In this study, the actual usage of loanwords, abbreviations, and jargon (terminology) in the hands-on clinical setting and clinical nurses' understanding of terminology were examined. A glossary of terminology that caused communication problems was compiled in order to contribute to the improvement of communication among nurses and between nurses and physicians. A total of 1,000 nurses in six hospitals in Prefecture, A Japan, were asked to fill out a questionnaire prepared by us. A total of 163 examples of terminology that were incomprehensible to them and caused communication problems were extracted from the survey findings and used in the glossary of terminology. Of the 748 respondents, 97% said that they used special terms, and 81.6% said they had encountered terminology that they were unable to understand. Among the latter, 9.1% had experienced problems through the use of terminology. Some of the problems cited were [lack of comprehension by the listener], [delay in treatment], etc. Concerning the necessity of terminology, 44.5% responded that it was either [necessary] or [very necessary]. Examples of terminology that many respondents had difficulty understanding were [suteru] and [takiru], among others. The use of terminology, which can deliver information quickly and concisely to a listener, plays a large role in the performance of nursing duties, but the inherent danger of bringing about a medical accident was also indicated. In addition, it was suggested that as a specialist working in an important clinical setting concerned with people's lives, each nurse should keep in mind that it is extremely important to understand the correct meaning of technical terms and to use them appropriately.
Terminology ; Clinical ; Comprehension ; Nurses ; Communication

A 73-year-old woman was admitted to undergo three simultaneous operations: aortic valve replacement (AVR), coronary artery bypass grafting (CABG) and abdominal aortic aneurysm repair. She had previously undergone percutaneous catheter intervention in the left coronary anterior descending artery. Computed tomography revealed an abdominal aortic aneurysm 5cm in diameter. Aortic valve stenosis (AS) was shown with a pressure gradient of 60mmHg, and 90% stenosis of the distal right coronary artery was also shown. CT scan and aortography revealed porcelain ascending aorta. The patient underwent simultaneous operations because of severe AS, coronary artery disease and abdominal aortic aneurysm. An aortic cannula was placed in a position higher in the ascending aorta with no calcification. Cardiopulmonary bypass was started using a two-staged venous cannula through the right atrium. At first, AVR was performed with cardioplegic solution and ice slush. Because it was difficult to inject the cardioplegic solution into the coronary artery selectively due to the calcified orifice of coronary artery, we closed it immediately by removing the calcified intima of the porcelain aorta after completion of AVR. The second cardioplegic solution was injected through the ascending aorta. Next, CABG to RCA was performed using the right gastroepiploic artery without anastomosis to the ascending aorta. Cardiac surgery was first performed, followed by abdominal aortic aneurysm repair after discontinuation of cardiopulmonary bypass. The patient was extubated the next day and stayed for two days in the intensive care unit. She is very well now one year after the operation.