Dataset Information

Visual attention patterns of team leaders during delivery room resuscitation.

ABSTRACT:

Aim

To assess visual attention of neonatal team leaders during delivery room resuscitation of preterm infants using eye tracking glasses.

Methods

Prospective observational eye tracking study. Gaze fixations and sequences were captured, categorized, and mapped during the first 5?min of the resuscitations. Gaze fixation metrics of total gaze duration, visit count, and visit duration were summarized and compared based on interventions performed and provider training level. Fixation sequences were compared between attending neonatologists and fellows.

Results

During 18 eye tracking recordings, practitioners focused most of their cumulative visual attention on the infant (median total gaze duration 57%, interquartile range [IQR] 38-61%), followed by monitors (24%, IQR 13-46%), clinical staff (5%, IQR 1-8%), other physical objects (4%, IQR 3-6%), T-piece resuscitator (2%, IQR 0-4%) and the Apgar timer (1%, IQR 0-2%). Visual attention parameters varied according to intervention, with higher visit counts on the infant during corrective ventilation steps than during Continuous Positive Airway Pressure (CPAP) or Positive Pressure Ventilation (PPV), and longer visit durations on monitors during PPV. Time and frequency-based measures of visual attention did not significantly differ by provider training level, but patterned fixation sequences were identified among attending neonatologists that were not observed in fellows.

Conclusion

Team leaders predominantly gazed upon the infant and monitors during resuscitation, and visual attention parameters varied depending on the respiratory interventions performed. Attending neonatologists exhibited patterned fixation sequences that were not observed in fellows. Study results may have implications for optimizing delivery room design and training novice providers.

SUBMITTER: Weinberg DD

PROVIDER: S-EPMC6995430 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Publications

Visual attention patterns of team leaders during delivery room resuscitation.

Weinberg Danielle D DD Newman Haley H Fishman Claire E CE Katz Trixie A TA Nadkarni Vinay V Herrick Heidi M HM Foglia Elizabeth E EE

Resuscitation 20191220

<h4>Aim</h4>To assess visual attention of neonatal team leaders during delivery room resuscitation of preterm infants using eye tracking glasses.<h4>Methods</h4>Prospective observational eye tracking study. Gaze fixations and sequences were captured, categorized, and mapped during the first 5 min of the resuscitations. Gaze fixation metrics of total gaze duration, visit count, and visit duration were summarized and compared based on interventions performed and provider training level. Fixation s ...[more]

PMID: 31870924

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Project description:Simultaneous tracking of the position of the ball and player locations and activities places high demands on visual attention in team ball sport athletes. Owing to their extensive sports training, these athletes may be expected to exhibit visual attention skills superior to non-athletes; however, the results of studies examining this are inconsistent. Thus, the first aim of this study was to assess the impact of participating in a team ball sport on visual attention. There is limited empirical evidence indicating a sex difference in visual attention, and few studies have reported on visual attention in male and female athletes. Thus, the second aim of this study was to determine whether team ball sport experience affected any sex differences in visual attention. In total, 44 highly skilled basketball players-22 men (mean age: 21.86 ± 2.15 years) with a mean (SD) of 8.46 (2.92) years training experience and 22 women (mean age: 21.32 ± 1.58 years) with a mean (SD) of 8.22 (2.44) years of training experience-and 44 non-athletic undergraduate college students-22 men (mean age: 21.62 ± 1.88 years) and 22 women (mean age: 21.55 ± 1.72 years)-were recruited and completed this study. Visual attention was measured by using the multiple object tracking (MOT) task. Skilled basketball players showed superior tracking accuracy to non-athletic college students on the MOT task. A significant sex difference was found only among the non-athletic college students, with better tracking accuracy for men than for women on the MOT task. By contrast, no significant sex difference was observed among the skilled basketball players for tracking accuracy on the MOT task. These findings indicated that team ball sport training may enhance visual attention as assessed by tracking accuracy. Given that the male and female basketball players in this study had similar training experience and game performance demands, long-term team ball sport experience appeared to minimize the sex difference in visual attention found among non-athletic students.

Project description:ObjectivesInadequate self-efficacy of resuscitation team members may impair team performance, but high self-efficacy does not guarantee competence. We evaluated the relationship between individual self-efficacy and resuscitation team competence.DesignSecondary analysis of a randomized controlled trial.SettingHigh-fidelity in situ in-hospital cardiac arrest simulations at seven hospitals in Utah.SubjectsMultidisciplinary cardiac arrest resuscitation team members.InterventionsNone.Measurements and main resultsResuscitation team members completed surveys evaluating resuscitation self-efficacy (confidence in resuscitation role, difficulty thinking clearly, and concerns about committing errors) after each simulation. The primary outcome was event-level chest compression hands-on fraction greater than 75%. Secondary outcomes included other measures of resuscitation quality, advanced cardiac life support protocol adherence, and nontechnical team performance. Analyses employed the Datta-Satten rank-sum method to account for response clustering within simulation events. Of 923 participants in 76 analyzable simulations, 612 (66%) submitted complete surveys and 33 (43%) resuscitation teams achieved hands-on fraction greater than 75%. Event-level chest compression hands-on fraction greater than 75% versus less than or equal to 75% was not associated with the percentage of resuscitation team members reporting confidence in their team role (n = 213 [74%] vs. n = 251 [77%], respectively, p = 0.18), lack of difficulty thinking clearly (n = 186 [65%] vs. n = 214 [66%], p = 0.92), or lack of worry about making errors (n = 155 [54%] vs. n = 180 [55%], p = 0.41). Team members' confidence was also not associated with secondary outcomes, except that teams with confident members had better values for composite (3.55 [interquartile range, IQR 3.00-3.82] vs. 3.18 [IQR 2.57-3.64], p = 0.024) and global (8 [7-9] vs. 8 [6-8], p = 0.029) scales measuring nontechnical team performance.ConclusionsTeam members' self-efficacy was not associated with most team-level competence metrics during simulated cardiac arrest resuscitation. These data suggest that self-efficacy should have a limited role for evaluation of resuscitation training programs and for initial certification and monitoring of individual resuscitation team members' competence.

Dataset Information

Visual attention patterns of team leaders during delivery room resuscitation.

Aim

Methods

Results

Conclusion

Publications

Visual attention patterns of team leaders during delivery room resuscitation.

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