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Assessment of Visual Attention in Teams with or without Dedicated Team Leaders: A Neonatal Simulation-Based Pilot Randomised Cross-Over Trial Utilising Low-Cost Eye-Tracking Technology

Lookup NU author(s): Dr Prakash Kannan Loganathan

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2024 by the authors.Background: Eye-tracking technology could be used to study human factors during teamwork. Objectives: This work aimed to compare the visual attention (VA) of a team member acting as both a team leader and managing the airway, compared to a team member performing the focused task of managing the airway in the presence of a dedicated team leader. This work also aimed to report differences in team performance, behavioural skills, and workload between the two groups using validated tools. Methods: We conducted a simulation-based, pilot randomised controlled study. The participants included were volunteer paediatric trainees, nurse practitioners, and neonatal nurses. Three teams consisting of four team members were formed. Each team participated in two identical neonatal resuscitation simulation scenarios in a random order, once with and once without a team leader. Using a commercially available eye-tracking device, we analysed VA regarding attention to (1) a manikin, (2) a colleague, and (3) a monitor. Only the trainee who was the airway operator would wear eye-tracking glasses in both simulations. Results: In total, 6 simulation scenarios and 24 individual role allocations were analysed. Participants in a no-team-leader capacity had a greater number of total fixations on manikin and monitors, though this was not significant. There were no significant differences in team performance, behavioural skills, and individual workload. Physical demand was reported as significantly higher by participants in the group without a team leader. During debriefing, all the teams expressed their preference for having a dedicated team leader. Conclusion: In our pilot study using low-cost technology, we could not demonstrate the difference in VA with the presence of a team leader.


Publication metadata

Author(s): Kannan Loganathan P, Garg A, McNicol R, Wall C, Pointon M, McMeekin P, Godfrey A, Wagner M, Roehr CC

Publication type: Article

Publication status: Published

Journal: Children

Year: 2024

Volume: 11

Issue: 8

Online publication date: 21/08/2014

Acceptance date: 16/08/2024

Date deposited: 09/09/2024

ISSN (electronic): 2227-9067

Publisher: Multidisciplinary Digital Publishing Institute (MDPI)

URL: https://doi.org/10.3390/children11081023

DOI: 10.3390/children11081023

Data Access Statement: Deidentified individual participant data will be made available, in addition to study protocols, the statistical analysis plan, and the consent form. The data will be made available upon publication to researchers who provide a methodologically sound proposal and research ethics board approval. Proposals should be submitted to pkannanloganathan@nhs.net.


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