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DIFFERENCES IN VISUAL ATTENTION BETWEEN NOVICE AND EXPERT NURSES PERFORMING ENDOTRACHEAL SUCTIONING (ES) : A SIMULATION STUDY

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タイトル: DIFFERENCES IN VISUAL ATTENTION BETWEEN NOVICE AND EXPERT NURSES PERFORMING ENDOTRACHEAL SUCTIONING (ES) : A SIMULATION STUDY
著者: Colley, Noriyo 著作を一覧する
Asaka, Tadayoshi 著作を一覧する
Sakai, Shinya 著作を一覧する
Nagata, Yasuko 著作を一覧する
Shimizu, Hiromi 著作を一覧する
Honda, Chiseki 著作を一覧する
Sasaki, Tomoyuki 著作を一覧する
Nishioka, Takeshi 著作を一覧する
キーワード: endotracheal suctioning
expertise
eye movement
tacit knowledge
multitasking risk
発行日: 2015年 7月
出版者: 日本医工学治療学会
誌名: 医工学治療 = Therapeutics & engineering : T&E
巻: 27
号: 2
開始ページ: 97
終了ページ: 105
抄録: Background: Endotracheal suctioning was authorized to be performed by individuals after attending a training course even though they do not possess a medical/nursing qualification in 2012 in Japan, though it is still considered as an evasive medical procedure. Objectives: This paper aims to discover experienced nurses’ proficiency of endotracheal suctioning in order to discuss future solution of nursing delegation. Methods: EMR-9○R (NAC Image technology Inc.) was used for eye tracking. EMR-dFactory○R version 2.7.0 was used for data analysis. ES was separated into six phases. Performance time, visual pathways, and movement speed of each participant were then analysed. Participants: Participants were recruited by snowball method and bulletin board. Inclusion criteria for nurses were experience of endotracheal suctioning in real work at any institution, and for students no experience of endotracheal suctioning in real settings. Results: Nurses' average time for ES was significantly shorter than students’; however, there was no significant correlation between years of 4 experience and the time (p= -0.006). Bimodality of eye movement velocity at 0-40 and 180-220 deg./s was also observed in the nurses’ group, in contrast to the unimodal distribution of the students’ velocity. Conclusion: Nurses achieved both time-efficiency and risk-avoidance by quickly gathering adequate visual information. Preparations before procedure to avoid task multiplicity are also important.
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/60623
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: コリー 紀代

 

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