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Elucidation of Skilled Nurses' Observations in the Pediatric Patient Care Environment and Introduction to Medical Safety Education

Research Project

Project/Area Number 17K12167
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionThe University of Shiga Prefecture

Principal Investigator

Yoneda Terumi  滋賀県立大学, 人間看護学部, 准教授 (00353037)

Co-Investigator(Kenkyū-buntansha) 川端 智子  滋賀県立大学, 人間看護学部, 准教授 (10599666)
伊丹 君和  滋賀県立大学, 人間看護学部, 教授 (30310626)
黒田 恭史  京都教育大学, 教育学部, 教授 (70309079)
西岡 靖貴  滋賀県立大学, 工学部, 講師 (70609734)
安原 治  滋賀県立大学, 人間看護学部, 教授 (80239772)
Project Period (FY) 2017-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2018: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2017: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Keywords危険認知 / 眼球運動計測 / 医療安全教育 / 小児看護 / 看護師 / 看護学生 / 眼球運動 / 医療安全 / 眼球運動測定 / 医療事故 / ヒヤリハット
Outline of Final Research Achievements

The purpose of this study was to elucidate the characteristics of the eyes of skilled pediatric nurses regarding hazard perception by comparing them with nursing students, and to develop and evaluate a learning method for medical safety education in pediatric nursing that incorporates the results of this study. Using an eye movement measuring device, we compared the results of the measurement of gazing points, gazing time, and reasons for risk judgment between 31 skilled pediatric nurses and 27 nursing students, and found that the nurses were better than the students at recognizing risks related to IV infusion problems.
Video teaching materials for medical safety education in pediatric nursing incorporating the above results were created, and their learning effectiveness was verified. The results showed that the video-based learning method significantly increased the understanding of medical accidents and the number of hazardous areas found compared to the conventional learning method.

Academic Significance and Societal Importance of the Research Achievements

臨床では暗黙知とされ顕在化できてない小児の療養環境の熟練看護師の観察能力が可視化できれば、看護師の危険認知能力の科学的な解明につながり、その結果もとに学習教材を開発することで基礎看護教育に貢献できる。熟練看護師の観察の特徴は、初心者の看護学生と比較すると危険認知能力、視線分布も効率的であり、リスクも正確に判断されていた。今後、小児看護における熟練看護師の観察眼の特徴を取り入れた看護学生を対象としたビジュアル教材を用いることで看護学生の危険認知能力の向上が期待できる。

Report

(6 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (5 results)

All 2021 2020 2019

All Presentation (5 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] Risk Awareness of Nursing Students Watching a Simulated Scene of a Hospitalized Child and His Mother on His Bed2021

    • Author(s)
      Terumi Yoneda,Tomoko Kawabata,Yasutaka Nishioka,Osamu Yasuhara,Kimiwa Itami, Mkikiko Senda, Keiko Seki,Kanako Honda, Yasuko kitou
    • Organizer
      24th East Asian Forum of Nursing Scholars Conference
    • Related Report
      2021 Annual Research Report
  • [Presentation] 「入院療養中の子どもの観察時における看護学生の危険認知の特徴」2020

    • Author(s)
      米田照美, 川端智子,  西岡靖貴, 千田美紀子, 関恵子, 鬼頭泰子, 本田可奈子, 伊丹君和
    • Organizer
      第40回日本看護科学学会,2020.12(東京:ポスター発表,WEB開催)
    • Related Report
      2020 Research-status Report
  • [Presentation] Risk awareness of nursing students on viewing a photo image around the bed of a pediatric patient2020

    • Author(s)
      Terumi Yoneda,Tomoko Kawabata,Yasutaka Nishioka,Osamu Yasuhara,Kimiwa Itami, Mkikiko Senda, Keiko Seki,Yasuko kitou
    • Organizer
      The 6th International Nursing Research Conference of World Academy of Nursing Science
    • Related Report
      2020 Research-status Report
  • [Presentation] Risk awareness of nursing students on viewing a photo image around the bed of a pediatric patient2020

    • Author(s)
      Terumi Yoneda,Tomoko Kawabata,Yasutaka Nishioka,Osamu Yasuhara,Kimiwa Itami, Mkikiko Senda, Keiko Seki,Yasuko kitou
    • Organizer
      The 6th International Nursing Research Conference of World Academy of Nursing Science
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 小児患者のベッド周辺環境観察時における看護師と学生の危険認知の違い2019

    • Author(s)
      米田照美,川端智子,西岡靖貴,伊丹君和,千田美紀子,関恵子,鬼頭泰子
    • Organizer
      第39回日本看護科学学会
    • Related Report
      2019 Research-status Report

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Published: 2017-04-28   Modified: 2023-01-30  

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