RT info:eu-repo/semantics/article T1 Exploring Eye-tracking Data as an Indicator of Situational Awareness in Nursing Students during a Cardiorespiratory Arrest Simulation A1 Caloca Amber, Sandra A1 Mauriz García, Elba A1 Vázquez Casares, Ana María A2 Enfermeria K1 Enfermería K1 Nurse simulation training K1 Cardiorespiratory arrest K1 Eye-tracking K1 Situation awareness K1 Visual attention K1 Psychophysiological stress K1 Socioemotional competencies K1 Clinical performance K1 32 Ciencias Médicas AB [EN] AimTo examine the components of visual attention that maintain situational awareness during simulation training in undergraduate nursing students with different instruction levels.BackgroundEye-tracking can provide deep insight into the nurses' attention during simulated practice. Knowing which gaze patterns promote situational awareness can significantly improve nurse instruction.DesignA comparative observational study investigated the role of visual attention on the performance quality, psychophysiological parameters (vital signs, anxiety and stress) and socioemotional competencies (cognitive workload, motivation and self-efficacy) of nursing students with various experience levels.MethodsThirty nursing students divided into two groups according to their academic level: first cycle (n=14) and second-cycle (n=16) faced a clinical simulation scenario to resolve a cardiorespiratory arrest event. Eye tracking-based analysis required the selection of six areas of interest. The monitorization of vital signs included measuring blood pressure, heart rate, respiratory rate and oxygen saturation before and after the simulation practice. Participants completed the socioemotional questionnaire (NASA-TLX). They answered the state subscale of the State-Trait Anxiety Inventory (STAI), the Visual Analogue Scale (VAS) of stress, the Situational Motivation Scale (SIMS) and the Baessler and Schwarzer General Self-Efficacy Scale.ResultsThe first-cycle group displayed higher vital sign scores than the second cycle, apart from the post-simulation respiratory rate. All physiological parameters increased in mean value after the clinical simulation, except oxygen saturation. Anxiety was the only parameter in the socioemotional domain to present a statistically significant difference between the groups. First-year nursing students showed greater anxiety, stress, mental workload, identified regulation and intrinsic motivation, while second-year students showed higher levels of amotivation, external regulation and perceived self-efficacy. Eye-tracking data (revisits, gaze and duration of fixations) exhibited statistically significant differences depending on the area of interest in both groups (p =. 05). The performance outcomes showed a negative and moderate association with gaze the total number of gazes in the second-cycle group (rho = -0.640, p = 0.010).ConclusionEye-tracking-based analysis can help to predict performance quality while maintaining situational awareness during nursing instruction. PB Elsevier SN 1471-5953 LK https://hdl.handle.net/10612/18052 UL https://hdl.handle.net/10612/18052 NO Caloca-Amber, S., Mauriz, E., & Vázquez-Casares, A. M. (2024). Exploring eye-tracking data as an indicator of situational awareness in nursing students during a cardiorespiratory arrest simulation. Nurse Education in Practice, 103911. https://doi.org/10.1016/j.nepr.2024.103911 DS BULERIA. Repositorio Institucional de la Universidad de León RD 20-may-2024