Nurses’ perceptions of multitasking in the emergency department: Effective, fun and unproblematic (at least for me) – a qualitative study

• The findings from this study showed registered nurses’ positive perceptions regarding their work, where multitasking was seen as an attractive prerequisite, implying efficiency and not stressful.
• Respondents did not perceive multitasking as related to an increase risk of error. However, the participants expressed their worries about new inexperienced colleagues and other colleagues not managing stressful multitasking situations.
• The results from this study show that from the nurses’ perspective, multitasking is perceived as a main characteristic of work in the ED.
• This study shows how the patient load and the unreflected multitasking that follows relate to nurses’ perceived efficiency and job satisfaction.

IntroductionThe aim was to understand how multitasking is experienced by registered nurses and how it relates to their everyday practice in the emergency department.MethodInterviews with open-ended questions were conducted with registered nurses (n = 9) working in one of two included emergency departments in Sweden. Data were analyzed using Schilling's structured model for qualitative content analysis.ResultsThree core concepts related to multitasking emerged from the interviews: ‘multitasking – an attractive prerequisite for ED care’; ‘multitasking implies efficiency’ and ‘multitasking is not stressful’. From these core concepts an additional theme emerged: ‘… and does not cause errors – at least for me’, related to patient safety.DiscussionThis study shows how the patient load and the unreflected multitasking that follows relate to nurses’ perceived efficiency and job satisfaction. It also shows that the relationship between multitasking and errors is perceived to be mediated by whom the actor is, and his or her level of experience. Findings from this study add value to the discourse on multitasking and the emergency department context, as few studies go beyond examining the quantitative aspect of interruptions and multitasking and how it is experienced by the staff in their everyday practice.