跳至主要内容

The Characteristic of Nurses’ Eye Movements during Observation of Patients with Disturbed Consciousness

Nurses decide the patient’s problem and the priorities of care based on patients’ complaints and information obtained by observation when they care for patients. Nurses need to have insight during evaluation of patients with disturbed consciousness because they cannot complain about their pain and symptoms. 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. 

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. The authors 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. 

The results showed that 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. 

In conclusion, there was no significant difference in total gaze time and count of novice and expert nurses. The nurses’ critical thinking ability influenced the count of gazing at the simulated patient’s face, and this suggests that observing the patient’s face may be related to nurses’ inferences.

Article by Ryoko Tsuchiya, et al, from Hirosaki University, Hirosaki, Japan.

Full access: http://mrw.so/32vQne
Image by Joana Cardoso, from Flickr-cc.

评论

发表评论

此博客中的热门博文

Incorporation of High-Altitude Balloon Experiment in High School Science Classrooms

High-altitude balloon is a balloon, filled usually with helium or hydrogen that ascends into an area called “near space” or stratosphere. The most common type of high-altitude balloons are weather balloons. Other purposes include use as a platform for experiments in the upper atmosphere. Modern balloons generally contain electronic equipment such as radio transmitters, cameras, or satellite navigation systems, such as GPS receivers. The mission of the High-Altitude Balloon Experiment (HABE) is to acquire supporting data, validate enabling technologies, and resolve critical acquisition, tracking, and pointing (ATP) and fire control issues in support of future space-based precision pointing experiments. The use of high-altitude balloons offers a relatively low-cost, low-vibration test platform, a recoverable and reusable payload, worldwide launch capability, and a 'near- space' emulation of the future space systems operational scenarios. More recently, several university...
1 条评论
阅读全文

The Influence of Heated Soil in Crop of “Tamaris” Tomato Plants on the Biological Activity of the Rhizosphere Soil

Tomato is a plant with high heat requirements and sensitive to cold weather and frost. The optimum temperature for the growth of tomato plants is between 21˚C and 27˚C during the day and between 17˚C and 21˚C at night. The soil temperature is also very important for plant growth. The optimum soil temperature for tomato cultivation should be within the range 15˚C - 18˚C. Besides, the proper development of the root system depends on the optimal temperature of the soil. A temperature below 14˚C reduces and inhibits the growth of the root system and encourages the development of fungal and bacterial diseases. In this study, the authors aimed to evaluate the effect of heated soil on the population of bacteria, fungi and nematodes inhabiting the soil of tomato cultivar “Tamaris” growing in peat and coconut substrates. The experiment was carried out in 12 treatments and in 3 replications (one slab was one replication). The soils were tested in two different types of containers: cylinders...
发表评论
阅读全文

Effect of Proline Pretreatment on Grapevine Shoot-Tip Response to a Droplet-Vitrification Protocol

Proline is an α-amino acid that is used in the biosynthesis of proteins. Some studies have shown that proline has been accumulated in plants in response to biotic and abiotic stresses. Exogenous proline has thus been used for improving some plant cryopreservation protocols. Further enhancement of cryopreservation efficiency for  in vitro  grapevines could be expected if stresses linked to cryopreservation procedures could be reduced. In this study, the authors studied the possible beneficial effect of proline in grapevine cryopreservation. Single-node explants from  in vitro  grown grapevine plantlets ( Vitis vinifera  L. cv Portan) were cultured on shooting media (half-strength MS + 1 μM BAP) containing no proline (control) or 50, 500, or 2000 μM filter-sterilized L-proline. Shoot tips excised from these microshoots were subjected to a PVS2-based droplet-vitrification procedure. Control and rewarmed explants were grown on a recovery medium containing ...
发表评论
阅读全文