Atsue Ishii

The Cleaning Effect of Shampooing Care by Adenosine Triphosphate Bioluminescence System

This paper discusses the cleaning effect of shampooing care by using Adenosine Triphosphate (ATP) bioluminescence system. Shampooing care is an important nursing one for patients who are difficult to care oneself. It is necessary to perform effective and comfortable care. So, we need to evaluate these effects quantitatively and qualitatively. We measured ATP, blood pressure, heart rate, heart rate variability, peripheral skin temperature and Visual Analog Scale (VAS) before and after shampooing. When we analyzed ATP adhering to head as “contamination” to evaluate that effect quantitatively, it found that the contamination of the scalp after shampooing decreased by 31%, and that of the hair decreased by 22%. The correlation between ATP and VAS showed that the more ATP decreased, the more subjects felt refresh. The physiological index was stable, and it found that the shampoo method in this study had little load on the body. We were able to clarify the cleaning effect of shampooing using rapid and simple method. These results showed can be the basic data that evaluated the effect by shampooing comprehensively.

Nursing Business Modeling with UML: From Time and Motion Study to Business Modeling

A nurse is an autonomous, decentralized worker who recognizes goals, his or her environment, the conditions and actions of patients and other staff members, and determines his or her own actions. Put another way, the nurse makes decisions flexibly in the midst of uncertainty. Because of this, nursing work differs from individual nurse to nurse, and understanding this process theoretically is considered to be difficult. Concerning nursing work analysis, research has been done on task load (time required for tasks). However, there has been scant academic research on work processes in nursing compared with research that has accumulated in other industrial fields, including research on structuralizing work, i.e., defining and visualizing work processes. To improve work processes, it is necessary to understand and clarify work as a chain of theoretically related activities. Thus in this study, using time and motion study techniques, a method used to measure jobs, we clarify the structure of the work of transporting patients by nurses. We also attempt to visualize it. We use objected-oriented modeling to express the operation visually.

The Impact of Electronic Medical Records on the Work Process of Outpatient Care: Extracting Use-Cases of Paper-Based Medical Records Using a Time Process Study

The goal of this study is to measure the impact of electronic medical records on both time efficiency and the work process with regard to outpatient care. In this study, we focus on examining the pre-assessment ahead of the introduction of the electronic medical records procedure applying new methodology, time process study. We extracted 12 use-cases and 82 actions in relation to paper based medical records at an outpatient department at a university hospital using time process study. The results suggest that, for nurses, indirect management of patients accounted for a higher proportion of the use-cases than was the case for direct care.

The Working Process and Time Efficiency of Patient Transportation in Cardiovascular Hospital Using Time Process Modeling

Patient transportation is one of the daily and frequent jobs in the hospital, however, it requires much strain and time of nurses. We carried out continuous-observation time and motion study (TMS) on the second time scale with recording by the other recorder in four wards of a cardiovascular disease hospital. Based on the recorded data, we carried out time processes modeling (TPM), that visualize the each transportation process sketchy and we could investigate the workflows of transportation as event instance.