{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680264097152.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11172/keitaikinou.13.71"}},{"identifier":{"@type":"NAID","@value":"130005064037"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2015222412"}}],"dc:title":[{"@language":"ja","@value":"看護師が安全に静脈内注射を実施するために必要な解剖学的知識"},{"@language":"en","@value":"Anatomical Knowledge Needed for Nurses to Perform Intravenous Injections Safely"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Knowledge of anatomy and physiology is said to be necessary for nurses to perform intravenous injections safely. However, no surveys of nurses’ anatomical knowledge or methods of performing intravenous injections have ever been conducted. We therefore elucidated nurses’ anatomical knowledge and methods of performing intravenous injections and assessed tasks linked to the performance of safe intravenous injections.   The study method consisted of conducting an anonymous self-report questionnaire survey of nurses working in 10 general hospitals in 3 prefectures, and the data obtained from 482 nurses were the subject of the analysis.   The results of the survey in regard to the fact that the median nerve and brachial artery lie close to the basilic vein showed that a combined total of 42.7% replied “I’ve heard that, but I don’t know the specifics” or “I didn’t know anything about their positions.” The results showed that 53.5% replied that the cephalic vein at the wrist or back of the hand was their first choice for intravenous injections (“oneshot” below), and 57.7% replied that it was their first choice for intravenous drip injections. The basilic vein in the cubital fossa was the first choice of 11.8% for one-shot injections, and of 9.3% for intravenous drip injections. Moreover, there was a tendency for nurses who replied “I don’t have” any knowledge in regard to the proximity of the median nerve or brachial artery to the basilic vein to choose the basilic vein in the cubital fossa, where there is a high risk of damaging the nerve or puncturing the artery. Also, in regard to awareness of venous valves when making intravenous injections a combined total of 55.6% replied that they were “completely unaware” or “don’t know,” and they may have been causing injuries by being unaware of venous valves when performing cutdowns. The results for knowledge about the proximity of the median nerve or brachial artery to the basilic vein or awareness of venous valves and nerves and arteries coursing deep to the cutaneous veins when performing intravenous injections showed that the fewer their number of years of nursing experience, the more nurses tended not to know and to be less aware.   Based on the above findings, in order for nurses to perform safe intravenous injections they will need to acquire anatomical knowledge not only of the course of veins but of the course of nerves and arteries and venous valves as well. It will also be necessary to teach such knowledge in continuing education so that even nurses with few years of experience are able to perform intravenous injections safely."},{"@language":"ja","@value":"看護師が安全に静脈内注射を実施するためには解剖・生理に関する知識が必要とされる。しかし、看護師の静脈内注射に関する解剖学的知識と静脈内注射の実施方法について調査したものはない。そこで、看護師の静脈内注射に関する解剖学的知識と静脈内注射の実施方法について明らかにし、安全な静脈内注射の実施に繋がる課題を検討した。  本研究は３県の総合病院10施設に勤務する看護師に無記名自記式質問紙調査を実施し、482名を分析対象とした。  調査の結果として、肘窩部の尺側皮静脈において正中神経や上腕動脈が近接することについて「聞いたことはあるが詳しいことは知らない」と「全く知らない」は合わせて42.7％であった。手首・手背部の橈側皮静脈を最も優先して選択すると回答した者は、静脈内注射（以下：ワンショット）では53.5％、点滴静脈内注射では57.7％であった。肘窩の尺側皮静脈を優先して選択すると回答した者は、ワンショットは11.8％、点滴静脈内注射は9.3％であった。そして、肘窩部の尺側皮静脈における正中神経や上腕動脈の近接に関する知識をもっていないと回答した看護師ほど、神経損傷や動脈穿刺の危険性の高い肘窩部の尺側皮静脈を選択する傾向にあった。また、静脈内注射実施時の静脈弁に対する意識は「全く意識していない」と「わからない」は合わせて55.6％であり、血管確保時に静脈弁を意識せず損傷させている可能性があった。看護師経験年数が少ない者ほど肘窩部の尺側皮静脈における正中神経や上腕動脈の近接に関する知識を持っておらず、静脈内注射実施時の静脈弁および皮静脈深部を走行する神経や動脈に対する意識が低い傾向にあった。  以上のことから、看護師が安全な静脈内注射の実施をするためには、静脈の走行だけでなく神経・動脈の走行および静脈弁に関する解剖学的知識について学ぶことが重要である。また、経験年数が少なくても安全に実施できるよう継続教育において知識を教授する必要がある。