1.Degree of Satisfaction with Nursing Tasks. A Comparative Study by Years of Experience.
Miho KITAHARA ; Akemi KOYAMA ; Tomomi TSUCHIYA ; Chiharu MACHIDA ; Sei OKOSHI
Journal of the Japanese Association of Rural Medicine 1996;45(4):565-571
Amid a shortage of nurses, which itself a grave social issue, the number of nurses resigning a few years after their graduation from nursing college is increasing rapidly at our hospital. It is extremely difficult to retain them on a permanent basis. We suspected that their attitude toward their tasks is behind this phenomenon. With this in mind, we have performed a survey on the degree to which nurses at our hospital are satisfied with their own tasks and on whether the degree differs, depending on the year of their experience.
This survey covered the nurses three and 10 years after graduation, using a questionnaire prepared by Moriwaki et al. on degrees of satisfaction.
The results showed that there is little difference in satisfaction between the two groups. The degrees of satisfaction with “human relations” and “perceptions on life and nursing” were high, whereas those with “working conditions” were lowest. The future task is to realize a workplace where nurses could find it worthwhile to work, while striving further to team up with people in other lines of work, and to take another look at nursing and working conditions. There is also the need for each nurse as a specialist to enhance their own sense of independency.
2.Non-invasive continuous blood pressure monitoring using the ClearSight system for pregnant women at high risks of post-partum hemorrhage: comparison with invasive blood pressure monitoring during cesarean section
Takuya MISUGI ; Takashi JURI ; Koichi SUEHIRO ; Kohei KITADA ; Yasushi KURIHARA ; Mie TAHARA ; Akihiro HAMURO ; Akemi NAKANO ; Masayasu KOYAMA ; Takasi MORI ; Daisuke TACHIBANA
Obstetrics & Gynecology Science 2022;65(4):325-334
Objective:
This study aimed to investigate the accuracy and precision of continuous, non-invasive blood pressure obtained using the ClearSight system by comparing it with invasive arterial blood pressure, and to assess the hemodynamic changes using invasive methods and the ClearSight system in patients undergoing cesarean section.
Methods:
Arterial pressure was measured invasively with an intra-arterial catheter and non-invasively using the ClearSight system during cesarean section in patients with placenta previa or placenta accreta. Blood pressure measurements obtained using these two means were then compared.
Results:
Total 1,277 blood pressure measurement pairs were collected from 21 patients. Under Bland-Altman analysis, the ClearSight system demonstrated an acceptable accuracy with a bias and standard deviation of 8.8±13.4 mmHg for systolic blood pressure, -6.3±7.1 mmHg for diastolic blood pressure, and -2.7±8.0 mmHg for median blood pressure. Cardiac index levels were significantly elevated during fetal delivery and 5 minutes after placental removal, and systemic vascular resistance index levels were significantly decreased during fetal delivery and 40 minutes after placental removal.
Conclusion
In patients undergoing cesarean section, the ClearSight system showed excellent accuracy and precision compared to that of the currently used invasive monitoring system.