Nursing education model for visualization and quantitative evaluation of nursing skills in surgery

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19942
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 62030:Learning support system-related
• Research Institution: Tokyo Health Care University (2022-2023); Tokyo Women's Medical University (2020-2021)
• Principal Investigator: Kusuda Kaori 東京医療保健大学, 医療保健学部, 助教 (00780131)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: RFID / 手術器械 / 器械出し看護師 / 医療安全

Outline of Final Research Achievements

This study aimed to improve nursing skills by developing a surgical process recognition system using RFID-tagged surgical instruments and optimizing the factors of a nursing education model. To grasp the usage status of surgical instruments in real-time, the system was stabilized by establishing a foundation for the matching circuit. Next, focusing on changes in the operator's handling as an indicator of nursing education, an evaluation was conducted targeting inguinal hernia surgery and breast surgery. Furthermore, in preparation for surgical instrument recalls, a traceability application was developed, confirming that it can accurately and quickly identify surgical instruments used on infected patients. These research results were reported as one submitted paper and three conference presentations.

Free Research Field

看護工学

Academic Significance and Societal Importance of the Research Achievements

手術看護師の技術評価手法として、これまではチェックリストによる目視や動画像処理による確認が試みられてきた。本研究では、手術中に看護師の器械出しプロセスを可視化するためのシステムを開発し、手術看護師の技術情報習得が可能となった。
また、感染患者に使用した手術器械の特定を正確かつ短時間に検索できることがわかった。感染症発生時における看護師の負担軽減および医療安全の向上において、本システムの有用性が明らかになった。