Nurses’ Challenges in Performing Ultrasound Hip-Screening Techniques for Home Visits to Newborns and Infants: A Descriptive Case Study

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management Pub Date : 2026-04-13 DOI:10.1155/jonm/8226375

Mana Shirouchi, Hiroshige Matsumoto, Chikako Honda, Misa Shiomi, Noriko Hosoya, Takeshi Kinjo, Kiyoshi Aoki, Tadashi Hattori, Keita Okada, Kenta Fujiwara, Kyoko Yoshioka-Maeda

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引用次数: 0

Abstract

Aims

Early detection of developmental dysplasia of the hip in newborns and infants is essential to ensure lifelong mobility. As several municipalities conduct nurse-led hip ultrasound screenings during newborn and infant home visits, nurses must acquire the accurate technique smoothly and effectively. Clarifying the challenges nurses face when performing ultrasound procedures helps support effective education. This study aimed to identify challenges inexperienced nurses face when performing basic ultrasound using the Graf-method in home settings.

Design

Descriptive case study.

Methods

Ultrasound training was provided to 22 nurses in Japan to enable use during newborn and infant home visits. We analyzed 25 video cases from three nurses who required > 180 s to obtain a standard plane image. Videos were transcribed and inductively analyzed to identify challenges with reference to Yin’s case study methodology.

Results

Conditions of the challenges were categorized into knowledge, skills, and attitudes with reference to Bloom’s taxonomy. The knowledge gap led to the failure to correctly judge whether the femoral head/standard plane was captured. Skill deficiencies led to failure to move the probe vertically and difficulty maintaining the infant’s straight lateral position. The combination of inadequate knowledge and skills resulted in failures to (1) place the probe directly over the femoral head, (2) display the image in the correct position and orientation, and (3) move the probe correctly regarding direction and range while maintaining the image in the correct position and orientation. Regarding attitude gaps, nurses failed to improve the procedure.

Conclusions

Improving ultrasound proficiency for developmental hip dysplasia detection requires training in anatomy integration, sensory experience, and probe-screen coordination while addressing posture, equipment handling, and motor skills.

Trial Registration: University Hospital Medical Information Network Clinical Trial Registry: UMIN000051929

Abstract Image

查看原文本刊更多论文

护士在新生儿和婴儿家访中使用超声髋关节筛查技术所面临的挑战：一个描述性案例研究。

目的：早期发现新生儿和婴儿的髋关节发育不良是确保终身活动的必要条件。由于一些城市在新生儿和婴儿家访期间进行护士主导的髋关节超声筛查，护士必须顺利有效地掌握准确的技术。明确护士在进行超声手术时面临的挑战有助于支持有效的教育。本研究旨在确定缺乏经验的护士在家庭环境中使用格拉夫方法进行基本超声检查时面临的挑战。设计：描述性案例研究。方法：对日本22名护士进行超声培训，使其能够在新生儿和婴儿家访中使用超声。我们分析了来自3名护士的25例视频病例，这些病例需要> 180 s才能获得标准平面图像。对视频进行转录和归纳分析，以参考尹的案例研究方法确定挑战。结果：参照Bloom的分类法，将挑战条件分为知识、技能和态度三个方面。知识差距导致无法正确判断股骨头/标准平面是否被捕获。技术缺陷导致探针无法垂直移动，难以维持婴儿的侧位。由于缺乏知识和技能，导致无法(1)将探头直接放置在股骨头上方，(2)在正确的位置和方向上显示图像，以及(3)在保持图像在正确的位置和方向上正确移动探头的方向和范围。在态度差异方面，护士未能改善流程。结论：提高超声对发育性髋关节发育不良检测的熟练程度，需要在处理姿势、设备操作和运动技能的同时，进行解剖学整合、感官体验和探针-屏幕协调方面的培训。试验注册：大学医院医学信息网临床试验注册：UMIN000051929。

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来源期刊

Journal of Nursing Management NURSING-

CiteScore

9.40

自引率

14.50%

发文量

377

审稿时长

4-8 weeks

期刊介绍： The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety