Assessing the Link between Nurses’ Proficiency and Situational Awareness in Neonatal Care Practice Using an Eye Tracker: An Observational Study Using a Simulator
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Eye Tracking
2.3. Data Collection
Ethical Considerations
3. Results
3.1. Overview
3.2. Overall Care Time
3.3. Duration of Gaze Entering Each Area
3.4. Number of Times the Gaze Entered Each Area
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Al-Moteri, M.O.; Symmons, M.; Plummer, V.; Cooper, S. Eye tracking to investigate cue processing in medical decision-making: A scoping review. Comput. Hum. Behav. 2017, 66, 52–66. [Google Scholar] [CrossRef]
- Tien, T.; Pucher, P.H.; Sodergren, M.H.; Sriskandarajah, K.; Yang, G.Z.; Darzi, A. Eye tracking for skills assessment and training: A systematic review. J. Surg. Res. 2014, 191, 169–178. [Google Scholar] [CrossRef] [PubMed]
- Brunyé, T.T.; Drew, T.; Weaver, D.L.; Elmore, J.G. A review of eye tracking for understanding and improving diagnostic interpretation. Cogn. Res. Princ. Implic. 2019, 4, 7. [Google Scholar] [CrossRef] [PubMed]
- Gil, A.M.; Birdi, S.; Kishibe, T.; Grantcharov, T.P. Eye tracking use in surgical research: A systematic review. J. Surg. Res. 2022, 279, 774–787. [Google Scholar] [CrossRef] [PubMed]
- Al-Moteri, M.; Cooper, S.; Symmons, M.; Plummer, V. Nurses’ cognitive and perceptual bias in the identification of clinical deterioration cues. Aust. Crit. Care 2020, 33, 333–342. [Google Scholar] [CrossRef] [PubMed]
- Ahmadi, N.; Sasangohar, F.; Yang, J.; Yu, D.; Danesh, V.; Klahn, S.; Masud, F. Quantifying workload and stress in intensive care unit nurses: Preliminary evaluation using continuous eye-tracking. Hum. Factors 2022. [Google Scholar] [CrossRef]
- Unger, M.; Black, D.; Fischer, N.M.; Neumuth, T.; Glaser, B. Design and evaluation of an eye tracking support system for the scrub nurse. Int. J. Med. Robot. 2019, 15, e1954. [Google Scholar] [CrossRef] [PubMed]
- Sanchez, Y.P.; Wilson-Keates, B.; Conway, A.; Zheng, B. Gaze performance adjustment during needlestick application: Can we reduce harm? Nurse Educ. 2019, 44, E1–E5. [Google Scholar] [CrossRef]
- Shinnick, M.A. Situational awareness differences between novice and expert nurses: Is there a correlation with clinical judgment? Clin. Simul. Nurs. 2022, 62, 57–65. [Google Scholar] [CrossRef]
- Takami, M.; Nishiumi, E.; Nakanishi, E.; Ishigaki, K. Analysis of gaze information patterns of nurses gathering patient information using electronic health records. Stud. Health Technol. Inform. 2021, 284, 531–533. [Google Scholar] [CrossRef]
- Valek, R.; Wendel-Garcia, P.; Schuepbach, R.A.; Buehler, P.K.; Hofmaenner, D.A. Eye-tracking to observe compliance with hand hygiene in the intensive care unit: A randomized feasibility study. J. Hosp. Infect. 2023, 131, 148–155. [Google Scholar] [CrossRef] [PubMed]
- Sugimoto, M.; Tomita, A.; Oyamada, M.; Sato, M. Eye-tracking-based analysis of situational awareness of nurses. Healthcare 2022, 10, 2131. [Google Scholar] [CrossRef]
- Law, B.H.Y.; Cheung, P.Y.; Wagner, M.; van Os, S.; Zheng, B.; Schmölzer, G. Analysis of neonatal resuscitation using eye tracking: A pilot study. Arch. Dis. Child. Fetal Neonatal Ed. 2018, 103, F82–F84. [Google Scholar] [CrossRef] [PubMed]
- Wagner, M.; Gröpel, P.; Bibl, K.; Olischar, M.; Auerbach, M.A.; Gross, I.T. Eye-tracking during simulation-based neonatal airway management. Pediatr. Res. 2020, 87, 518–522. [Google Scholar] [CrossRef] [PubMed]
- Patricia, B. From Novice to Expert, Excellence and Power in Clinical Nursing Practice; Addison-Wesley: Boston, MA, USA, 1984. [Google Scholar]
- Ericsson, K.A. The acquisition of expert performance: An introduction to some of the issues. In The Road to Excellence; Psychology Press: London, UK, 2014; pp. 1–50. [Google Scholar]
