The use and limits of eye-tracking in high-fidelity clinical scenarios: A pilot study

Browning, Mark, Cooper, Simon, Cant, Robyn, Sparkes, Louise, Bogossian, Fiona, Williams, Brett, O'Meara, Peter, Ross, Linda, Munro, Graham and Black, Barbara (2015) The use and limits of eye-tracking in high-fidelity clinical scenarios: A pilot study. International Emergency Nursing, 25 43-47. doi:10.1016/j.ienj.2015.08.002

Author Browning, Mark
Cooper, Simon
Cant, Robyn
Sparkes, Louise
Bogossian, Fiona
Williams, Brett
O'Meara, Peter
Ross, Linda
Munro, Graham
Black, Barbara
Title The use and limits of eye-tracking in high-fidelity clinical scenarios: A pilot study
Journal name International Emergency Nursing   Check publisher's open access policy
ISSN 1755-599X
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.ienj.2015.08.002
Open Access Status Not yet assessed
Volume 25
Start page 43
End page 47
Total pages 5
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2016
Language eng
Formatted abstract
Aim: To explore the potential of mobile eye-tracking to identify healthcare students' area of visual interest and its relationship to performance ratings.

Background: Eye-tracking identifies an individual's visual attention focus, and has been used as a training technique in medicine and in nursing. In this study participants wore a point of view (PoV) camera within a spectacle frame during simulation education experiences.

Methods: Thirty-nine final year nursing and paramedicine students individually participated in three 8 minute clinical simulations with debriefing using videoed eye-tracking recordings. Coloured dots on the video depicted the participant's pupil fixation on five targeted areas. Data extracted from the video camera were collated to report time spent on each target (their ‘gaze’).

Results: The mean total gaze of expert designated targets in the environment for three 8 minute scenarios was 40–77%. Of 35 participants' focus on three main areas of interest, their priority was the patient's head (34%), the patient's trunk (24%) and their clinical assistant (5%), with significant differences between nursing and paramedic disciplines (P < 0.05). Objectively rated clinical performance improved significantly by the third scenario (P ≤ 0.001). Participants were positive regarding use of eye tracking during debriefing.

Conclusions: Eye tracking has the potential to enhance debriefing and educational outcomes, although there are limitations to gaze capture in high fidelity environments and resource cost is high. Further study is warranted to enable better understanding of how expert clinicians achieve high levels of performance.
Keyword Debriefing
Point of view (PoV)
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Wed, 18 Nov 2015, 07:14:22 EST by Dr Fiona Bogossian on behalf of School of Nursing, Midwifery and Social Work