Issues in Using Eye-Tracking to Understand the Mechanisms of Nurses' Clinical Judgement

Hishiya, Ryo

doi:10.51094/jxiv.4774

##article.authors##

Hishiya, Ryo Faculty of Medical Technology, Teikyo University

DOI:

https://doi.org/10.51094/jxiv.4774

キーワード:

eye-tracking、 clinical judgement、 nursing expertise、 experimental approaches

抄録

Understanding the cognitive mechanisms underlying nurses’ clinical judgement is an important issue in nursing research because such judgements directly influence nursing practice and the quality of patient care. Previous studies on clinical judgement have primarily focused on differences between novice and expert nurses. These studies have been strongly influenced by Patricia Benner’s novice-to-expert model, which describes qualitative changes in clinical judgement associated with the accumulation of nursing experience. Eye-tracking has also been applied in nursing research as a quantitative method for examining characteristics of clinical judgement, particularly visual attention as a precursor to information processing. The previous studies using eye-tracking have shown that experienced nurses attend to clinically relevant information more selectively and efficiently compared to novices. However, most existing eye-tracking studies have been limited to observational investigations of nurses’ eye movements in response to a limited set of static images, video stimuli, or simulated environments. As a result, the cognitive mechanisms underlying clinical judgement have not yet been sufficiently clarified. Future research should therefore incorporate experimental manipulations of presented stimuli, as commonly employed in psychological research, so as to achieve a more detailed and empirically verifiable understanding of these mechanisms.

利益相反に関する開示

The authors declare no competing interests.

ダウンロード *前日までの集計結果を表示します

ダウンロード実績データは、公開の翌日以降に作成されます。

引用文献

Amano, K. & Toume, M. (2018). A literature review on eye tracking with physical motion. Doshisha kango, 3, 21–29. (in Japanese)

Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402–407.

Benner, P. (2001). 2 The Dreyfus model of skill acquisition applied to nursing. From novice to expert: Excellence and power in clinical nursing practice (pp.13–38). (Commemorative ed.). Pentice Hall.

Currie, J., Bond, R. R., McCullagh, P., Black, P., Finlay, D. D., & Peace, A. (2018). Eye tracking the visual attention of nurses interpreting simulated vital signs scenarios: Mining metrics to discriminate between performance level. IEEE Transactions on Human-Machine Systems, 48(2), 113–124. https://doi.org/10.1109/THMS.2017.2754880

Daikoku, R., & Saito, Y. (2017). Characteristics of gaze in expert nurses during observation at the bedside. Japanese Journal of Nursing Art and Science, 15(3), 218–226. https://doi.org/10.18892/jsnas.15.3_218 (in Japanese)

Dreyfus, S. E., & Dreyfus, H. L. (1980). A five-stage model of the mental activities involved in directed skill acquisition: (No. ORC-80-2; pp. 1–18). University of California, Operations Research Center. https://doi.org/10.21236/ADA084551

Hayashi, S., Maruoka, N., & Terai, R. (2015). Nurse’s eye movement patterns during the observation of patient’s rooms. Ishikawa Journal of Nursing, 12, 13–23. (in Japanese)

Hoffman, K. A., Aitken, L. M., & Duffield, C. (2009). A comparison of novice and expert nurses’ cue collection during clinical decision-making: Verbal protocol analysis. International Journal of Nursing Studies, 46(10), 1335–1344. https://doi.org/10.1016/j.ijnurstu.2009.04.001

Hu, H., Li, H., Wang, B., Zhang, M., Wu, B., & Wu, X. (2024). Application of eye-tracking in nursing research: A scoping review. Nursing Open, 11(2), e2108. https://doi.org/10.1002/nop2.2108

Kawai. C. (2000). Importance of mastering observation ability for a patient in nursing education. The Journal of the Kurume Medical Association, 63, 201–210. (in Japanese)

Lamond, D., & Farnell, S. (1998). The treatment of pressure sores: A comparison of novice and expert nurses’ knowledge, information use and decision accuracy. Journal of Advanced Nursing, 27(2), 280–286. https://doi.org/10.1046/j.1365-2648.1998.00532.x

Lasater, K. (2007). Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 46(11), 496–503. https://doi.org/10.3928/01484834-20071101-04

