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Related Concept Videos

Decision Making01:20

Decision Making

Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...

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Decision-Making in Nursing Students With Different Experience Levels Under Varying Task Complexities: A Pilot

Wei Luo1, Xiaoyan Jin, Weiran Xu

  • 1Author Affiliations: Candidate (Ms Luo), Professor of Nursing, Master's Supervisor (Prof. Jin), Technologist-in-charge (Ms Xu), and Technologist-in-charge (Ms Dong), Professor of Nursing, Doctoral Supervisor (Prof. Shang), School of Nursing, Peking University, Beijing, China; Clinical Nurse (Ms Hou), Intensive Care Unit, Henan Provincial People's Hospital, Zhengzhou, China; Head Nurse of Internal Medicine (Ms Liu), Department of Internal Medicine, Peking University Third Hospital, Beijing, China.

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Novice nurses show less organized attention and more gaze shifts when task complexity increases. Enhanced clinical experience helps maintain efficient decision-making and attention, crucial for patient care.

Keywords:
attentioncognitive reflectiondecision-makingeye-tracking technologytask complexity

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Area of Science:

  • Nursing Education
  • Cognitive Science
  • Human Factors Engineering

Background:

  • Effective decision-making is critical in nursing, yet often a challenge for students and novice nurses.
  • Eye-tracking technology provides an objective, real-time method for analyzing cognitive processes during decision-making.

Purpose of the Study:

  • To investigate how clinical experience and task complexity influence nursing students' decision-making processes.
  • To utilize eye-tracking to analyze gaze patterns and decision trajectories in relation to experience levels and task difficulty.

Main Methods:

  • A pilot observational study divided nursing students into high- and low-experience groups.
  • Participants completed intravenous infusion preparation tasks of varying complexity.
  • Eye-tracking and visualization techniques were employed to analyze visual attention and decision pathways.

Main Results:

  • Lower task complexity resulted in fewer fixations and shorter durations for all participants.
  • Increased complexity led to more fixations, longer durations, and frequent gaze shifts in low-experience students.
  • High-experience students demonstrated shorter fixation times, fewer transitions, and more organized visual attention, even with increased complexity.

Conclusions:

  • Clinical experience and task complexity significantly impact nursing decision-making and cognitive processing.
  • Higher complexity shifts processing from intuitive to analytical, particularly evident earlier in less-experienced students.
  • Integrating complexity-based tasks and expanded practice into nursing curricula can enhance efficient, patient-centered decision-making skills.