Situation awareness and interruption handling during medication administration
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2014
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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.
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Sitterding, MC, P Ebright, M Broome, ES Patterson and S Wuchner (2014). Situation awareness and interruption handling during medication administration. West J Nurs Res, 36(7). pp. 891–916. 10.1177/0193945914533426 Retrieved from https://hdl.handle.net/10161/26936.
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Marion English Broome
Marion E. Broome, PhD, RN, FAAN, is Ruby F. Wilson Professor of Nursing and former Dean for Duke University School of Nursing, 2014-2021. She served as Vice Chancellor for Nursing Affairs at Duke University and Associate Vice President for Academic Affairs for Nursing at Duke University Health System during that same period.
Prior to joining Duke in August 2014, Dr. Broome was Dean of the Indiana University School of Nursing and Associate Vice-President for Nursing at Indiana University Health for 10 years, where she was awarded the rank of Distinguished Professor.
Widely regarded as an expert, scholar and leader in pediatric nursing research and practice, Dr. Broome was funded externally by the American Cancer Society, the National Institutes of Health (NIH) and various foundations for two decades. Her research developed and tested interventions designed to assist children to cope with acute and chronic pain, informed consent and assent for children in research, research misconduct in clinical trials and, most recently, ethical dilemmas in publishing and leadership of nurse executives. Dr. Broome’s research is published in more than 129 papers in 58 refereed nursing, medicine and interdisciplinary journals. She also has published seven books and 21 chapters.
Since 2004, Dr. Broome co-led academic-practice partnerships in two leading academic health centers, at Indiana University Health and Duke Health. She and her colleague, Linda Everett, CNO for IU Health were awarded the highly competitive Sigma Theta Tau International award for academic-practice partnerships in 2013. In 2017 Duke University CNO, Dr. Mary Ann Fuchs, and Dr. Broome were again selected for the highly competitive Sigma International award for academic-practice partnerships. She has published several papers, chapters and books on leadership in nursing. Her two most recent books related to practice setting leadership include Sitterding, M. C. & Broome, M. (Eds.) (2015). Information overload: Framework, tips, and tools to manage in complex healthcare environments, which was selected as an AJN Book of the Year for 2016. Her text Marshall, E., & Broome, M. E. (2017). Transformational leadership in nursing: From expert clinician to influential leader. Springer Publishing Company is used in Doctor of Nursing Practice Programs all over the U.S.
Dr. Broome has held several leadership positions in the field. She served a four-year term as an appointed member of the Nursing Science Study Section at the NIH, was President of the Society for Pediatric Nurses and served on governing boards of the Association for the Care of Children's Health and the Midwest Nursing Research Society. She is currently a member of the Board of Commissioners for the National Council for Accreditation and a board member of the Institute for Child Success headquartered in Greenville, SC. Currently, Dr. Broome is editor-in-chief of Nursing Outlook, the official journal of the American Academy of Nursing (AAN) and the Council for the Advancement of Nursing Science. She has consulted for a variety of educational and health systems to develop leadership capacity including the NIH Clinical Center, University of Alabama Hospital, Children’s Memorial Hospital in Chicago, John F Kennedy Medical Center in Monrovia, Liberia, University of Technology in Sydney, Australia and the STTI Maternal-Child Leadership Academy.
Dr. Broome received her BSN from the Medical College of Georgia, her MSN from the University of South Carolina and her PhD from the University of Georgia. Her formal leadership training includes a variety of leadership training courses while serving in the Army Nurse Corp (1973-2000), a Management and Leadership in Education (MLE) Certificate from Harvard University in 2006 and the Center for Creative Leadership “Leading for Organizational Leadership Course” in 2013.
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