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

O'Meara, Peter
Munro, Graham George
Williams, Brett
Cooper, Simon
Bogossian, Fiona Elizabeth
Ross, Linda
Sparkes, Louise
Browning, Mark
McClounan, Mariah
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Abstract
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.
Keywords
paramedics, nurses, patient simulation, decision making, situational awareness, performance deficits
Date
2015
Type
Journal article
Journal
International Emergency Nursing
Book
Volume
23
Issue
2
Page Range
94-99
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
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