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

Colley, Noriyo; Asaka, Tadayoshi; Sakai, Shinya; Nagata, Yasuko; Shimizu, Hiromi; Honda, Chiseki; Sasaki, Tomoyuki; Nishioka, Takeshi

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

Colley, Noriyo; Asaka, Tadayoshi; Sakai, Shinya et al.

医工学治療, 2015, 27(2), 97-105

Permalink : https://hdl.handle.net/2115/60623

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アクセス権	open access
URI	https://hdl.handle.net/2115/60623
タイトル	DIFFERENCES IN VISUAL ATTENTION BETWEEN NOVICE AND EXPERT NURSES PERFORMING ENDOTRACHEAL SUCTIONING (ES) : A SIMULATION STUDY
著者	Colley, Noriyo ; Asaka, Tadayoshi ; Sakai, Shinya ; Nagata, Yasuko ; Shimizu, Hiromi ; Honda, Chiseki ; Sasaki, Tomoyuki ; Nishioka, Takeshi
e-Rad_Researcher 80431310 著者名 Colley, Noriyo
e-Rad_Researcher 60241387 著者名 Asaka, Tadayoshi
e-Rad_Researcher 30299804 著者名 Sakai, Shinya
著者名 Nagata, Yasuko
著者名 Shimizu, Hiromi
著者名 Honda, Chiseki
著者名 Sasaki, Tomoyuki
e-Rad_Researcher 80271659 著者名 Nishioka, Takeshi
言語	英語
キーワード	endotracheal suctioning
	expertise
	eye movement
	tacit knowledge
	multitasking risk
発行日	2015-07
出版者	日本医工学治療学会
収録物名	医工学治療
収録物名	Therapeutics & engineering : T&E
巻(号)	27(2)
ページ	97-105
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.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
PISSN	1344-1221
NCID	AA11250129
関連情報	ICHUSHI 2016128159