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A study on syringe manipulation techniques, especially in connection with direct manual manipulation of the syringe plungerA study on syringe manipulation techniques, especially in connection with

Research Project

Project/Area Number 18592324
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionSaitama Prefectural University

Principal Investigator

KUNISAWA Naoko  Saitama Prefectural University, School of Health and Social Services, Associate Professor (20310625)

Co-Investigator(Kenkyū-buntansha) KAMEZAWA Kamezawa  Saitama Prefectural University, School of Health and Social Services, Associate Professor (80122969)
SHINMURA Hiromi  Saitama Prefectural University, School of Health and Social Services, Lecturer (70315703)
OGASAWARA Yuko  Saitama Prefectural University, School of Health and Social Services, Research Associate (80404929)
SANO Emika  Saitama Prefectural University, School of Health and Social Services, Research Associate (10404930)
Project Period (FY) 2006 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,880,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥480,000)
Fiscal Year 2007: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2006: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsNursing art / inner cylinder of a syringe / Medical fluid contamination / finger contact / Syringe Pressure / 汚染 / 技術習得
Research Abstract

When learning basic syringe manipulation techniques at nursing institutions, it is generally not permitted to allow one's hand or finger to touch the syringe plunger or for the needle to touch the mouth of the ampule. Nevertheless, there are still a large number of nurses who do so in actual clinical practice. Additionally, studies to date indicate that there is a great deal of individual variance for both experienced practitioners and for beginners in such factors as internal syringe pressure and time necessary for drawing medications out of the ampule, factors which may be due to differences in practical techniques. We therefore tested to see if sterilization is necessary when drawing medications out with a syringe, and what effects differences in sterilization practices have on technical training.
Microbiology Tests
51 nurses were asked manipulate pistons to extract TS liquid medium five times per vial, using the same techniques as they do routinely in actual practice, but without hav … More ing washed their hands, for a total of 306 vials, which were then checked for bacteria. A total of 3 bacteria species were detected for 2 of the nurses (from 2 of the vials). We also had 14 nurses and 29 students and/or teaching staff members carry out the same procedures for a total of 215 vials, but after having gripping pistons with unwashed hands. A total of 3 bacteria species were detected for 5 of the participants (from 5 of the vials)This can be taken to mean that there is a high probability' that bacteria were introduced to the medium through physical contact with the plungers, since bacteria were detected for 2.3% for the group in which plungers were actively touched in comparison with 0.5% for the routine group. At any rate, since bacteria detected were not disease-inducing types, but types which are commonly found on skin and in the environment, numbers could be expected to be reduced through adherence to hygiene principles of hand-washing and sterilization.
Ergonomics
Digital camera records were made of the routines of 72 nurses and 38 students, who were then divided into five groups based on differences in the way they stored vials and syringes. We also had 11 students with no background in medicine or nursing to take medicine from an ampule both by following careful sterilization procedures and without paying particular attention to sterilization. We compared figures for maximum syringe pressure, the amount of time to finish the task, and syringe pressure waveforms between the times when particular stress was put on sterilization and when it was not. Paying special attention to sterilization was not seen as especially efficient_in terms of learning speed and accuracy ; i.e., it was easier to learn techniques when not paying attention to sterilization techniques. Less

Report

(3 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • Research Products

    (19 results)

All 2008 2007 Other

All Journal Article (6 results) Presentation (13 results)

  • [Journal Article] アンプル入り薬液吸い上げ時の2つの無菌操作厳守の必要性への問題提起2008

    • Author(s)
      國澤 尚子、新村 洋未、小笠原 祐子、佐野 恵美香、亀沢 幸雄
    • Journal Title

      臨床看護 34

      Pages: 37-76

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 採血の技術教育のための人間工学的アプローチ;採血シミュレーター開発の試み2008

    • Author(s)
      小川 鑛一、國澤 尚子
    • Journal Title

      臨床看護 34

      Pages: 89-97

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] アンプル入り薬液吸い上げ時の2つの無菌操作厳守の必要性への問題提起2008

    • Author(s)
      國澤尚子、新村洋未、小笠原祐子、佐野恵美香、亀沢幸雄
    • Journal Title

      臨床看護 34

      Pages: 67-76

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 採血の技術教育のための人間工学的アプローチ;採血シミュレーター開発の試み2008

    • Author(s)
      小川鑛一、國澤尚子
    • Journal Title

      臨床看護 34

      Pages: 89-97

    • Related Report
      2007 Annual Research Report
  • [Journal Article] Addressing the necessity of two regulations for bacteria-free manipulation during extraction of medications from an ampule

    • Author(s)
      Naoko, Kunisawa, Hiromi, Shinmura, Yuko, Ogasawara, Emika, Sano, Yukio, Kamezawa
    • Journal Title

