotherapy facility, including preparation and administration of medications. These interruptions increased the time required to complete nursing activities up to 163.9%, on average. Understanding the interruptions on nursing performance scenarios can provide support to health managers to carry out a reformulation on the structural and working processes. By doing so, health managers can reduce occurrence of interruptions and the negative impacts that may affect the productivity and safety of the patients.Investigar as interrupções no fluxo de trabalho da equipe de enfermagem em relação aos processos e fatores envolvidos: fontes, causas e atividades interrompidas; mensurar a frequência e duração das interrupções, e o tempo total transcorrido para a finalização das atividades. Método: Trata-se de estudo quantitativo, observacional analítico, realizado em unidade de quimioterapia de um hospital de ensino, no período de junho/2015 a março/2016. Foram participantes 11 colaboradores da equipe de enfermagem (enfermeiros n=8 e técnicos de enfermagem n=3) que aceitaram ter suas atividades assistenciais mensuradas. Através da técnica de observação direta e do uso de um cronômetro digital, foi possível mapear e classificar, minuto a minuto, as atividades realizadas pela equipe de enfermagem, conforme a taxonomia descrita pelo Nursing Interventions Classifications, bem como as interrupções ocorridas. Na vigência de uma interrupção, era registrado seu horário de início e término, bem como o sujeito que estava ocasionando-a e sua causa. Resultados: Foram observadas 106 horas do fluxo de trabalho da equipe de enfermagem, onde se identificou 72 atividades, correlacionadas a 33 intervenções encontradas na taxonomia, executadas 4033 vezes. O Domínio Fisiológico Complexo concentrou o maior número de atividades de enfermagem realizadas (n=1844; 4,7%). Ocorreram 492(12,2%) interrupções, especialmente nos Domínios Fisiológico Complexo (n=228;46,3%) e Sistema de Saúde (n=159;32,4%). Quanto às fontes, a própria equipe de enfermagem foi a principal causadora das interrupções (n=276; 55,5%), motivada, sobretudo, pela troca de informações sobre cuidados (n=65;12,8%) e suprimentos de materiais (n=65;12,8%). Os colaboradores foram interrompidos, em média, 4,6 vezes por hora; os enfermeiros 4,9 vezes por hora e os técnicos de enfermagem 3,8 vezes. Em média, sem interrupção, as atividades de enfermagem levaram 2:16 minutos (Dp 0:27) para serem concluídas; quando interrompidas, o tempo médio foi 5:59 minutos (Dp 3:01). Conclusão: As interrupções mostraram-se constantes no decorrer do trabalho de enfermagem em UQ, inclusive durante o preparo e administração de medicamentos, e elevaram em média 163,9% do tempo para a conclusão das atividades de enfermagem. A compreensão das interrupções nos cenários de atuação de enfermagem pode amparar os gestores na reformulação estrutural e dos processos de trabalho, reduzindo sua ocorrência e os impactos negativos à produtividade e segurança dos pacientes.Submitted by Suzana Dias (suzana.dias@famerp.br) on 2018-12-18T15:16:46Z No. of bitstreams: 1 LuanaGaiano_dissert.pdf: 1000763 bytes, checksum: e21597fb0db7710136840e95b51d7a3d (MD5)Made available in DSpace on 2018-12-18T15:16:46Z (GMT). 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dc.title.por.fl_str_mv Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
title Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
spellingShingle Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
Bertolazzi, Luana Gaino
Nursing Process
Drug Therapy
Nursing Service, Hospital
Processo de Enfermagem
Tratamento Farmacológico
Serviço Hospitalar de Enfermagem
CIENCIAS DA SAUDE::8765449414823306929::600
title_short Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
title_full Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
title_fullStr Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
title_full_unstemmed Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
title_sort Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia
author Bertolazzi, Luana Gaino
author_facet Bertolazzi, Luana Gaino
author_role author
dc.contributor.advisor1.fl_str_mv Perroca, Marcia Galan
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/1838306829122711
dc.contributor.referee1.fl_str_mv Faria, Tamara Veiga
dc.contributor.referee2.fl_str_mv Cucolo, Danielle Fabiana
dc.contributor.referee3.fl_str_mv Faria, Josimerci Ittavo Lamana
dc.contributor.authorID.fl_str_mv 38944666857
