Developing situation awareness amongst nursing and paramedicine students utilizing eye tracking technology and video debriefing techniques: A proof of concept paper

Developing situation awareness amongst nursing and paramedicine students utilizing eye tracking technology and video debriefing techniques: A proof of concept paper
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DOI:
10.1016/j.ienj.2014.11.001
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发表时间:
2015-04-01
影响因子:
1.8
通讯作者:
McClounan, Mariah
McClounan, Mariah
中科院分区:
医学3区
文献类型:
--
作者:
O'Meara, Peter;Munro, Graham;McClounan, Mariah

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目标:这项准实验性的前后研究的目的是首先确定眼动追踪技术结合视频汇报技术的使用是否有潜力提高反馈质量,增强模拟环境中的情境意识(SA),其次确定学生对模拟学习的满意度。方法:来自三所大学的护理和护理专业的学生参加了三个8分钟的急性恶化患者的模拟场景。眼睛跟踪眼镜视频记录的情况下,跟踪右眼运动。完成后,参与者被问及使用的情况意识的全球评估技术,完成了模拟体验量表(SSES)的满意度,并提供文字反馈,并收到基于视频的口头feedback.Results:参与者缺乏认识,提出医疗条件和病人的环境,并有病人的生命体征回忆不佳。第一种和第三种情景之间SA评分有显著改善(P = 0.04)。与会者报告更深入地了解他们的表现,并感到满意的模拟learning.Conclusions:使用视野审查技术似乎提高了使用现实的模拟实践作为一种手段,解决显着的性能缺陷。眼动追踪和观点记录技术是可行的,并与适用的汇报技术,可以提高临床和情境性能。(C)2014爱思唯尔有限公司版权所有。
Objective: The aims of this quasi-experimental before-and-after study were to first determine whether the use of eye tracking technology combined with video debriefing techniques has the potential to improve the quality of feedback and enhance situation awareness (SA) in simulated settings and second to determine students' satisfaction towards simulated learning.Methods: Nursing and paramedicine students from three universities participated in three 8-minute simulation scenarios of acutely deteriorating patients. Eye tracking glasses video recorded the scenarios and tracked right eye movement. On completion, participants were questioned using the Situation Awareness Global Assessment Technique, completed the Satisfaction with Simulation Experience Scale (SSES), and provided textual feedback and received video-based verbal feedback.Results: Participants lacked awareness of presenting medical conditions and patient environments and had poor recall of patient vital signs. Significant improvements in SA scores were demonstrated between the first and third scenarios (P = 0.04). Participants reported greater insight into their performance and were satisfied with simulated learning.Conclusions: Use of visual field review techniques appears to enhance the use of realistic simulated practice as a means of addressing significant performance deficits. Eye tracking and point of view recording techniques are feasible and with applicable debriefing techniques could enhance clinical and situated performance. (C) 2014 Elsevier Ltd. All rights reserved.