      The Japanese Journal of Clinical Nursing 34-1

      Pages: 67-76

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Ergonomic approaches to blood sample training : an attempt at blood sample simulation

    • Author(s)
      Koichi, Ogawa, Naoko, Kunisawa, Hiromi, Shinmura
    • Journal Title

      The Japanese Journal of Clinical Nursing 34-1

      Pages: 89-97

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 薬液吸い上げ時におけるディスポーザブル注射器操作の検討2007

    • Author(s)
      佐野 恵美香、國澤 尚子、新村 洋未、小笠原 祐子
    • Organizer
      第27回日本看護科学学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2007-12-07
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Some thoughts about, manipulating disposable syringes during aspiration2007

    • Author(s)
      Emika, Sano, Naoko, Kunisawa, Hiromi, Shinmura, Yuko, Ogasawara
    • Organizer
      The 27th Academic Conference of Japan Academy of Nursing Science
    • Place of Presentation
      Tokyo
    • Year and Date
      2007-12-07
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 注射器操作技術の検討-人間工学的視点による手技の分析-2007

    • Author(s)
      小笠原 祐子、新村 洋未、國澤 尚子
    • Organizer
      日本看護技術学会第6回学術集会
    • Place of Presentation
      前橋
    • Year and Date
      2007-10-20
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Some thoughts on syringe manipulation technology -an analysis of techniques as seen from ergonomics2007

    • Author(s)
      Yuko, Ogasawara, Hiromi, Shinmura, Naoko, Kunisawa
    • Organizer
      The 6th Academic Conference of Japan Society of Nursing Art and Science
    • Place of Presentation
      Maebashi
    • Year and Date
      2007-10-20
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] アンプル薬液吸い上げ時の注射器無菌操作の必要性の検討2007

    • Author(s)
      國澤 尚子、新村 洋未、小笠原 祐子、佐野 恵美香、亀沢 幸雄
    • Organizer
      日本看護学教育学会第17回学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2007-08-10
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 注射器操作技術に関する研究-アンプル外壁の汚染状況について2007

    • Author(s)
      新村 洋未、國澤 尚子、佐野 恵美香、小笠原 祐子、亀沢 幸雄
    • Organizer
      日本看護学教育学会第17回学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2007-08-10
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Tests on the appropriateness of sterilization in syringe ampule aspiration2007

    • Author(s)
      Naoko, Kunisawa, Hiromi, Shinmura, Yuko, Ogasawara, Emika, Sano, Yukio, Kamezawa
    • Organizer
      17th Academic Conference of Japan Academy of Nursing Education
    • Place of Presentation
      Fukuoka
    • Year and Date
      2007-08-10
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] A study on syringe manipulation technology, especially in connection with impurities on the ampule2007

    • Author(s)
      Hiromi, Shinmura, Naoko, Kunisawa, Yuko, Ogasawara, Emika, Sano, Yukio, Kamezawa
    • Organizer
      17th Academic Conference of Japan Academy of Nursing Education
    • Place of Presentation
      Fukuoka
    • Year and Date
      2007-08-10
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 注射器操作技術に関する研究-アンプル外壁の汚染状況について-2007

    • Author(s)
      新村洋未、國澤尚子、佐野恵美香、小笠原祐子、亀沢幸雄
    • Organizer
      日本看護学教育学会第17回学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2007-08-10
    • Related Report
      2007 Annual Research Report
  • [Presentation] 注射器内筒への手指接触の有無による効率性の比較2007

    • Author(s)
      國澤 尚子、小川 鑛一、新村 洋未
    • Organizer
      日本人間工学会第48回大会
    • Place of Presentation
      名古屋
    • Year and Date
      2007-06-03
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 注射器内圧の測定法について2007

    • Author(s)
      小川 鑛一、國澤 尚子、新村 洋未
    • Organizer
      日本人間工学会第48回大会
    • Place of Presentation
      名古屋
    • Year and Date
      2007-06-03
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Comparison of syringe operating skill with and without touch on inner cylinder of a syringe2007

    • Author(s)
      Naoko, Kunisawa, Koichi, Ogawa, Hiromi, Shinmura
    • Organizer
      The 48th Conference of Japan Ergonomics Society
    • Place of Presentation
      Nagoya
    • Year and Date
      2007-06-03
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] On Measuring Method of Syringe Pressure2007

    • Author(s)
      Koichi, Ogawa, Naoko, Kunisawa, Hiromi, Shinmura
    • Organizer
      The 48th Conference of Japan Ergonomics Society
    • Place of Presentation
      Nagoya
    • Year and Date
      2007-06-03
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2006-04-01   Modified: 2016-04-21  

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