2024-03-28T18:03:43Zhttps://eprints.lib.hokudai.ac.jp/dspace-oai/requestoai:eprints.lib.hokudai.ac.jp:2115/822132022-11-17T02:08:08Zhdl_2115_35410hdl_2115_35409熟練看護師の視線計測による気管内吸引オントロジーの構築と今後の可能性Future Possibilities for Endotracheal Suctioning Ontologies Based on the Ocular Movement of Skilled Nursesコリー, 紀代清水, 弘美高橋, 望小水内, 俊介近野, 敦金井, 理二宮, 伸治大塚, 健浅賀, 忠義可視化暗黙知看護技術教育評価階層構造VisualizationTacit KnowledgeNursing TechniquesEducational EvaluationClustering490背景 : 在宅医療の高度化により, 気管内吸引等の高度ケアを担う人材の育成が喫緊の課題である.方法 : 気管内吸引を行う看護師と看護学生の眼球運動を測定し, 気管内吸引中の認知・判断面を含めた多重タスク構造を気管内吸引オントロジーとして可視化した.結果 : 構築された気管内吸引オントロジーの階層構造からは, 手順という手続き的知識のみならず, 医療機器に関する知識, 気管内吸引が無効であった際の選択肢に関する知識など, 多岐にわたった専門知識が要求される行為であることが示された.考察 : オントロジーは「できる」能力の範囲や評価すべき能力の定義を示す教育評価ツールとしても活用の可能性がある表現法と考えられた.Introduction: Due to the advancement of the home-based healthcare, increasing the number of professionals who are able to administer homebased treatments, such as endotracheal suctioning, is an urgent issue.Methods: By measuring the ocular movement of nurses, nursing students and previous researches, an endotracheal suctioning ontology was visualized. It included a multiplex task structure, recognition, and judgment, as well as identifying procedures used during endotracheal suctioning that could contribute to a discussion on educational feasibility.Results: From the hierarchical structure of the constructed endotracheal suctioning ontology, not only the procedural knowledge but also knowledge about medical devices, knowing what options exist when endotracheal suctioning is ineffective, and a wide range of other expertise is needed to perform endotracheal suctioning safely.Discussion: An endotracheal suctioning ontology was created from the ocular movement of nurses. Ontologies are a potential tool for defining minimum requirements and the scope of ability that must be evaluated before clinical practicum.日本医学教育学会Journal Articleapplication/pdfhttp://hdl.handle.net/2115/82213https://eprints.lib.hokudai.ac.jp/dspace/bitstream/2115/82213/1/49_117.pdf0386-9644医学教育4921171252018-04-25jpninfo:doi/10.11307/mededjapan.49.2_1171300075251802018266037publisher