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ISBN: 978-972-8939-25-0 © 2010 IADISDEVELOPMENT OF AN E-LEARNING SYSTEM TOSUPPORT SELF-LEARNING OF NURSING SKILLSYukie Majima*, Masato Soga** and Yasuko Maekawa****Faculty of Liberal Arts and Sciences, Osaka Prefecture University, 1-1 Gakuencho, Naka, Sakai, Osaka, Japan**Faculty of Systems Engineering, Wakayama University, 930 Sakaedani, Wakayama-city, Wakayama, Japan***School of Nursing, Osaka Prefecture University, 3-7-30 Habikino, Habikino-city, Osaka, JapanABSTRACTThis study developed an e-learning system for beginners to support the self-learning of nursing skills. To share and useknow-how of nursing skills that has been accumulated from experience but which cannot be verbalized, this systemrenders them as formal knowledge through visual representation. The instructional design consists of the following fourphases: 1. Identification of one’s own technical procedures; 2. Comparison of model images with one’s own technicalimages; 3. Comparison of each image with one’s own practice progression; and 4. Output and identification of learningresults. Then, we experimented in intravenous injection technology for nursing students and nurses. We describe that thecharacteristics of how nurses and nursing students perceive knacks of intravenous injection and the overview of our e-learning system.KEYWORDSE-learning system, Nursing skill, Self-learning, Nursing student, Intravenous injection1. INTRODUCTIONLearning appropriate nursing skills is necessary in nursing education, as well as learning specializedknowledge. Good or bad skills influence evaluation of nursing. Consequently, not merely procedures butsafe, comfortable, and practicable expert techniques (skills) are also required. For use in ICT for education 1) ,numerous studies have been done of systems to support the learning specialized knowledge 2) , but studies ofrequired-skills learning support systems have just begun. For that reason, this study first clarifies thedifferences between technical “knacks” of intravenous injections perceived by nurses and those by nursingstudents. Then, based on the characteristics, an e-learning system is developed for beginners to support selflearningof nursing skills.2. METHODSIn the experiment, we chose an intravenous injection.Subjects were 31 nurses (2 male and 29 female; averageage 36.7; average years of experience 15.1) and 30nursing students (4 male and 26 female; average age20.1), who gave consent to the study. The procedures ofthe study are as follows. Figure 1 presents a picture of theexperiment situation.1) Performing intravenous injections assisted by asimulation model.2) Conducting a semi-structured interview surveyabout what are perceived as knacks when performingintravenous injections3) Developing an e-learning system to support self-Intravenous InjectionSimulation Arm ModelFor Self-TrainingThe Role of PatientEye Mark Recorder(Nac EMR-8B)MonitorIntravenous Injection Simulation Arm ModelSimulated Blood BoxFigure 1. The experiment situation400