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Nurses' cognitive and perceptual bias in the identification of clinical deterioration cues
Al-Moteri, Modi Cooper, Simon Symmons, Mark Plummer, Virginia
Al-Moteri, Modi
Cooper, Simon
Symmons, Mark
Plummer, Virginia
Abstract
Background Perception and processing of clinical cues have rarely been investigated in the nursing literature despite their relevance to the early identification and management of clinical deterioration. Aim This study used a hypovolemic shock scenario from the Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST2ACT) virtual simulation program, equipped with an eye tracker, to investigate cue processing during the management of patient deterioration. Result The study revealed that attention deviation distorted interpretation of subsequent cues, causing 63% of participants to exhibit a cognitive bias (heightened sensitivity to specific but noncritical cues) and 65% to exhibit at least one episode of nonfixation on clinically relevant cues. Attention deviation and distorted interpretations of clinical cues will have an impact on patient safety. Conclusion The findings are likely to have important implications for understanding error and associated training implications.
Keywords
Eye tracking, Nursing, Clinical deterioration, Decision-making, Perceptual bias, Cognition bias
Date
2020
Type
Journal article
Journal
Australian Critical Care
Book
Volume
33
Issue
4
Page Range
333-342
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled