The Research on Technicalization Scheme of Clinical Nursing Practice-From the construction of practice example accumulation system and hidden wisdom from nursing experiences

临床护理实践技术化方案研究——从实践实例积累体系的构建与护理经验中蕴含的智慧

• 批准号: 17390588
• 负责人: KAWASHIMA Midori
• 金额: $ 9.35万
• 依托单位: The Japanese Red Cross College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17390588/
• 关键词: Wisdom from experience; Nursing practice example; Case history database; Web; Bandage; Intensive care unit; Swallowing; Expert nurses' skills; 摂食; 看護学; 情報システム; ナラティヴ; ビデオ

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 … More 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

示例累积组通过网络版日本护理实践示例累积中心（2007年设置），开始扩展可搜索的案例历史记录数据库。在成立时，该小组进入了170个案例历史，这些历史是在2001年为护士杂志贡献的。2008年，该项目进行到2000年发表的125个案例历史已经完成，并在作者的同意下添加到数据库中。同时，从1999年开始的185例案件和2002年的142例分析开始工作。在日本护理艺术与科学学院的第六次会议上，该小组参加了一次交流会议，除了发布该小组的主要活动外，还涉及与一般与会者有关的有关分析方法和开发临床智慧的讨论。在临床/教育环境中，使用了许多病例分析方法，因此实际上没有固定的分析框架，有些人……更多的小组对框架分析本身感兴趣，如上所述，案例历史的执行确立了分析成员的习惯和培训。此后，由于案例历史记录的累积节奏正在加速，而只有少数人通过网络贡献了案例历史，因此构建贡献网络以重新制定系统以易于使用的主题已成为讨论的话题。通过视频叙述，从以下视频叙述中，（1）绷带技术，（2）重症监护室的妈妈和（3）从专家护士的熟练技术中提取了吞咽困难的患者的吞咽。 （1）的结果是：注意特定的运动并将其依附于他们的意义，反映经验的智慧的行动以及有关其技术成就的感受和情感。对于（2），使用五种感觉阅读轻微的患者反应，并表现出灵活性，以免成为（3）的习惯：口腔护理反映出从经常积累的点清除痰液的知识，例如患者舌头的舌头背面，患有吞咽困难的患者的舌头；基于吞咽机制的评估；通过护士的讲话或工具和身体的团结，基于指示使口腔摄入。较少的

项目成果

Exchange meeting : The classification of Nursing Practice useful for practice, education, and research---practical examples on the Japanese Nursing Practice Example Accumulation Center

交流会：对实践、教育、研究有用的护理实践的分类——日本护理实践实例积累中心的实例

• 发表时间: 2006
• 作者: Hiramatsu;Noriko;Kawashima;Midori
• 通讯作者: Midori

5年間の実践事例から経験知を探る

从5年的实际案例中探索经验知识

• 发表时间: 2005
• 作者: 鈴木 美和;那須 実千代;西澤 聖子;平松 則子;桑野 タイ子;川嶋 みどり
• 通讯作者: 川嶋 みどり

186事例から引き出した「経験知」の傾向について

从186个案例中得出的“经验知识”趋势

• 发表时间: 2007
• 作者: 桑野タイ子;千田敏恵
• 通讯作者: 千田敏恵

Nurse's instantaneous judgment and nimble care in intensive care unit in emergency medical care center

急救中心重症监护室护士的即时判断与敏捷救治

• 发表时间: 2007
• 作者: Kawai;Momoyo
• 通讯作者: Momoyo

2年間の実践事例を看護上の問題で分類し経験知を引き出す

将两年实践案例分类为护理问题，汲取经验知识

• 发表时间: 2006
• 期刊: 日本看護技術学会第5回学術集会講演抄録集(岡山)
• 作者: Koganezawa;T.;平松則子
• 通讯作者: 平松則子