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420001326233232896","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50759149"},{"@type":"NRID","@value":"1000050759149"},{"@type":"NRID","@value":"9000414761230"},{"@type":"NRID","@value":"9000399230223"},{"@type":"NRID","@value":"9000299566818"},{"@type":"NRID","@value":"9000402616781"},{"@type":"NRID","@value":"9000345400465"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/a-kurita"}],"foaf:name":[{"@language":"ja","@value":"栗田 愛"},{"@language":"en","@value":"Kurita Ai"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Graduate of Nursing, Seirei Christopher University"},{"@language":"ja","@value":"聖隷クリストファー大学大学院看護学研究科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420003854339528192","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20441397"},{"@type":"NRID","@value":"1000020441397"},{"@type":"NRID","@value":"9000412526006"},{"@type":"NRID","@value":"9000248252073"},{"@type":"NRID","@value":"9000345262213"},{"@type":"NRID","@value":"9000345400476"},{"@type":"NRID","@value":"9000286634406"},{"@type":"NRID","@value":"9000411042220"},{"@type":"NRID","@value":"9000378081786"},{"@type":"NRID","@value":"9000356664895"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/haray"}],"foaf:name":[{"@language":"ja","@value":"原 好恵"},{"@language":"en","@value":"Hara Yoshie"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nursing, Sugiyama Jogakuen University"},{"@language":"ja","@value":"椙山女学園大学看護学部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680264097152","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000286634407"}],"foaf:name":[{"@language":"ja","@value":"太田 慶一"},{"@language":"en","@value":"Ota Keiichi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Medicine, Aichi Medical University"},{"@language":"ja","@value":"愛知医科大学医学部"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751162957696","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50434577"},{"@type":"NRID","@value":"1000050434577"},{"@type":"NRID","@value":"9000405107767"},{"@type":"NRID","@value":"9000409211037"},{"@type":"NRID","@value":"9000404785842"},{"@type":"NRID","@value":"9000399238082"},{"@type":"NRID","@value":"9000412365932"},{"@type":"NRID","@value":"9000399763402"},{"@type":"NRID","@value":"9000007299128"},{"@type":"NRID","@value":"9000411374009"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/emiko223"}],"foaf:name":[{"@language":"ja","@value":"篠崎 惠美子"},{"@language":"en","@value":"Shinozaki Emiko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nursing, Seirei Christopher University"},{"@language":"ja","@value":"聖隷クリストファー大学看護学部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680264097153","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000286634409"},{"@type":"NRID","@value":"9000410907897"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/y-tamenaga"}],"foaf:name":[{"@language":"ja","@value":"為永 義憲"},{"@language":"en","@value":"Tamenaga Yoshinori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Seirei Mikatahara General Hospital"},{"@language":"ja","@value":"聖隷三方原病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326221397760","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50275153"},{"@type":"NRID","@value":"1000050275153"},{"@type":"CINII_AUTHOR_ID","@value":"DA12198641"},{"@type":"URI","@value":"https://ci.nii.ac.jp/author/DA12198641#entity"},{"@type":"URI","@value":"https://viaf.org/viaf/NII%7CDA12198641"},{"@type":"NRID","@value":"9000002606287"},{"@type":"NRID","@value":"9000004740830"},{"@type":"NRID","@value":"9000318588321"},{"@type":"NRID","@value":"9000399759543"},{"@type":"NRID","@value":"9000398790752"},{"@type":"NRID","@value":"9000299566820"},{"@type":"NRID","@value":"9000015138946"},{"@type":"NRID","@value":"9000010650273"},{"@type":"NRID","@value":"9000007561417"},{"@type":"NRID","@value":"9000409984898"},{"@type":"NRID","@value":"9000004391379"},{"@type":"NRID","@value":"9000006700017"},{"@type":"NRID","@value":"9000403147091"},{"@type":"NRID","@value":"9000258072365"},{"@type":"NRID","@value":"9000413345961"},{"@type":"NRID","@value":"9000006399830"},{"@type":"NRID","@value":"9000004710011"},{"@type":"NRID","@value":"9000004722282"},{"@type":"NRID","@value":"9000327099732"},{"@type":"NRID","@value":"9000258291