Dissertation/Thesis Abstract

Situation awareness and the selection of interruption handling strategies during the medication administration process: A qualitative study
by Sitterding, Mary Cathryn, Ph.D., Indiana University, 2014, 125; 3668055
Abstract (Summary)

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 significant or may be 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.

Indexing (document details)
Advisor: Ebright, Patricia
Commitee: Broome, Marion E., Ironside, Pamela, Patterson, Emily
School: Indiana University
Department: Nursing Science
School Location: United States -- Indiana
Source: DAI-B 76/05(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Cognitive work, Interruptions, Medication safety, Situation awareness
Publication Number: 3668055
ISBN: 978-1-321-42697-7
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