Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study
Background: Postanesthesia Care Unit (PACU) is an environment associated with an important workload which is susceptible to lead to task interruption (TI), leading to task-switching or concurrent multitasking. The objective of the study was to determine the predictors of the reaction of the nurses f...
| Main Authors: | , , , , , , , , |
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| 格式: | Article |
| 語言: | English |
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Elsevier
2023-05-01
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| 叢編: | Brazilian Journal of Anesthesiology |
| 主題: | |
| 在線閱讀: | http://www.sciencedirect.com/science/article/pii/S0104001421002360 |
| _version_ | 1827940951307321344 |
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| author | Charles-Hervé Vacheron Olivier Peyrouset Pascal Incagnoli Virginie Charra Stéphanie Parat Jean-Stephane David Alexandre Theissen Vincent Piriou Arnaud Friggeri |
| author_facet | Charles-Hervé Vacheron Olivier Peyrouset Pascal Incagnoli Virginie Charra Stéphanie Parat Jean-Stephane David Alexandre Theissen Vincent Piriou Arnaud Friggeri |
| author_sort | Charles-Hervé Vacheron |
| collection | DOAJ |
| description | Background: Postanesthesia Care Unit (PACU) is an environment associated with an important workload which is susceptible to lead to task interruption (TI), leading to task-switching or concurrent multitasking. The objective of the study was to determine the predictors of the reaction of the nurses facing TI and assess those who lead to an alteration of the initial task. Methods: We conducted a prospective observational study into the PACU of a university hospital during February 2017. Among 18 nurses, a selected one was observed each day, documenting for each TI the reaction of the nurse (task switching or concurrent multitasking), and the characteristics associated with the TI. We performed classification tree analyses using C5.0 algorithm in order to select the main predictors of the type of multitasking performed and the alteration of the initial task. Results: We observed 1119 TI during 132 hours (8.5 TI/hour). The main reaction was concurrent multitasking (805 TI, 72%). The short duration of the task interruption (one minute or less) was the most important predictor leading to concurrent multitasking. Other predictors of response to TI were the identity of the task interrupter and the number of nurses present. Regarding the consequences of the task switching, long interruption (more than five minutes) was the most important predictor of the alteration of the initial task. Conclusions: By analysing the predictors of the type of multitasking in front of TI, we propose a novel approach to understanding TI, offering new perspective for prevention strategies. |
| first_indexed | 2024-03-13T09:28:50Z |
| format | Article |
| id | doaj.art-0b95cf08e8e04edca7d689849e133025 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-03-13T09:28:50Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-0b95cf08e8e04edca7d689849e1330252023-05-26T04:20:54ZengElsevierBrazilian Journal of Anesthesiology0104-00142023-05-01733267275Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective studyCharles-Hervé Vacheron0Olivier Peyrouset1Pascal Incagnoli2Virginie Charra3Stéphanie Parat4Jean-Stephane David5Alexandre Theissen6Vincent Piriou7Arnaud Friggeri8Hospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique-Bioinformatique, Lyon, France; Université Claude Bernard Lyon 1, Faculté de Médecine, Lyon, France; Corresponding author.Hospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, France; Université Claude Bernard Lyon 1, Faculté de Médecine, Lyon, FranceCentre Hospitalier Princesse Grace, Département D'anesthésie Réanimation, Monaco, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, France; Université Claude Bernard Lyon 1, Faculté de Médecine, Lyon, FranceHospice Civil de Lyon, Département d’Anesthésie Réanimation, Centre Hospitalier Lyon-Sud, Lyon, France; Université Claude Bernard Lyon 1, Faculté de Médecine, Lyon, FranceBackground: Postanesthesia Care Unit (PACU) is an environment associated with an important workload which is susceptible to lead to task interruption (TI), leading to task-switching or concurrent multitasking. The objective of the study was to determine the predictors of the reaction of the nurses facing TI and assess those who lead to an alteration of the initial task. Methods: We conducted a prospective observational study into the PACU of a university hospital during February 2017. Among 18 nurses, a selected one was observed each day, documenting for each TI the reaction of the nurse (task switching or concurrent multitasking), and the characteristics associated with the TI. We performed classification tree analyses using C5.0 algorithm in order to select the main predictors of the type of multitasking performed and the alteration of the initial task. Results: We observed 1119 TI during 132 hours (8.5 TI/hour). The main reaction was concurrent multitasking (805 TI, 72%). The short duration of the task interruption (one minute or less) was the most important predictor leading to concurrent multitasking. Other predictors of response to TI were the identity of the task interrupter and the number of nurses present. Regarding the consequences of the task switching, long interruption (more than five minutes) was the most important predictor of the alteration of the initial task. Conclusions: By analysing the predictors of the type of multitasking in front of TI, we propose a novel approach to understanding TI, offering new perspective for prevention strategies.http://www.sciencedirect.com/science/article/pii/S0104001421002360ConcurrentMultitaskingPatient safetyTask interruptionTask switching |
| spellingShingle | Charles-Hervé Vacheron Olivier Peyrouset Pascal Incagnoli Virginie Charra Stéphanie Parat Jean-Stephane David Alexandre Theissen Vincent Piriou Arnaud Friggeri Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study Brazilian Journal of Anesthesiology Concurrent Multitasking Patient safety Task interruption Task switching |
| title | Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study |
| title_full | Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study |
| title_fullStr | Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study |
| title_full_unstemmed | Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study |
| title_short | Multitasking in postanesthesia care unit following nurse interruptions, an analysis of the causes and consequences using classification tree: an observational prospective study |
| title_sort | multitasking in postanesthesia care unit following nurse interruptions an analysis of the causes and consequences using classification tree an observational prospective study |
| topic | Concurrent Multitasking Patient safety Task interruption Task switching |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421002360 |
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