Piloting the feasibility of head-mounted video technology to augment student feedback during simulated clinical decision-making: An observational design pilot study

Helen Forbes, Tracey K. Bucknall, Alison M. Hutchinson

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)

Abstract

Background: Clinical decision-making is a complex activity that is critical to patient safety. Simulation, augmented by feedback, affords learners the opportunity to learn critical clinical decision-making skills. More detailed feedback following simulation exercises has the potential to further enhance student learning, particularly in relation to developing improved clinical decision-making skills. Objective: To investigate the feasibility of head-mounted video camera recordings, to augment feedback, following acute patient deterioration simulations. Design: Pilot study using an observational design. Methods: Ten final-year nursing students participated in three simulation exercises, each focussed on detection and management of patient deterioration. Two observers collected behavioural data using an adapted version of Gaba's Clinical Simulation Tool, to provide verbal feedback to each participant, following each simulation exercise. Participants wore a head-mounted video camera during the second simulation exercise only. Video recordings were replayed to participants to augment feedback, following the second simulation exercise. Data were collected on: participant performance (observed and perceived); participant perceptions of feedback methods; and head-mounted video camera recording feasibility and capability for detailed audio-visual feedback. Results: Management of patient deterioration improved for six participants (60%). Increased perceptions of confidence (70%) and competence (80%), were reported by the majority of participants. Few participants (20%) agreed that the video recording specifically enhanced their learning. The visual field of the head-mounted video camera was not always synchronised with the participant's field of vision, thus affecting the usefulness of some recordings. Conclusion: The usefulness of the video recordings, to enhance verbal feedback to participants on detection and management of simulated patient deterioration, was inconclusive. Modification of the video camera glasses, to improve visual-field synchronisation with participants' actual visual field, is recommended to further explore this technology for enhancing student performance.

Original languageEnglish
Pages (from-to)116-121
Number of pages6
JournalNurse Education Today
Volume39
DOIs
Publication statusPublished - Apr 2016
Externally publishedYes

Keywords

  • Debriefing
  • Decision-making
  • Feedback
  • Nursing
  • Patient safety
  • Simulation
  • Students
  • Video-recording

Cite this

@article{d630dc9b8c184ebdb0404b3ef2730de9,
title = "Piloting the feasibility of head-mounted video technology to augment student feedback during simulated clinical decision-making: An observational design pilot study",
abstract = "Background: Clinical decision-making is a complex activity that is critical to patient safety. Simulation, augmented by feedback, affords learners the opportunity to learn critical clinical decision-making skills. More detailed feedback following simulation exercises has the potential to further enhance student learning, particularly in relation to developing improved clinical decision-making skills. Objective: To investigate the feasibility of head-mounted video camera recordings, to augment feedback, following acute patient deterioration simulations. Design: Pilot study using an observational design. Methods: Ten final-year nursing students participated in three simulation exercises, each focussed on detection and management of patient deterioration. Two observers collected behavioural data using an adapted version of Gaba's Clinical Simulation Tool, to provide verbal feedback to each participant, following each simulation exercise. Participants wore a head-mounted video camera during the second simulation exercise only. Video recordings were replayed to participants to augment feedback, following the second simulation exercise. Data were collected on: participant performance (observed and perceived); participant perceptions of feedback methods; and head-mounted video camera recording feasibility and capability for detailed audio-visual feedback. Results: Management of patient deterioration improved for six participants (60{\%}). Increased perceptions of confidence (70{\%}) and competence (80{\%}), were reported by the majority of participants. Few participants (20{\%}) agreed that the video recording specifically enhanced their learning. The visual field of the head-mounted video camera was not always synchronised with the participant's field of vision, thus affecting the usefulness of some recordings. Conclusion: The usefulness of the video recordings, to enhance verbal feedback to participants on detection and management of simulated patient deterioration, was inconclusive. Modification of the video camera glasses, to improve visual-field synchronisation with participants' actual visual field, is recommended to further explore this technology for enhancing student performance.",
keywords = "Debriefing, Decision-making, Feedback, Nursing, Patient safety, Simulation, Students, Video-recording",
author = "Helen Forbes and Bucknall, {Tracey K.} and Hutchinson, {Alison M.}",
year = "2016",
month = "4",
doi = "10.1016/j.nedt.2016.01.012",
language = "English",
volume = "39",
pages = "116--121",
journal = "Nurse Education Today",
issn = "0260-6917",
publisher = "Elsevier",

}

Piloting the feasibility of head-mounted video technology to augment student feedback during simulated clinical decision-making : An observational design pilot study. / Forbes, Helen; Bucknall, Tracey K.; Hutchinson, Alison M.

