Detailing experienced nurse decision making during acute patient care simulations
Detailing experienced nurse decision making during acute patient care simulations
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详细介绍经验丰富的护士在急性患者护理模拟过程中的决策
DOI：
10.1016/j.apergo.2023.103988
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发表时间：
2023
影响因子：
3.2
通讯作者：
Yu, Denny
中科院分区：
文献类型：
--
作者：
Anton, Nicholas E.;Zhou, Guoyang;Hornbeck, Tera;Nagle, Amy M.;Norman, Susan;Shroff, Anand D.;Yu, Denny
前言护士决策对病人的安全至关重要。眼动追踪法可有效评估护士糖尿病。这项试点研究的目的是使用眼动跟踪方法来评估护士DM在临床simulation.Materials和methodsExperienced护士管理一个模拟的病人人体模型谁遭受中风中期模拟。我们评估了护士在中风前后的凝视模式。糖尿病在一般情况下进行评估的护理教师使用的临床判断的标题，和二分法的基础上识别的中风或noth.ResultsData从8名经验丰富的护士进行了检查。对于护士谁认识到中风，视觉注意力集中在生命体征监测和病人的头，这表明这些位置一贯检查正确的decisionmakers.ConclusionsDwell时间一般AOIs与较差的DM，这可能反映较差的模式识别。眼动跟踪指标可能是有效的，客观地评估护士DM。
IntroductionNurse decision making (DM) is critical for patient safety. Eye-tracking methods can effectively assess nurse DM. The purpose of this pilot study was to use eye-tracking methods to assess nurse DM during a clinical simulation.Materials and methodsExperienced nurses managed a simulated patient manikin who suffered from a stroke mid-simulation. We assessed nurses’ gaze patterns prior to and after the stroke. DM in general was assessed by nursing faculty using a clinical judgement rubric, and dichotomously based on recognition of the stroke or not.ResultsData from eight experienced nurses was examined. For the nurses who recognized the stroke, visual attention was focused on the vital sign monitor and patient's head, which suggest those locations were consistently examined for correct decision-makers.ConclusionsDwell time on general AOIs was associated with poorer DM, which may reflect poorer pattern recognition. Eye-tracking metrics may be effective to objectively assess nurse DM.