ARTICLEInterruptions and Geographic Challenges to Nurses' Cognitive WorkloadRedding, Donna A. PhD, RN-BC; Robinson, Sherry PhD, GCNS-BC Author Information Nursing Administration, Memorial Medical Center (Dr Redding) and Southern Illinois University School of Medicine (Dr Robinson), Springfield, Illinois. Corresponding Author: Donna A. Redding, PhD, RN-BC, Nursing Administration, Memorial Medical Center, 701 N First St, Springfield, IL 62781 ([email protected]). The authors have no conflict of interest. For more than 25 additional continuing education articles related to safety, go to NursingCenter.com/CE Accepted for publication: January 3, 2009 Journal of Nursing Care Quality: July 2009 - Volume 24 - Issue 3 - p 194-200 doi: 10.1097/01.NCQ.0000356907.95076.31 Buy CE Test Metrics Abstract The cognitive workload of nurses needs to be protected from interruptions as much as possible to prevent untoward patient outcomes. In this study, the type and frequency of work interruptions for nurses in medical-surgical units in a midwestern tertiary care medical center were identified. In addition, nurses' travel patterns were observed and recorded as they provided care. The intent was to identify methods for reducing interruptions and improving nurses' cognitive work efficiency. © 2009 Lippincott Williams & Wilkins, Inc.