Exploring eye-tracking data as an indicator of situational awareness in nursing students during a cardiorespiratory arrest simulation.

AIM: To examine the components of visual attention that maintain situational awareness during simulation training in undergraduate nursing students with different instruction levels. BACKGROUND: Eye-tracking can provide deep insight into the nurses' attention during simulated practice. Knowing which gaze patterns promote situational awareness can significantly improve nurse instruction. DESIGN: A 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. METHODS: Thirty 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. RESULTS: The 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). CONCLUSION: Eye-tracking-based analysis can help to predict performance quality while maintaining situational awareness during nursing instruction.

Impact of a COVID-19 Outbreak in an Elderly Care Home after Primary Vaccination.

Elderly care home residents are particularly vulnerable to COVID-19 due to immune-senescence, pre-existing medical conditions, and the risk of transmission from staff and visitors. This study aimed to describe the outcomes of a COVID-19 outbreak in a long-term care facility for elderly persons following the initial vaccination. A single-center, retrospective, observational design was used to analyze the variables associated with hospitalization and death rate by logistic regression. Adjusted odds ratios (aOR) and their 95% confidence intervals (CI) were calculated. Sixty-eight residents received the first dose of the COVID-19 vaccine. Despite being negative six days after vaccination, the performance of a second test 4 days later revealed 51 positives (75.0%) among residents and 18 among workers (56.3%). A total of 65 of the 68 residents (95.58%) had positive results with symptoms, whereas 34.9% required hospitalization, and 25.8% died. The best-fitting model to explain the distribution of cases reflects three points at the time of infection.. The time from vaccination to symptom onset explains the hospitalization and mortality rates since a day elapsed halves the risk of hospitalization (aOR = 0.57; CI = 0.38-0.75) and the risk of death by a quarter (aOR = 0.74; CI = 0.63-0.88). Nursing homes present an elevated risk of transmission and severity of SARS-CoV-2 infection. Although vaccination reduces the risk of hospitalization and death, extreme prevention and control measures are essential in these institutions despite the high vaccination coverage.

Using Task-Evoked Pupillary Response to Predict Clinical Performance during a Simulation Training.

Training in healthcare skills can be affected by trainees' workload when completing a task. Due to cognitive processing demands being negatively correlated to clinical performance, assessing mental workload through objective measures is crucial. This study aimed to investigate task-evoked changes in pupil size as reliable markers of mental workload and clinical performance. A sample of 49 nursing students participated in a cardiac arrest simulation-based practice. Measurements of cognitive demands (NASA-Task Load Index), physiological parameters (blood pressure, oxygen saturation, and heart rate), and pupil responses (minimum, maximum, and difference diameters) throughout revealed statistically significant differences according to performance scores. The analysis of a multiple regression model produced a statistically significant pattern between pupil diameter differences and heart rate, systolic blood pressure, workload, and performance (R2 = 0.280; F (6, 41) = 2.660; p < 0.028; d = 2.042). Findings suggest that pupil variations are promising markers to complement physiological metrics for predicting mental workload and clinical performance in medical practice.

Effect of Facial Skin Temperature on the Perception of Anxiety: A Pilot Study.

The extent of anxiety and psychological stress can impact upon the optimal performance of simulation-based practices. The current study investigates the association between differences in skin temperature and perceived anxiety by under- (n = 21) and post-graduate (n = 19) nursing students undertaking a cardiopulmonary resuscitation (CPR) training. Thermal facial gradients from selected facial regions were correlated with the scores assessed by the State-Trait Anxiety Inventory (STAI) and the chest compression quality parameters measured using mannequin-integrated accelerometer sensors. A specific temperature profile was obtained depending on thermal facial variations before and after the simulation event. Statistically significant correlations were found between STAI scale scores and the temperature facial recordings in the forehead (r = 0.579; p < 0.000), periorbital (r = 0.394; p < 0.006), maxillary (r = 0.328; p < 0.019) and neck areas (r = 0.284; p < 0.038). Significant associations were also observed by correlating CPR performance parameters with the facial temperature values in the forehead (r = 0.447; p < 0.002), periorbital (r = 0.446; p < 0.002) and maxillary areas (r = 0.422; p < 0.003). These preliminary findings suggest that higher anxiety levels result in poorer clinical performance and can be correlated to temperature variations in certain facial regions.

