J Korean Acad Nurs Adm.  2019 Sep;25(4):272-281. 10.11111/jkana.2019.25.4.272.

Concept Analysis of the Work Interruption by Nurses

  • 1Dong-A University Hospital, Korea.
  • 2College of Nursing, Dong-A University, Korea. enlee@dau.ac.kr
  • 3Pusan National University Hospital, Korea.


The purpose of this study was to identify the attributes, antecedents, and consequences of nurse's work interruptions.
Walker and Avant's concept analysis method was used to analyze this concept. Relevant articles published before August 2018 were searched through MEDLINE, CINAHL, EMBASE, KISS, and RISS databases using "interruption,""work or task," and "nurse" as keywords.
The attributes of work interruption by nurses were as follows: 1) new tasks to do; 2) cognitive transition of work priorities; 3) loss of work continuity; 4) tasks to be resumed. The antecedents of work interruption were intrusion of unplanned events, internal and external factors that result in nurses forgetting their original intentions, an unpredictable work environment, and cultural climate where interruptions are considered as a part of the work process. The consequences of work interruption were decline in job satisfaction, trigger of work errors, lengthening of work completion time, decline in work productivity, increase in work stress, and delay of transferring needed information in a timely manner.
The results of this study provide basic data to reduce the negative consequences of nurses' work interruptions, and contribute to expanding the knowledge necessary for improving patients' safety and nurses' performance.


Analysis; Nurse; Work performance

MeSH Terms

Job Satisfaction
Work Performance


  • Figure 1 Preferred reporting items for concept analysis of interruption.

  • Figure 2 Conceptual structure of interruption.


