| Co-Investigator(Kenkyū-buntansha) |
SHIGENO Kaoru Chiba College of Health Science, Faculty of Nursing, Professor (00208612)
YOKOYAMA Etsuko The Japanese Red Cross College of Nursing, Nursing, Assistant Professor (40329181)
TONOKI Yuki The Japanese Red Cross College of Nursing, Nursing, Research Associate (60440252)
KAWAGUCHI Teruko The Japanese Red Cross College of Nursing, Nursing, Professor (50247300)
上杉 有里 日本赤十字看護大学, 看護学部, 助手 (40367222)
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| Budget Amount *help |
¥14,610,000 (Direct Cost: ¥13,800,000、Indirect Cost: ¥810,000)
Fiscal Year 2007: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2006: ¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 2005: ¥8,300,000 (Direct Cost: ¥8,300,000)
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| Research Abstract |
The Example Accumulation Group, by means of the Web Edition Japanese Nursing Practice Example Accumulation Centers'(set up in 2007), set about to expand the searchable case history database. At the time of establishment, the group entered 170 case histories that had been contributed to nursing magazines in 2001. In 2008, the project proceeded to the point that 125 case histories published in 2000 were finished and were, with the consent of the authors, added to the database. At the same time, work began on the analysis of 185 cases from year 1999 and 142 from year 2002. At the 6th meeting of the Japanese Scciety of Nursing Art and Science, the group participated in an exchange session in which, besides publicizing the group's main activities, involved discussions with the general attendees concerning analysis methods and developing clinical wisdom. In clinical/educational settings, many methods of case analysis are used, so that there is not a fixed analysis framework In fact, some amo
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ng the group are interested in framework analysis itself As described above, the execution of the case histories establishes the analysis members' habits and training. Hereafter, because the tempo of case history accumulation is accelerating while only a few people are contributing case histories via the Web, the subject of building a contribution network to remake the system to be easier to use has become a topic of discussion. IL Through a video narrative the efficacy of methods for : (1) bandaging technique, (2) intensive care unit mom, and(3) swallowing for the patients with dysphagia were extracted from the skilled techniques of expert nurses. The results for(1) are : Noticing particular movements and attaching meaning to them , Actions reflecting wisdom from experience , and Feelings and emotions concerning one's technical achievements . For(2), reading slight patient reactions using the five senses and showing flexibility in not becoming a prisoner of habit For(3) : oral care reflecting knowledge of the clearing of sputum from frequent accumulation points such as the back of the patients tongue in the casa of those with dysphagia ; this assessment based on the swallowing mechanism ; enabling oral ingestion based on instructions through the nurse's speech or the uniting of tool and body. Less
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