TITLE:
The Characteristic of Nurses’ Eye Movements during Observation of Patients with Disturbed Consciousness
AUTHORS:
Ryoko Tsuchiya, Mayumi Shimizu, Kasumi Mikami, Keiko Aizu, Yuichi Hirakawa, Sonoko Takase, Yoshiko Nishizawa
KEYWORDS:
Nursing Observation, Eye Movement, Critical Thinking, Patient with Disturbed Consciousness
JOURNAL NAME:
Open Journal of Nursing,
Vol.7 No.12,
December
28,
2017
ABSTRACT: Objective: The objective of this study was to clarify the characteristics of nurses’
eye movements during observation of patients with disturbed consciousness by
comparing intuition ability, critical thinking, and clinical experience years. Methods: Participants were 19 nurses working on a neurosurgery ward in Japan and
caring for patients with consciousness disturbance who were unable to speak.
Ten novice nurses (24.8 ± 3.36 years old) and nine expert nurses (38.3 ± 5.77
years old) were compared. The observation scene, displayed on a computer
screen, was a static image of a simulated patient in a resting state who had
developed right putaminal hemorrhage. We showed the
participants an information sheet about the simulated patient then used an eye
tracking camera to analyze gaze points, gaze time, and gaze count during
observation. The Kuroda Intrinsic Intuitive Ability Scale (KIIS) created by Kawahara
and the Critical Thinking Disposition Scale created by Hirayama were used for measuring intrinsic intuition ability and critical thinking
disposition. Results: There were no significant differences between
observation time of novices (5.0 ± 2.01 minutes) and experts (5.4 ± 1.78
minutes), nor between their total gaze time and total count. The proportion of
gazing at the monitor by novice nurses and gazing at the face and bed fences by
expert nurses tended to be high. The KIIS general
education score influenced the gaze time and gaze count during simulated
patient observation. The KIIS logical thinking score affected the gaze count to
the simulated patient’s face. Conclusion: There was no significant
difference between the total gaze time and the total count of novices and
experts. The KIIS score affected the gaze during observation of the simulated
patient.