L’oculométrie pour examiner l’attention d’infirmiers et d’infirmières lors de simulations d’arrêt cardiorespiratoire : une étude de faisabilité et d’acceptabilité
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Résumé
Introduction : L’oculométrie offre une avenue pour évaluer la prise de décision infirmière en simulation. Des études ont montré sa faisabilité dans divers scénarios, mais se sont surtout concentrées sur des médecins dans un rôle de leadership. Son application lors de simulations d’arrêt cardiaque, un contexte où les infirmiers et les infirmières assument plusieurs rôles et tâches physiques comme les compressions thoraciques, reste à explorer.
Objectifs : Évaluer la faisabilité et l’acceptabilité de l’oculométrie auprès d’infirmiers et d’infirmières lors de simulations d’arrêt cardiaque, décrire les métriques d’oculométrie selon différents rôles en réanimation et explorer les relations entre ces métriques pour identifier les métriques les plus informatives pour la conception de futures études.
Méthodes : Dans cette étude observationnelle à groupe unique, 56 infirmiers et infirmières ont porté des lunettes d’oculométrie pendant des simulations d’arrêt cardiaque. Le principal critère d’évaluation de la faisabilité était la proportion de données d’oculométrie utilisables. Les critères d’évaluation secondaires comprenaient le taux de recrutement, le temps de calibration et l’acceptabilité des lunettes. Des analyses de corrélation ont permis d’examiner la relation entre les métriques d’oculométrie.
Résultats : La calibration des lunettes a été rapide et 85,7% des données étaient utilisables. Les lunettes étaient confortables et n’entravaient ni la vision ni la performance. Les données ont été cartographiées pour cinq zones d’intérêt : tête et thorax du patient, moniteur cardiaque, coéquipiers et chariot de réanimation. Les métriques présentaient des variations en fonction des rôles. Le nombre de fixations, la durée des fixations et le temps jusqu’à la première fixation semblaient être les métriques les plus informatives.
Discussion et conclusion : Ces résultats montrent la faisabilité et l’acceptabilité de l’oculométrie pendant des simulations de réanimation cardiorespiratoire. Les recherches futures devraient explorer les corrélations avec d’autres mesures d’attention pour affiner notre compréhension de la prise de décision infirmière lors d’un arrêt cardiaque.
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