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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Nursing & Midwifery, Deakin University, 221 Burwood Hwy, Burwood, Geelong, Victoria 3125, Australia. Electronic address: helen.forbes@deakin.edu.au.
authors.forename: Helen
authors.initials: H
authors.lastname: Forbes
authors.affiliation: School of Nursing & Midwifery, Deakin University, 221 Burwood Hwy, Burwood, Geelong, Victoria 3125, Australia.
authors.forename: Tracey K
authors.initials: TK
authors.lastname: Bucknall
authors.affiliation: School of Nursing & Midwifery, Deakin University, 221 Burwood Hwy, Burwood, Geelong, Victoria 3125, Australia.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Hutchinson
mesh_terms: D002983:Clinical Competence; D000066491:Clinical Decision-Making; D004508:Education, Nursing, Baccalaureate; D005240:Feasibility Studies; D005246:Feedback; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D008348:Manikins; D010865:Pilot Projects; D013338:Students, Nursing / Q000706:statistics & numerical data*; D014741:Video Recording; D055815:Young Adult
keywords: Debriefing; Decision-making; Feedback; Nursing; Patient safety; Simulation; Students; Video-recording