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8897522782993676
dc.contributor.author.fl_str_mv Bertolazzi, Luana Gaino
contributor_str_mv Perroca, Marcia Galan
Faria, Tamara Veiga
Cucolo, Danielle Fabiana
Faria, Josimerci Ittavo Lamana
dc.subject.eng.fl_str_mv Nursing Process
Drug Therapy
Nursing Service, Hospital
topic Nursing Process
Drug Therapy
Nursing Service, Hospital
Processo de Enfermagem
Tratamento Farmacológico
Serviço Hospitalar de Enfermagem
CIENCIAS DA SAUDE::8765449414823306929::600
dc.subject.por.fl_str_mv Processo de Enfermagem
Tratamento Farmacológico
Serviço Hospitalar de Enfermagem
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::8765449414823306929::600
description Investigate the nursing staff workflow interruptions concerning the processes and factors involved in their activities, such as: sources and causes of interruptions, and interrupted activities; Measure the frequency and the duration of interruptions experienced by the nursing staff, as well as the total amount of time elapsed to complete the activities. Methods: This is a quantitative, observational, and analytical study carried out at the chemotherapy facility of a teaching hospital from June / 2015 to March / 2016. Study sample was composed of 11 professionals on the nursing staff (nurses; n=8 and licensed practical nurses; n=3) who accepted to have their care activities measured by the study. We used the technique of direct observation and a stopwatch to map and classify each minute of the activities performed by the nursing staff, according to the taxonomy described by Nursing Interventions Classifications, as well as the interruptions that occurred at the time. Throughout an interruption, we registered the time it started and ended, as well as the subject who was producing it and its cause. Results: We observed 106 hours of the nursing staff workflow. We identified 72 activities correlated to 33 interventions found in the taxonomy, which were carried out 4,033 times. The domain “Complex Physiological” concentrated the largest number of nursing activities performed. There were 492 (12.2%) interruptions, especially in the following domains: Complex Physiological (n=228;46.3%) and Health System (n=159;32.4%). Regarding the sources of disruptions, the main cause was the nursing team itself (n=276;55.5%), mainly motivated by the exchange of care information (n=65; 12.8%) and material supplies (n=65;12.8%). Nursing professionals interrupted their activities 4.6 times per hour, on average; registered nurses interrupted their activities 4.9 times per hour and the licensed practical nurses 3.8 times. Without being interrupted, nursing staff activities took 2:16 minutes (SD± 0:27 minutes) to be completed; when the activities were interrupted, the average time rose up to 5:59 minutes (SD±3:01 minutes). Conclusion: Interruptions were a constant during the nursing staff work at chemotherapy facility, including preparation and administration of medications. These interruptions increased the time required to complete nursing activities up to 163.9%, on average. Understanding the interruptions on nursing performance scenarios can provide support to health managers to carry out a reformulation on the structural and working processes. By doing so, health managers can reduce occurrence of interruptions and the negative impacts that may affect the productivity and safety of the patients.
publishDate 2017
dc.date.issued.fl_str_mv 2017-06-13
dc.date.accessioned.fl_str_mv 2018-12-18T15:16:46Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv Bertolazzi, Luana Gaino. Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia. 2017. 125 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
dc.identifier.uri.fl_str_mv http://bdtd.famerp.br/handle/tede/507
dc.identifier.doi.por.fl_str_mv 1407
identifier_str_mv Bertolazzi, Luana Gaino. Interrupções no fluxo de trabalho de enfermagem: estudo em unidade de quimioterapia. 2017. 125 f. Dissertação (Programa de Pós-Graduação em Enfermagem) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
1407
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dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Enfermagem::5708931012041588413::500
dc.publisher.initials.fl_str_mv FAMERP
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade 1::Departamento 2::-2907770059257635076::500
publisher.none.fl_str_mv Faculdade de Medicina de São José do Rio Preto
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