Yukie Majima

Terminal Tablet as Electric Textbooks for Nursing Practicum

Based on the Nursing Learning Support System, which was developed and tested by this university, this study developed the “Digital Nursing Dictionary (ver. 2),” a terminal tablet with a new function of an electronic books, by taking advantage of the developed ICT. This report describes development of the “Digital Nursing Dictionary (ver. 2)” by a terminal tablet and presents an interim report of the results of those assessments.

Design of Health Advice System for Elderly People by Communication Robot.

Recently in Japan, as the declining birth rate and the aging of the population progress, increased medical expenditures and nursing care burdens are presenting great social difficulty. To mitigate that difficulty it is necessary for many elderly people to live independently and healthily. Therefore, this study develops a health advice system to support health promotion for elderly people. We conducted verification experiments to assess the operability and impressions of tablet PCs and robots and to elicit impressions against health advice presented from different devices. Furthermore, we examined the usefulness of the health advice system for elderly people who used the robots.

Physical and Physiological Synchrony Between Care Worker and Care Recipient During Care Operation

Musculoskeletal disorders are a widespread affliction among nurses at nursing-care facilities in general. Nursing proficient skills are supposed to make the disorders reduce and also to lead to tender care for the care recipients. Tacit knowledge such as “proficient skills” and “knacks” in nursing care skills seems not to be applied by care worker alone but by the interaction between care worker and care recipient. The purpose of this study is to examine the physical and physiological synchrony between care worker and care recipient during care operation. It is also to reveal the relationship between the synchrony and physical loads, and the relationship of cerebral activities between them. Experiments of the care operations were carried out in the care worker-recipient pairs. In the experiments the care recipient gave two kinds of roles. One was to act a physically unimpaired person, and the other was to act a bedridden person that was unable to move on his/her own. The body motions, muscle loads, and cerebral activities of the care worker and care recipient were measured using two sets of motion capture, EMG device, and near-infrared spectroscopy (NIRS), respectively. Experimental results indicated that the muscle loads of care worker decreased when the temporal changes of physical and physiological data of the care worker and care recipient got into synchronization. Furthermore, in that case the cerebral activities of the care recipient were synchronized with those of the care worker.

Proposed Optimal Growth Pathfinding Method Based on Growth Trajectories

In this study, the authors propose an optimal growth pathfinding method to support learners in effectively mastering a set of capabilities. Under the assumption of prerequisite relationships among learning objectives, the main processes of the method are as follows: 1 extracting the capability structure from growth trajectories, 2 remodeling the problem as a traveling salesman problem with restrictions among learning objectives, and 3 generating the cost matrix and obtaining the optimal growth path. In addition, a flexible approach to data standardization as a step of capability structure extraction is discussed. The proposed method is also applied to a software engineer growth dataset with 30 responders.

Analysis of difficult-to-learn points for beginners in self-training

Instruction: Children annual physical examination is considered an important and effective measure in the prevention of illness and promotion of health. Health care resource service accessibility of rural children has lagged behind compared with their counterparts in the city in China. This study explores the distribution characteristics of 0-6 year old children physical examination utilization and its determinants in rural China.V changes occur in physical, psychological, and cognitive functioning as one ages. There are two types of activities of daily living (ADLs) for older adults: ADLs at the level of the individual’s ability and those at the level of practice. An ADL gap between the two types often occurs in cases where older adults have been assessed as being in need of care. The persistence of this gap tends to lower QOL due to the lack of use of ADLs at the ability level of the individual in need of care. We have developed an ADL Gap Self-Efficacy Scale for Persons Requiring Home-Based Nursing Care in order to predict the degree of discrepancy between these two types of ADLs among older adults needing care. Although the scale was developed for older adults requiring home-based nursing care, its feasibility for predicting the ADL gap among those living in care homes has yet to be evaluated. Thus, in order to develop an ADL Gap Self-Efficacy Scale that can be applied to older adults requiring care in general, this study aimed to examine the reliability and validity of the scale among residents of care homes.Background/Significance: Enrich the literature on variables that predict first-time NCLEX-RN success. Among ADN students, what is the relationship between academic variables (cumulative GPA, TEAS test score, ATI test score, and final course grade for the last medical-surgical course) and successful first-time passing of the NCLEX-RN? H: ADN students who achieve high cumulative GPA (≥3.0), TEAS, ATI test scores and final course grade for the last med-surg course (≥80%) will pass the NCLEX-RN on their first attempt.

A Proposal of the New System Model for Nursing Skill Learning Based on Cognition and Technique

It is necessary to acquire not only specialized knowledge but also appropriate nursing skills in nursing education. In this paper, we propose an e-learning system model to support a high level of technique learning, such as “tacit knowledge” and “proficient art” in nursing skills, which have been heretofore learned only from experience. This e-learning system enables self-learning in addition to intellectual learning, thereby enhancing knowledge of procedures and understanding of nursing skills. The results of evaluation experiments showed that each system had learning effects. However, simultaneously, they indicated the importance of the capability of self-training with actual trial-and-error to acquire skills. For that reason, adding “check point learning” to the already developed cognitive learning support system as a new function, we made improvements to provide nursing skills training covering detailed items. Based on this, we propose step-by-step learning after completing learning in the cognitive domain through spiral learning, which is the first step (from intellectual learning support to skill learning support again to intellectual learning support), learners move on to the second step (technique learning support) in a phased manner. We think that other evaluation given by instructors by checking between the first and second steps, as well as checking self-leaning, reduces the sense of loneliness, which is a common pitfall an e-learning, and which provides satisfaction with self-learning outcomes and a motivation for additional learning development.

Medical care system evaluation based on DEA of prefectures in Japan

In order to reveal disparity and its cause in medical care among Japanese prefectures, this paper describes how DEA works as follows: (1) DEA/BCC model estimates the disparity between prefectures, (2) “RM-DEA using Cone-Ratio approach” estimates the cause of the disparity, and (3) Improved MF-DEA (Multi-Frontier based DEA) model estimates the disparity between eastern and western Japan. This paper also illustrates three numerical experiments.