Burnout y engagement en estudiantes universitarios de enfermería / Burnout and engagement among university nursing students

Los universitarios se encuentran sometidos a cargas académicas prolongadas que ocuparan la mayor parte de su tiempo. La capacidad para hacer frente a estas situaciones de estrés durante su formación, dependerá ente otras cosas, de la disposición personal para afrontar las demandas académicas. Objetivo: Describir el nivel de burnout (agotamiento, cinismo y eficacia académica) y el compromiso académico a través de la variable engagement (absorción, dedicación y vigor), además de analizar las asociaciones, relaciones y predicciones entre estas variables en estudiantes de Enfermería. Material y método. Estudio descriptivo transversal en 1009 sujetos. Instrumentos de recogida de datos: Maslach Burnout Inventory y Utrech Work Engagement en versión estudiantes. Resultados: Las dimensiones del burnout y engagement correlacionan entre sí. A mayor eficacia académica menos agotamiento y cinismo y mayor puntuación en todas las dimensiones del engagement académico. El vigor y la dedicación predicen puntuaciones más altas en eficacia académica. Las mujeres se perciben con puntuaciones más bajas en cinismo y más altas en eficacia académica, absorción y dedicación. Conclusiones: Los alumnos muestran más burnout cuando manifiestan altas puntuaciones de agotamiento y cinismo y bajas en eficacia académica, además valores altos en las tres dimensiones del engagement indican alto compromiso con sus estudios. La relación entre estas variables pone de manifiesto la diferencia entre hombres y mujeres y la influencia positiva del engagement en la eficacia académica del estudiante. El fomento de engagement puede ser una oportunidad para superar las tareas académicas y para enfrentarse al mundo laboral con mayor probabilidad de éxito

University students are tasked with a protracted academic workload that occupies the greater part of their time. Their ability to cope with the stress this entails during their degree course will partly depend on their personal response to these academic demands. Objective: to describe nursing students’ level of burnout (exhaustion, cynicism and academic efficacy) and academic engagement through the variable engagement (absorption, dedication and vigour), and to analyse associations, relations and predictions between these variables. Materials and method: cross-sectional descriptive study with 1009 subjects. Data collection instruments: student versions of the Maslach Burnout Inventory and the Utrecht Work Engagement Scale. Results: the dimensions of burnout and engagement correlated with each other. The higher the score for academic efficacy, the lower the scores for exhaustion and cynicism and the higher the score in all dimensions of academic engagement. Vigour and dedication predicted higher scores for academic efficacy. Females' self-perceptions indicated lower scores for cynicism and higher scores for academic efficacy, absorption and dedication. Conclusions: students evidenced more burnout when they obtained high scores for exhaustion and cynicism and low scores for academic efficacy. In addition, high scores for the three dimensions of engagement indicated high commitment to their studies. The relationship between these variables indicates a difference between males and females and a positive influence of engagement on students' academic efficacy. Promoting engagement could help students to deal with academic tasks and enter the labour market with a greater probability of success

Tobacco use amongst nursing and physiotherapy students: a cross sectional questionnaire survey.

AIM: The aim of this research was to evaluate the prevalence, knowledge and attitudes of tobacco use in the students of the School of Health Sciences in the Campus of Ponferrada (University of León, Spain). Two-hundred and sixty-six (88.3% of respondents) students were assessed by a confidential questionnaire, which was distributed, completed by the students and collected in the same session. METHODS: This was a descriptive quantitative survey research design to examine the tobacco use among nursing and physiotherapy students. RESULTS: The global prevalence was 29.3%. In relation to academic courses we have observed statistical significance (p=0.006). Therefore students increased tobacco use while their training at the school. Seventy (89.7%) of students were smokers prior to commencing degree. Nursing students declared were unfamiliar with strategies and methods to help people to quit. The first academic course students (78.6%) significantly differed (p=0.009) from second and third course. We have found scores statistically significant (p=0.04) about the students opinion about health professionals social role function. CONCLUSION: Tobacco consumption in university health students in the third year was higher than people aged 16-24 years old reported from the National Health Survey. The findings showed a great need to improve the curricular content in the area of tobacco including information, prevention, and treatment.