1. Wikipedia. Interrupt [Internet]. Wikimedia Foundation, Inc.;cited 2019 March 26. Available from: https://en.wikipedia.org/wiki/Interrupt.
2. Brixey JJ, Tang Z, Robinson DJ, Johnson CW, Johnson TR, Turley JP, et al. Interruptions in a level one trauma center: A case study. International Journal of Medical Informatics. 2008; 77(4):235–241. DOI: 10.1016/j.ijmedinf.2007.04.006.
3. Brixey JJ, Robinson DJ, Turley JP, Zhang J. The roles of MDs and RNs as initiators and recipients of interruptions in workflow. International Journal of Medical Informatics. 2010; 79(6):e109–e115. DOI: 10.1016/j.ijmedinf.2008.08.007.
4. Chisholm CD, Collison EK, Nelson DR, Cordell WH. Emergency department workplace interruptions: are emergency physicians “interrupt-driven” and “multitasking”? Academic Emergency Medicine. 2000; 7(11):1239–1243. DOI: 10.1111/j.1553-2712.2000.tb00469.x.
5. Altmann EM, Trafton JG. Timecourse of recovery from task interruption: Data and a model. Psychonomic Bulletin & Review. 2007; 14(6):1079–1084. DOI: 10.3758/bf03193094.
6. Page A. Keeping patients safe: Transforming the work environment of nurses. Richard and Hinda Rosenthal lectures, 2003. Washington (DC): National Academies Press;2005.
7. Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Services Research Journal. 2006; 41(3 Pt 1):643–662. DOI: 10.1111/j.1475-6773.2006.00502.x.
8. Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Joint Commission Journal on Quality and Patient Safety. 2010; 36(3):126–132. DOI: 10.1016/s1553-7250(10)36021-1.
9. Cole G, Stefanus D, Gardner H, Levy MJ, Klein EY. The impact of interruptions on the duration of nursing interventions: A direct observation study in an academic emergency department. BMJ Quality & Safety. 2016; 25(6):457–465. DOI: 10.1136/bmjqs-2014-003683.
10. Rhu EJ, Lee EN. Relationship among task interruption and task performance and burn-out in emergency room nurses. Journal of Korean Critical Care Nursing. 2013; 6(1):34–43.
11. Westbrook JI, Woods A, Rob MI, Dunsmuir WT, Day RO. Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal Medicine. 2010; 170(8):683–690. DOI: 10.1001/archinternmed.2010.65.
12. Lea VM, Corlett SA, Rodgers RM. Describing interruptions, multi-tasking and task-switching in community pharmacy: A qualitative study in England. International Journal of Clinical Pharmacy. 2015; 37(6):1086–1094. DOI: 10.1007/s11096-015-0155-7.
13. Kwon M, Kim SR. The job stress and presenteeism of occupational health nurses in workplace in Korea. Korean Journal of Occupational Health Nursing. 2010; 19(2):159–169.
14. Seo NR, Lee MH. Evaluation of nursing information systems in a general hospital. Journal of Korean Academy of Nursing Administration. 2001; 7(1):111–126.
15. Rivera AJ. A socio-technical systems approach to studying interruptions: Understanding the interrupter's perspective. Applied Ergonomics. 2014; 45(3):747–756. DOI: 10.1016/j.apergo.2013.08.009.
16. Monteiro C, Avelar AF, Pedreira ML. Interruptions of nurses' activities and patient safety: An integrative literature review. Revista Latino-Americana de Enfermagem. 2015; 23(1):169–179. DOI: 10.1590/0104-1169.0251.2539.
17. Walker LO, Avant KC. Strategies for theory construction in nursing. 5th edition. Boston: Prentice Hall;2011.
18. Rodgers BL, Knafl KA. Concept development in nursing: Foundations, techniques, and applications. 2nd ed. London: Saunders;2000.
19. National Institute of Korean Language. Interrupt. Korean Standard Dictionary [Internet]. Seoul: The National Institute of the Korean Language;cited March 19, 2019. Available from: https://stdict.korean.go.kr/search/searchView.do?searchKeyword=%EC%A4%91%EB%8B%A8.
20. Cambridge Dictionary. Interrupt [Internet]. Cambridge University Presses. cited 2019 March 26. Available from: https://dictionary.cambridge.org/dictionary/english/interrupt.
21. Lee KH, Jung SK, Kim HJ, Lee IS, Kim JW. Interruption in digital convergence: Focused on multi-modality and multi-tasking. Journal of the Ergonomics Society of Korea. 2007; 26(3):67–80. DOI: 10.5143/JESK.2007.26.3.067.
22. Byeon MS. Digital age distribution marketing. Marketing. 2001; 35(12):58–62.
23. Kim HK, Kim HS, Choi CS. The analysis of relative efficiency in Gangwon general high schools. Korean Educational Review. 2015; 21(1):5–26.
24. Lee HS, Im MH. Improvement of class interrupting behaviors of children with autism spectrum disorder through reflective journal writing. Journal of Emotional & Behavioral Disorders. 2016; 32(1):175–189.
25. Brixey JJ, Robinson DJ, Johnson CW, Johnson TR, Turley JP, Zhang J. A concept analysis of the phenomenon interruption. Advances in Nursing Science. 2007; 30(1):E26–E42. DOI: 10.1097/00012272-200701000-00012.
26. Sasangohar F, Donmez B, Easty AC, Trbovich PL. Effects of nested interruptions on task resumption: A laboratory study with intensive care nurses. Human Factors. 2017; 59(4):628–639. DOI: 10.1177/0018720816689513.
27. Hall LM, Ferguson-Pare M, Peter E, White D, Besner J, Chisholm A, et al. Going blank: Factors contributing to interruptions to nurses' work and related outcomes. Journal of Nursing Management. 2010; 18(8):1040–1047. DOI: 10.1111/j.1365-2834.2010.01166.x.
28. Jeanmonod R, Boyd M, Loewenthal M, Triner W. The nature of emergency department interruptions and their impact on patient satisfaction. Emergency Medicine Journal. 2010; 27(5):376–379. DOI: 10.1136/emj.2008.071134.
29. Grundgeiger T, Sanderson P, MacDougall HG, Venkatesh B. Interruption management in the intensive care unit: Predicting resumption times and assessing distributed support. Journal of Experimental Psychology. 2010; 16(4):317–334. DOI: 10.1037/a0021912.
30. Sacred Heart University. Single and multiple interruptions increase task completion time, but don't affect stress, pressure or flow [Internet]. United States: Sacred Heart University;2010. cited 2010 March 26. Available from: http://digitalcommons.sacredheart.edu/wcob_wp/1.
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