Optimizing Nursing Workflow Efficiency in a Level IV NICU: A Data-Driven Approach to Reducing Interruptions
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Authors
Martin, Dieja
Issue Date
2026-05-16
Volume
Issue
Type
Manuscript
Language
Keywords
Workflow Interruptions , NICU , Nursing Workflow , Perceived Stress , Nurse Well Being
Alternative Title
Abstract
Purpose: This quality improvement project sought to identify and reduce workflow interruptions in a NICU, implement a targeted intervention informed by real time data and frontline feedback, and assess the impact on nurses’ perceived stress. Background: Nurses in high acuity environments frequently experience workflow interruptions that increase cognitive load, elevate stress, and contribute to burnout. Equipment malfunctions, supply shortages, and communication diversions are well documented contributors to workflow disruption linked to reduced efficiency and job satisfaction. Understanding interruption patterns was essential to guiding targeted improvements. Sample/Setting: Participants included bedside nurses who voluntarily completed the workflow interruption tracking tool and the Perceived Stress Scale (PSS). Ten workflow interruptions and corresponding PSS scores were recorded. Methods: A pre post design guided by the Model for Improvement and Plan Do Study Act (PDSA) cycles was used. Nurses logged real time workflow interruptions using a REDCap tool and completed PSS assessments. Interruption type, frequency, and associated stress levels were examined to identify patterns and guide intervention planning. Results: Equipment malfunctions accounted for 50% of interruptions and were associated with the highest average PSS score (20.6). Communication diversions (30%) and supply shortages (20%) were less frequent and associated with lower stress levels. Findings informed a targeted intervention to increase backup feeding pumps and improve stocking consistency. Collaboration with distribution leadership revealed gaps in equipment availability, particularly during evening and night shifts. Conclusion: Workflow interruptions significantly contributed to nurse stress. Increasing equipment availability and improving stocking reliability reduced workflow strain and supported nurse well being. Leadership insights included aligning resources with census growth and collaborating across departments to address operational gaps.
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Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University