In: Nurse Education Today, Vol. 39, 04.2016, p. 116-121.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Piloting the feasibility of head-mounted video technology to augment student feedback during simulated clinical decision-making

T2 - An observational design pilot study

AU - Forbes, Helen

AU - Bucknall, Tracey K.

AU - Hutchinson, Alison M.

PY - 2016/4

Y1 - 2016/4

N2 - Background: Clinical decision-making is a complex activity that is critical to patient safety. Simulation, augmented by feedback, affords learners the opportunity to learn critical clinical decision-making skills. More detailed feedback following simulation exercises has the potential to further enhance student learning, particularly in relation to developing improved clinical decision-making skills. Objective: To investigate the feasibility of head-mounted video camera recordings, to augment feedback, following acute patient deterioration simulations. Design: Pilot study using an observational design. Methods: Ten final-year nursing students participated in three simulation exercises, each focussed on detection and management of patient deterioration. Two observers collected behavioural data using an adapted version of Gaba's Clinical Simulation Tool, to provide verbal feedback to each participant, following each simulation exercise. Participants wore a head-mounted video camera during the second simulation exercise only. Video recordings were replayed to participants to augment feedback, following the second simulation exercise. Data were collected on: participant performance (observed and perceived); participant perceptions of feedback methods; and head-mounted video camera recording feasibility and capability for detailed audio-visual feedback. Results: Management of patient deterioration improved for six participants (60%). Increased perceptions of confidence (70%) and competence (80%), were reported by the majority of participants. Few participants (20%) agreed that the video recording specifically enhanced their learning. The visual field of the head-mounted video camera was not always synchronised with the participant's field of vision, thus affecting the usefulness of some recordings. Conclusion: The usefulness of the video recordings, to enhance verbal feedback to participants on detection and management of simulated patient deterioration, was inconclusive. Modification of the video camera glasses, to improve visual-field synchronisation with participants' actual visual field, is recommended to further explore this technology for enhancing student performance.

AB - Background: Clinical decision-making is a complex activity that is critical to patient safety. Simulation, augmented by feedback, affords learners the opportunity to learn critical clinical decision-making skills. More detailed feedback following simulation exercises has the potential to further enhance student learning, particularly in relation to developing improved clinical decision-making skills. Objective: To investigate the feasibility of head-mounted video camera recordings, to augment feedback, following acute patient deterioration simulations. Design: Pilot study using an observational design. Methods: Ten final-year nursing students participated in three simulation exercises, each focussed on detection and management of patient deterioration. Two observers collected behavioural data using an adapted version of Gaba's Clinical Simulation Tool, to provide verbal feedback to each participant, following each simulation exercise. Participants wore a head-mounted video camera during the second simulation exercise only. Video recordings were replayed to participants to augment feedback, following the second simulation exercise. Data were collected on: participant performance (observed and perceived); participant perceptions of feedback methods; and head-mounted video camera recording feasibility and capability for detailed audio-visual feedback. Results: Management of patient deterioration improved for six participants (60%). Increased perceptions of confidence (70%) and competence (80%), were reported by the majority of participants. Few participants (20%) agreed that the video recording specifically enhanced their learning. The visual field of the head-mounted video camera was not always synchronised with the participant's field of vision, thus affecting the usefulness of some recordings. Conclusion: The usefulness of the video recordings, to enhance verbal feedback to participants on detection and management of simulated patient deterioration, was inconclusive. Modification of the video camera glasses, to improve visual-field synchronisation with participants' actual visual field, is recommended to further explore this technology for enhancing student performance.

KW - Debriefing

KW - Decision-making

KW - Feedback

KW - Nursing

KW - Patient safety

KW - Simulation

KW - Students

KW - Video-recording

UR - http://www.scopus.com/inward/record.url?scp=84961191120&partnerID=8YFLogxK

U2 - 10.1016/j.nedt.2016.01.012

DO - 10.1016/j.nedt.2016.01.012

M3 - Article

C2 - 27006042

AN - SCOPUS:84961191120

VL - 39

SP - 116

EP - 121

JO - Nurse Education Today

JF - Nurse Education Today

SN - 0260-6917

ER -