Parker, SIA, Wilkins, J, Inayat, S, Hollingsworth, N, Causer, J, Virani, S and Caird, JK (2025) A randomized control trial to compare Quiet Eye training efficacy to traditional technical training with undergraduate student nurses' peripheral intravenous cannulation performance: a protocol. British Journal of Nursing, 34 (2). S21-S26. ISSN 0966-0461

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Abstract

Introduction: Peripheral intravenous cannulation (PIVC) is a common and complex procedure with low first-attempt success rates, causing patient suffering and increased healthcare costs. Quiet Eye (QE) training, a gaze-focused approach, has shown promise in improving procedural PIVC skills. We will examine the effectiveness of traditional technical training (TT) and QE (QET) training on student nurse PIVC performance. Methods: 44 participants will be randomly assigned to either the TT or QET groups using a blocked randomization method to ensure balanced group sizes. Blinded outcome assessments will minimize bias. Data will be collected using a structured questionnaire and a mobile eye tracker to simultaneously record gaze and hand movements. Participants will complete pre-intervention, post-intervention, and one-week retention tests using a light-skinned manikin arm. A transfer task, utilizing a dark-skinned manikin arm, will assess participants’ skills post trials. The TT group will receive traditional instruction on hand movement improvement; the QET group will receive feedback on their gaze behaviours. The primary outcome measure will be PIVC first attempt success defined as being able to flush the inserted catheter with 10 mL (maximum) normal saline into the vessel. A trial will be considered unsuccessful if more than gentle pressure on the syringe plunger is needed to flush the catheter or if the participant abandoned the attempt before attempting the flush. Other dependent variables will be QE duration (%), number of fixations, total movement time (s), and movement phase time (s). We will analyze data with descriptive and inferential statistics, including mixed model ANOVA and Chi-Square tests. Discussion: This study examines the significance of improving PIVC first attempt success rates and highlights QET potential as an intervention. Emphasis is placed on critical implications for healthcare, particularly the importance of integrating QETinto nursing education programs. Future research utilizing large-scale trials and longitudinal designs is recommended.

Item Type:	Article
Uncontrolled Keywords:	1110 Nursing
Subjects:	R Medicine > RC Internal medicine > RC1200 Sports Medicine R Medicine > RT Nursing
Divisions:	Sport and Exercise Sciences
Publisher:	MA Healthcare
SWORD Depositor:	A Symplectic
Date Deposited:	29 Jan 2025 12:05
Last Modified:	29 Jan 2025 12:15
DOI or ID number:	10.12968/bjon.2025.0019
URI:	https://researchonline.ljmu.ac.uk/id/eprint/25479

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