Indiana University-Purdue University Indianapolis (IUPUI) / 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 crosssectional,
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.
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/6126 |
| Date | January 2014 |
| Creators | Sitterding, Mary Cathryn |
| Contributors | Ebright, Patricia, Patterson, Emily S., 1972-, Broome, Marion, Ironside, Pamela M. |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Thesis |
| Rights | Attribution-NonCommercial-NoDerivs 3.0 United States, http://creativecommons.org/licenses/by-nc-nd/3.0/us/ |
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