758"},{"@type":"NRID","@value":"9000016748528"},{"@type":"NRID","@value":"9000414352583"},{"@type":"NRID","@value":"9000345433282"},{"@type":"NRID","@value":"9000324997421"},{"@type":"NRID","@value":"9000253137024"},{"@type":"NRID","@value":"9000403281072"},{"@type":"NRID","@value":"9000254871533"},{"@type":"NRID","@value":"9000398448627"},{"@type":"NRID","@value":"9000399238084"},{"@type":"NRID","@value":"9000002872349"},{"@type":"NRID","@value":"9000345400477"},{"@type":"NRID","@value":"9000256125483"},{"@type":"NRID","@value":"9000021396932"},{"@type":"NRID","@value":"9000350605530"},{"@type":"NRID","@value":"9000406191783"},{"@type":"NRID","@value":"9000335182638"},{"@type":"NRID","@value":"9000293505077"},{"@type":"NRID","@value":"9000380978538"},{"@type":"NRID","@value":"9000252933367"},{"@type":"NRID","@value":"9000410907899"},{"@type":"NRID","@value":"9000258437643"},{"@type":"NRID","@value":"9000008572771"},{"@type":"NRID","@value":"9000350621563"},{"@type":"NRID","@value":"9000399237469"},{"@type":"NRID","@value":"9000010470928"},{"@type":"NRID","@value":"9000290361607"},{"@type":"NRID","@value":"9000405893946"},{"@type":"NRID","@value":"9000399230226"},{"@type":"NRID","@value":"9000356664851"},{"@type":"NRID","@value":"9000350602027"},{"@type":"NRID","@value":"9000345435115"},{"@type":"NRID","@value":"9000286634410"},{"@type":"NRID","@value":"9000399237786"},{"@type":"NRID","@value":"9000399237718"},{"@type":"NRID","@value":"9000284271802"},{"@type":"NRID","@value":"9000001592299"},{"@type":"NRID","@value":"9000021454081"},{"@type":"NRID","@value":"9000347341383"},{"@type":"NRID","@value":"9000322105318"},{"@type":"NRID","@value":"9000258072478"},{"@type":"NRID","@value":"9000345432946"},{"@type":"NRID","@value":"9000402398274"},{"@type":"NRID","@value":"9000399763404"},{"@type":"NRID","@value":"9000351182320"},{"@type":"NRID","@value":"9000350596231"},{"@type":"NRID","@value":"9000345400469"},{"@type":"NRID","@value":"9000403280746"},{"@type":"NRID","@value":"9000411374010"},{"@type":"NRID","@value":"9000252933310"},{"@type":"NRID","@value":"9000398789986"},{"@type":"NRID","@value":"9000406311527"},{"@type":"NRID","@value":"9000256125437"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0187899"}],"foaf:name":[{"@language":"ja","@value":"藤井 徹也"},{"@language":"en","@value":"Fujii Tetsuya"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nursing, Seirei Christopher University"},{"@language":"ja","@value":"聖隷クリストファー大学看護学部"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13477145"},{"@type":"LISSN","@value":"13477145"},{"@type":"EISSN","@value":"18846084"}],"prism:publicationName":[{"@language":"ja","@value":"形態・機能"},{"@language":"en","@value":"Structure and Function"},{"@language":"en","@value":"Struct.Funct."},{"@language":"ja","@value":"形態機能"},{"@language":"en","@value":"KEITAI KINOU (Structure and Function)"}],"dc:publisher":[{"@language":"en","@value":"Co-medical Research Society of Structure and Function"},{"@language":"ja","@value":"コ・メディカル形態機能学会"}],"prism:publicationDate":"2014","prism:volume":"13","prism:number":"2","prism:startingPage":"71","prism:endingPage":"78"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2015222412"}],"availableAt":"2014","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Intravenous%20injection","dc:title":"Intravenous injection"},{"@id":"https://cir.nii.ac.jp/all?q=Vein","dc:title":"Vein"},{"@id":"https://cir.nii.ac.jp/all?q=Nursing%20art","dc:title":"Nursing art"},{"@id":"https://cir.nii.ac.jp/all?q=Anatomy%20and%20Physiology","dc:title":"Anatomy and Physiology"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%9D%99%E8%84%88%E5%86%85%E6%B3%A8%E5%B0%84","dc:title":"静脈内注射"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%B8%8A%E8%82%A2%E7%9A%AE%E9%9D%99%E8%84%88","dc:title":"上肢皮静脈"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%9C%8B%E8%AD%B7%E6%8A%80%E8%A1%93","dc:title":"看護技術"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%BD%A2%E6%85%8B%E6%A9%9F%E8%83%BD%E5%AD%A6","dc:title":"形態機能学"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000564665"},{"@type":"CIA","@value":"130005064037"}]}