1.Efforts to Improve Nursing Care for Chemotherapy Outpatients Based on Analysis of Nurses&apos
Hiromi KONNO ; Kaduko SAKAI ; Hisayo WATANABE ; Kozue TAKEUCHI ; Fujiko IWASE
Journal of the Japanese Association of Rural Medicine 2016;65(1):103-108
We have been working to improve nursing care for patients who are receiving chemotherapy by understanding the feelings of nurses who work in the chemotherapy outpatient unit. Previous efforts to understand the feeling of nurses involved with cancer chemotherapy revealed that they felt anxious about whether their care of chemotherapy patients was sufficient. To clarify their level of anxiety and difficulties faced, structured group interview analysis was conducted in the present study. Based on our findings, a number of nurses reported anxiety and psychological burden, which were classified into four categories: “Unclear how to interact with patients and their families”, “Mental burden of nurses”, “Anxiety handling anti-cancer agents”, and “Problems with human relations”. In particular, nurses were psychologically burdened by feeling unable to provide individual nursing care to patients and their families. The findings suggest that nurses should acquire professional expertise related not only to chemotherapy nursing itself but also to palliative care. A multipronged approach based on interprofessional collaboration is also needed to satisfy the individual requirements of patients who are receiving chemotherapy and their families.
2.Future Possibilities for Endotracheal Suctioning Ontologies Based on the Ocular Movement of Skilled Nurses
Noriyo COLLEY ; Hiromi SHIMIZU ; Nozomi TAKAHASHI ; Shunsuke KOMIZUNAI ; Atsushi KONNO ; Satoshi KANAI ; Shinji NINOMIYA ; Ken OTSUKA ; Tadayoshi ASAKA
Medical Education 2018;49(2):117-125
Introduction: Due to the advancement of the home-based healthcare, increasing the number of professionals who are able to administer homebased treatments, such as endotracheal suctioning, is an urgent issue.Methods: By measuring the ocular movement of nurses, nursing students and previous researches, an endotracheal suctioning ontology was visualized. It included a multiplex task structure, recognition, and judgment, as well as identifying procedures used during endotracheal suctioning that could contribute to a discussion on educational feasibility.Results: From the hierarchical structure of the constructed endotracheal suctioning ontology, not only the procedural knowledge but also knowledge about medical devices, knowing what options exist when endotracheal suctioning is ineffective, and a wide range of other expertise is needed to perform endotracheal suctioning safely.Discussion: An endotracheal suctioning ontology was created from the ocular movement of nurses. Ontologies are a potential tool for defining minimum requirements and the scope of ability that must be evaluated before clinical practicum.