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災害時に備えた様々なタイプの気管内吸引法における操作時間の比較
No full text[Introduction] : In disaster, the types of endotracheal suctioning methods available vary depending on the situation. Therefore, the aim of this prospective research is to measure the prolongation of procedure time by commodity/tool change. [Methods] : Expert nurse group and nursing student group were participated. The participants conducted five open suctioning systems and closed suctioning system twice to measure the influence of commodity changes on the procedure time. [Results] : The procedure time was not prolonged by the change of commodity among five open suctioning systems. [Conclusions] : All nurses may be capable of functioning with limited medical resources without prolonging their usual procedure time. The result also implied that the procedure time could be used to measure the level of skill acquisition as well as to measure the possibility of simplifying some procedures. Further research is required to identify skill-facilitating factors and obstacles using procedure time as evaluation criteria to prepare for disaster situations.災害時に利用可能な気管内吸引法のタイプは状況によって変化することから、吸引装置の変化に伴う操作時間の延長について、平均臨床経験年数が11.9年(3～17年)の看護師(全員女性、年齢25～40歳)11名により検討を行った。なお、吸引法としては、開放式吸引システム(OSS)である乾燥カテーテル法、単回使用カテーテル法、浸漬カテーテル法、足吸引ポンプ法、足ペダル法の5タイプと、対照として、閉鎖式吸引システム(CSS)の合計6タイプについて評価した。看護師は6タイプの吸引を2回行い、それぞれの操作時間を比較検討した結果、最短の平均操作時間はCSSの57.63秒であり、5タイプのOSSの操作時間における有意差はみられなかったが、5タイプのOSSにおいて、熟練者と非熟練者間では操作時間の変化が認められた。さらに、学習効果を調べるために、1回目と2回目の操作時間の変化を比較したところ、CSSのみ、2回目の吸引で操作時間の有意な減少が認められた。以上の結果から、全員の看護師が制限された医療資源下において、操作時間の延長を伴うことなく気管内吸引を施行することが可能であることが示され、操作時間を測定することにより、手技への熟練度や操作の簡便化に関する知見が得られることが示唆された
Comparison of procedure time among types of endotracheal suctioning methods preparing for disaster situations
No full textNursing XR Simulator for Diversity, Equity, and Inclusion: A New Purpose of Future Technology Development
Get PDFXR is a term within the spectrum of virtual reality (VR), mixed reality (MR), and augmented reality (AR). In 2015, Endotracheal Suctioning Training Environment SIMulator (ESTE-SIM) project team was established (PI: Noriyo Colley), which consisted of a wide range of disciplines including nursing science, information science, and healthcare engineering to promote the development of a pedagogical environment for quality care through simulation education. Mutual recognition was found that a digital transformation plays an important role to mitigate the risks of global shortages of nurses and healthcare faculty due to pandemic, ultra-aging society, and technology dependent children such as children with home mechanical ventilators. Nursing XR simulators are being developed for Diversity, Equity & Inclusion, which is a new purpose of future technology development
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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