Maekawa, Y., Majima, Y., & Soga, M. (2016). Quantifying eye tracking between skilled nurses and nursing students in intravenous injection. Studies in Health Technology and Informatics, 225, 525–529. https://doi.org/10.3233/978-1-61499-658-3-525

Matsumoto, M., Akagi, K., & Kimura, R. (2018). Review of literature on the evaluation of observational ability using gaze analysis in nursing scenes in our country. Journal of Junshin Gakuen University, 7, 101–107. (in Japanese)

Nishikata, M., Makioka, R., Nakazawa, K., Sadakata, M., Kasai, M., Ikoshi, S., Sakamoto, M., Kourakata, I., Nishihara, A., Kawakami, K., Sato, F., Hirokawa, S., Ito, C., Tanaka, K., & Tanabe, Y. (2012). Eye movement and observation intentions in nurses: A comparison between novice nurses and nurses with vast clinical experience. Bulletin of School of Health Sciences Faculty of Medicine, Niigata University, 10(2), 11–21. (in Japanese)

Okane, R., Hasegawa, T., Ohira, M., Komatsu, M., Saito, S., & Yokoyama, K. (2022). Characteristics of observations by expert nurses of mechanically ventilated patients: Comparison with advanced beginner nurses using gaze analysis. The Japanese Journal of Ergonomics, 58(4), 186–194. https://doi.org/10.5100/jje.58.186 (in Japanese)

Reischman, R. R., & Yarandi, H. N. (2002). Critical care cardiovascular nurse expert and novice diagnostic cue utilization. Journal of Advanced Nursing, 39(1), 24–34. https://doi.org/10.1046/j.1365-2648.2000.02239.x

Sato, M., Otsu, H., Sota, Y., Nishio, A., Tanaka, T., & Minoura, T. (2011). Differences between nurse and student in eye tracking during venous blood collection. Bulletin of Aichi Prefectural University School of Nursing & Health, 17, 7–14. https://doi.org/10.15088/00001430 (in Japanese)

Schubert, M., Glass, T. R., Clarke, S. P., Schaffert-Witvliet, B., & De Geest, S. (2007). Validation of the Basel Extent of Rationing of Nursing Care Instrument. Nursing Research, 56(6), 416–424. https://doi.org/10.1097/01.NNR.0000299853.52429.62

Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 45(6), 204–211. https://doi.org/10.3928/01484834-20060601-04

Terai, R., Maruoka, N., & Hayashi, S. (2017). Trends and future challenges in research using visual line analysis in the nursing setting. Ishikawa Journal of Nursing, 14, 13–22. (in Japanese)

Terai, R., Maruoka, N., & Tanbo, K. (2015). Assessment based on the visual information of nurses in fall risk scenarios. The Japanese journal of quality and safety in healthcare, 10(1), 3–10. (in Japanese)

Tsuchiya, R., Shimizu, M., Mikami, K., Aizu, K., Hirakawa, Y., Takase, S., & Nishizawa, Y. (2017). The characteristic of nurses’ eye movements during observation of patients with disturbed consciousness. Open Journal of Nursing, 7(12), 1502–1514. https://doi.org/10.4236/ojn.2017.712105

Yokoi, T., Minoura, T., & Otsu, H. (2014). Comparison of eye fixation between nursing students and experienced nurses in reaction to a patient being in danger. Japanese journal of nursing art and science, 13(2), 132–139. https://doi.org/10.18892/jsnas.13.2_132 (in Japanese)

Yoneda, T., Itami, K., Kawabata, Y., Shimizu, F., Kuroda, Y., & Maesako, T. (2014). Differences of observation skills between nursing students and clinical nurses in the placement of around bed for recuperation environments. Japanese Journal of Nursing Ergonomics, 15, 35–40. (in Japanese)

Yoneda, T., Itami, K., Kawabata, Y., Seki, K., Kubota, Y., Kitou, Y., Matunami, M., Yasui, A., Matuda, K., Umemoto, N., Shimizu, F., Kuroda, Y., & Maesako, T. (2017). The risk awareness clinical nurses on watching an elderly-patient walking along a ward hallway: Comparison between nursing student and nurse. Journal of Human Nursing Studies, 15, 1–10. (in Japanese)