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Title: 気管内吸引反復施行時の習熟度別動作変動性
Other Titles: Motion variability comparison of two proficiency groups performing repetitive endotracheal suctioning.
Authors: コリー, 紀代1 Browse this author →KAKEN DB
清水, 弘美2 Browse this author
萬井, 太規3 Browse this author
浅賀, 忠義4 Browse this author →KAKEN DB
Authors(alt): Colley, Noriyo1
Shimizu, Hiromi2
Mani, Hiroki3
Asaka, Tadayoshi4
Keywords: 加速度
angular velocity
motion sensor
nursing pedagogy
educational evaluation
Issue Date: Mar-2018
Publisher: 日本医工学治療学会
Journal Title: 医工学治療
Volume: 30
Issue: 1
Start Page: 53
End Page: 59
Abstract: 医療の発展に伴って、在宅でも人工呼吸器装着者の療養生活が可能なり、今後は在宅における高いスキルを持った看護師のニーズが高まると推察される。しかしながら現在の基礎教育期における技術評価は、学生の達成感やチェックリストが多く用いられ、後光効果(halo effects)や質保証への懸念から、新卒看護師の能力向上のためにはより客観的な教育評価法の確立が急務である。そこで本研究の目的は、モーションセンサーを用いて気管内吸引技術の習熟度別2群における反復施行による動作変動性を可視化することである。看護師群(9名)と学生群(4名)において、利き腕の手背、前腕、上腕の3ヶ所にモーションセンサーを装着し、シミュレーターを対象に気管内吸引を単純反復してもらった。その結果、両群とも単純反復による所要時間の短縮は認められなかった。群間比較では、所要時間、加速度RMSのY成分、角速度RMSの三成分について有意差があった。今回開発された教育評価方法は、リスク回避にも貢献すると考えられる。
Rights: With advances in technology, people who require respirators are now able to celebrate social lives at their own home. It is estimated that the demand for community nurses to care for these people will soon be greatly increased. However, the results from traditional evaluation tools such as skill checklists might be influenced by “halo effects” and end up to cause diversity of quality to provide care. The purpose of this study was to visualize endotracheal suctioning techniques by monitoring the motion variability induced by simple repeated practice in two groups. Nine experienced nurses and four nursing students performed endotracheal suctioning with motion sensors positioned on their dominant arms in the opisthenar, antebrachial, and brachial areas. After eight simple reiterations, the results showed no shortening of their performance times. However, there were significant differences between the experienced nurses and students regarding the acceleration RMS on the Y axis and the angular velocity RMS of the three axes. This improved educational methodology with motion sensors could enable risk avoidance.
Type: article (author version)
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: コリー 紀代

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