Nurses' clinical judgments in work rescheduling because of interruptions

Research Project

Project/Area Number	24593266
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Fundamental nursing
Research Institution	Graduate School of Health Care Science, Jikei Institute
Principal Investigator	Kasahara Satoko 滋慶医療科学大学院大学, 医療管理学研究科, 准教授 (30283782)
Project Period (FY)	2012-04-01 – 2016-03-31
Project Status	Completed (Fiscal Year 2015)
Budget Amount *help	¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000) Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000) Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000) Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords	業務中断 / 多重業務 / 優先順位付け / 看護師 / 構造モデル分析 / 看護管理学 / 看護教育学 / 医療管理学 / 医療の質 / 医療安全
Outline of Final Research Achievements	I determined the criteria for nurses’ clinical judgments in work rescheduling because of previous interruptions and examined the differences between recognition (degree of importance) and practice (degree of implementation) for each judgment criterion. I also assessed the relationships between these criteria and a multitasking simulation experience. After having identified the complex interrelationships (cause/effect, driving/dependence, direct/indirect) among various criteria related to nursing clinical judgments and demonstrating them with a causal diagram, it was observed that more than half (52%) of the criteria indicated the same relational structure between recognition (WAI: Work as imagined) and practice (WAD: Work as done). However, the rest indicated a different structure, thus providing evidence for a recognition-practice gap.