- Schein, E.H.; Schein, E. Career Dynamics: Matching Individual and Organizational Needs; Addison-Wesley Reading: Boston, MA, USA, 1978; Volume 6834. [Google Scholar]
- Browning, M.; Cooper, S.; Cant, R.; Sparkes, L.; Bogossian, F.; Williams, B.; O’Meara, P.; Ross, L.; Munro, G.; Black, B. The use and limits of eye-tracking in high-fidelity clinical scenarios: A pilot study. Int. Emerg. Nurs. 2016, 25, 43–47. [Google Scholar] [CrossRef] [PubMed]
- Maekawa, Y.; Majima, Y.; Soga, M. Quantifying eye tracking between skilled nurses and nursing students in intravenous injection. Stud. Health Technol. Inform. 2016, 225, 525–529. [Google Scholar] [CrossRef] [PubMed]
- Parker, S.I.; Simmons, S.M.; Rutherford, A.; Caird, J.K.; Benzies, K.M. Novice and expert nurses’ eye movements and success with simulated peripheral intravenous catheterization. Clin. Simul. Nurs. 2021, 53, 42–48. [Google Scholar] [CrossRef]
- Shinnick, M.A. Validating eye tracking as an objective assessment tool in simulation. Clin. Simul. Nurs. 2016, 12, 438–446. [Google Scholar] [CrossRef]
- Tanoubi, I.; Tourangeau, M.; Sodoké, K.; Perron, R.; Drolet, P.; Bélanger, M.; Morris, J.; Ranger, C.; Paradis, M.R.; Robitaille, A.; et al. Comparing the visual perception according to the performance using the eye-tracking technology in high-fidelity simulation settings. Behav. Sci. 2021, 11, 31. [Google Scholar] [CrossRef]
- Bambini, D.; Washburn, J.; Perkins, R. Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment. Nurs. Educ. Perspect. 2009, 30, 79–82. [Google Scholar]
- Lavoie, P.; Lapierre, A.; Khetir, I.; Doherty, A.; Thibodeau-Jarry, N.; Rousseau-Saine, N.; Crétaz, M.; Benhannache, R.; Mailhot, T. A comparison of nurses’ situation awareness and eye-tracking data in precardiac arrest simulations. Clin. Simul. Nurs. 2023, 81, 101429. [Google Scholar] [CrossRef]
- Kok, E.M.; Jarodzka, H. Before your very eyes: The value and limitations of eye tracking in medical education. Med. Educ. 2017, 51, 114–122. [Google Scholar] [CrossRef] [PubMed]
- Viautour, J.; Naegeli, L.; Braun, J.; Bergauer, L.; Roche, T.R.; Tscholl, D.W.; Akbas, S. The Visual Patient Avatar ICU Facilitates Information Transfer of Written Information by Visualization: A Multicenter Comparative Eye-Tracking Study. Diagnostics 2023, 13, 3432. [Google Scholar] [CrossRef] [PubMed]
- Ravik, M.; Havnes, A. Exploring nursing students’ transfer of peripheral venous cannulation from skills centre to the clinical setting. J. Nurs. Educ. Pract. 2015, 5, 59–70. [Google Scholar] [CrossRef]
Expert 1 | Novice 1 | p-Value 2 | |
---|---|---|---|
Experience | |||
Nurses | 23.1 ± 9.41 | 9.84 ± 8.95 | 0.00135 |
Midwifery nurses | 22.7 ± 2.75 | 3.69 ± 3.98 | <0.0001 |
Sex | |||
Female/male | 7/0 | 13/0 | - |
Ages | |||
60s | 1 | 0 | 0.138 |
50s | 2 | 1 | |
40s | 3 | 3 | |
30s | 1 | 4 | |
20s | 0 | 5 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Sugimoto, M.; Oyamada, M.; Tomita, A.; Inada, C.; Sato, M. Assessing the Link between Nurses’ Proficiency and Situational Awareness in Neonatal Care Practice Using an Eye Tracker: An Observational Study Using a Simulator. Healthcare 2024, 12, 157. https://doi.org/10.3390/healthcare12020157
Sugimoto M, Oyamada M, Tomita A, Inada C, Sato M. Assessing the Link between Nurses’ Proficiency and Situational Awareness in Neonatal Care Practice Using an Eye Tracker: An Observational Study Using a Simulator. Healthcare. 2024; 12(2):157. https://doi.org/10.3390/healthcare12020157
Chicago/Turabian StyleSugimoto, Masahiro, Michiko Oyamada, Atsumi Tomita, Chiharu Inada, and Mitsue Sato. 2024. "Assessing the Link between Nurses’ Proficiency and Situational Awareness in Neonatal Care Practice Using an Eye Tracker: An Observational Study Using a Simulator" Healthcare 12, no. 2: 157. https://doi.org/10.3390/healthcare12020157