Task-Evoked Pupillary Responses in Nursing Simulation as an Indicator of Stress and Cognitive Load

Cabrera‐Mino, Cristina; Shinnick, Mary Ann; Moye, Stefanie

doi:10.1016/j.ecns.2019.03.009

Cited by 20 publications

(20 citation statements)

References 27 publications

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“…Because the topic of the simulation was dyspnea, ED nurses were considered expert due to their frequent encounters with and care of dyspneic patients. Considering senior nursing students nearing graduation as "novices" has been done in other studies ( Cabrera-Mino, Shinnick, & Moye, 2019 ;Rogers & Franklin, 2021 ;Shinnick, 2020 ). Each subject participated in an identical, manikin-based simulation.…”

Section: Study Subjectsmentioning

confidence: 99%

Situational Awareness Differences Between Novice and Expert Nurses: Is There a Correlation With Clinical Judgment?

Shinnick

2022

Clinical Simulation in Nursing

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Background: This study sought to explore situation awareness (SA) differences between novice and expert nurses and determine if there was a correlation between the SA and clinical judgment. Method: This was a multi-site study that used a comparative design with a known groups approach. Eye tracking glasses provided visual attention data. Results: There was a significant attention difference between groups in looking at the SpO2 value and the provider orders. A negative relationship was found between looking at the provider orders and clinical judgment. Conclusion: Further simulation practice for situational awareness is needed among novice nurses.

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Section: Study Subjectsmentioning

confidence: 99%

Situational Awareness Differences Between Novice and Expert Nurses: Is There a Correlation With Clinical Judgment?

Shinnick

2022

Clinical Simulation in Nursing

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“…By reducing the gap between theoretical knowledge and real practice, healthcare practitioners prepare to manage real demands during direct patient care while minimizing the risks derived from an inexperienced practice [ 1 , 2 ]. Simulation-based learning carried out in highly realistic scenarios also promotes the development of technical and non-technical skills, such as critical thinking, self-confidence and emotion control [ 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Psychological stress and anxiety may also interfere with critical thinking and self-efficacy, resulting in poor clinical performance, especially in vital emergency situations [ 16 , 17 ]. Therefore, measuring psychological stress and anxiety throughout valid and reliable instruments is essential for assessing the simulation performance [ 3 , 5 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…To overcome this problem, a variety of methods including stress and anxiety scales, pre- and post-simulation self-reports, vital signs monitoring and analysis of cortisol levels have been already employed [ 3 , 5 , 17 ]. However, the extent of anxiety and physiological stress has been rarely measured through straightforward robust methods.…”

Section: Introductionmentioning

confidence: 99%

“…However, the extent of anxiety and physiological stress has been rarely measured through straightforward robust methods. Only a few studies, involving non-conventional techniques, have been used for identifying the influence of these domains on the learning outcomes [ 3 , 18 , 19 , 20 ]. Amongst them, eye tracking and thermal imaging technologies have been recently applied to assess optimal performance during simulation [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Facial Skin Temperature on the Perception of Anxiety: A Pilot Study

2020

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The extent of anxiety and psychological stress can impact upon the optimal performance of simulation-based practices. The current study investigates the association between differences in skin temperature and perceived anxiety by under- (n = 21) and post-graduate (n = 19) nursing students undertaking a cardiopulmonary resuscitation (CPR) training. Thermal facial gradients from selected facial regions were correlated with the scores assessed by the State-Trait Anxiety Inventory (STAI) and the chest compression quality parameters measured using mannequin-integrated accelerometer sensors. A specific temperature profile was obtained depending on thermal facial variations before and after the simulation event. Statistically significant correlations were found between STAI scale scores and the temperature facial recordings in the forehead (r = 0.579; p < 0.000), periorbital (r = 0.394; p < 0.006), maxillary (r = 0.328; p < 0.019) and neck areas (r = 0.284; p < 0.038). Significant associations were also observed by correlating CPR performance parameters with the facial temperature values in the forehead (r = 0.447; p < 0.002), periorbital (r = 0.446; p < 0.002) and maxillary areas (r = 0.422; p < 0.003). These preliminary findings suggest that higher anxiety levels result in poorer clinical performance and can be correlated to temperature variations in certain facial regions.

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Application of eye‐tracking in nursing research: A scoping review

Hu,

Li,

Wang

et al. 2024

Nursing Open

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AimsTo map the themes and methods of nursing researches involving eye‐tracking as a measurement, and offer suggestion for future nursing research using eye‐tracking.DesignWe conducted a scoping review following the methodology outlined in the JBI Manual for Evidence Synthesis on scoping reviews.MethodsEligibility criteria were established based on Population (involving nursing or nursing students), Concept (utilizing eye‐tracking as a research method), and Context (in any setting). Articles were retrieved from the PubMed, Web of Science, Embase, CINAHL, APA PsycInfo, and Scopus databases, spanning from database inception to November 17, 2023. The included studies were analysed using descriptive statistics and content analysis.ResultsAfter duplicates were removed, 815 citations were identified from searches of electronic databases and other resources, and 66 met the inclusion criteria finally. Thirty‐eight studies were conducted in a simulated environment. Five application domains were identified, and most of the studies (N = 50) were observational. The domains found in our review did not cover all topics of nursing research in the same depth. Additionally, 39 studies did not solely explicate eye‐tracking data but instead integrated behavioural measures, scales/questionnaires, or other physiological data.ConclusionsEye‐tracking emerges as a significant research tool in uncovering visual behaviour, particularly in nursing research focused on nursing education. This study not only summarized the application and interpretation of eye‐tracking data but also recognized its potential in advancing clinical nursing research and practice. To effectively harness the capabilities of eye‐tracking in elucidating cognitive processes, future research should aim for a clearer grasp of the theoretical underpinnings of the addressed research problems and methodological choices. It is crucial to emphasize the standardization of eye‐tracking method reporting and ensuring data quality. No Patient or Public Contribution.

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Task-Evoked Pupillary Responses in Nursing Simulation as an Indicator of Stress and Cognitive Load

Cited by 20 publications

References 27 publications

Situational Awareness Differences Between Novice and Expert Nurses: Is There a Correlation With Clinical Judgment?

Situational Awareness Differences Between Novice and Expert Nurses: Is There a Correlation With Clinical Judgment?

Effect of Facial Skin Temperature on the Perception of Anxiety: A Pilot Study

Application of eye‐tracking in nursing research: A scoping review

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