急危重症护士心电图培训中眼动追踪技术使用体验的质性研究

doi:10.3761/j.issn.2096-7446.2026.03.006

Abstract

Abstract:

Objective To explore the experiences of emergency and critical care nurses in using eye-tracking technology during electrocardiogram（ECG） training，and to provide references for improving training effectiveness.Methods Using purposive sampling，12 emergency and critical care nurses from a tertiary class A general hospital in Xiamen，Fujian Province were selected between February and March 2025 based on the principle of maximum variation. Semi-structured interviews were conducted，and data were analyzed and thematically summarized using Colaizzi’ s seven-step analysis method and NVivo 14.0 software.Results Three themes were identified：dual perception of using eye-tracking technology（positive perception due to technological attraction，negative experience due to initial adaptation barriers）；sense of training benefits from using eye-tracking technology（identification of unconscious cognitive blind spots，complementarity between theoretical and technological feedback，internalization of behavioral patterns and qualitative change in clinical decision-making）；and optimization needs for using eye-tracking technology（lightweight device design，stratified training for nurses，and data privacy protection）.Conclusion Eye-tracking technology provides a new pathway for cognitive restructuring in nurses’ ECG training，which can enhance self-directed learning and clinical decision-making abilities. However，challenges remain regarding device comfort，training adaptability，and data ethics. Administrators should optimize technical equipment，design stratified training programs，and establish privacy protection mechanisms to improve user experience and training effectiveness，thereby promoting the digital and intelligent development of nursing education.

Key words: Eye-Tracking Technology, Critical Care Nurses, Electrocardiogram Training, Qualitative Research

CHEN Xiuwan, CHEN Fuhong, GAO Lu, GUO Jiaying, SHEN Jiali. Qualitative study on the experience of using eye-tracking technology in electrocardiogram training for emergency and critical care nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 294-299.

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[1]	Kim M, Yoo J. Factors influencing self-confidence and educational needs in electrocardiographic monitoring among emergency room and intensive care unit nurses[J]. Healthcare, 2025, 13(3):277. doi: 10.3390/healthcare13030277
[2]	Buluba SE, He JY, Li H. ICU nurses’ knowledge and attitude towards electrocardiogram interpretation in Fujian province,China:a cross-sectional study[J]. Front Med, 2023, 10:1260312. doi: 10.3389/fmed.2023.1260312
[3]	Ayasreh I, Alkhalaileh M, Habahbeh A, et al. Electrocardiogram interpretation competency among emergency nurses in Jordan:a cross-sectional study[J]. Iran J Nurs Midwifery Res, 2024, 29(6):720-725.
[4]	Ashraf H, Sodergren MH, Merali N, et al. Eye-tracking technology in medical education:a systematic review[J]. Med Teach, 2018, 40(1):62-69. doi: 10.1080/0142159X.2017.1391373 pmid: 29172823
[5]	Scherff AD, Kääb S, Fischer MR, et al. EYE-ECG:an RCT of the influence of student characteristics and expert eye-tracking videos with cued retrospective reporting on students’ ECG interpretation skills[J]. GMS J Med Educ, 2024, 41(4):Doc40.
[6]	Sqalli MT, Al-Thani D, Elshazly MB, et al. A blueprint for an AI & AR-based eye tracking system to train cardiology professionals better interpret electrocardiograms[M]// Persuasive Technology. Cham: Springer International Publishing, 2022:221-229.
[7]	Specian Junior FC, Litchfield D, Sandars J, et al. Use of eye tracking in medical education[J]. Med Teach, 2024, 46(11):1502-1509. doi: 10.1080/0142159X.2024.2316863
[8]	Sandelowski M. What’s in a Name? Qualitative description revisited[J]. Res Nurs Health, 2010, 33(1):77-84. doi: 10.1002/nur.20362 pmid: 20014004
[9]	刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J]. 护理学杂志, 2019, 34(11):90-92.
	Liu M. Using an example to illustrate Colaizzi’s phenomenological data analysis method[J]. J Nurs Sci, 2019, 34(11):90-92.
[10]	Patel D, Alismail A. Relationship between cognitive load theory,intrinsic motivation and emotions in healthcare professions education:a perspective on the missing link[J]. Adv Med Educ Pract, 2024, 15:57-62. doi: 10.2147/AMEP.S441405
[11]	Hwang Y, Oh J. The relationship between self-directed learning and problem-solving ability:the mediating role of academic self-efficacy and self-regulated learning among nursing students[J]. Int J Environ Res Public Health, 2021, 18(4):1738. doi: 10.3390/ijerph18041738
[12]	付卫东, 张杉. 国家中小学智慧教育平台学生持续使用意愿影响因素研究:基于我国东中西部7省10674名学生的调查[J]. 河北大学学报(哲学社会科学版), 2025, 50(4):124-137.
	Fu WD, Zhang S. Study on the influencing factors of primary and middle school students’ continuous use intention in national smart education platform:based on a survey of 10 674 students in 7 provinces in eastern,central and western China[J]. J Hebei Univ Philos Soc Sci, 2025, 50(4):124-137.
[13]	Lee Y, Kim SK, Yoon H, et al. Smart glasses and telehealth services by professionals in isolated areas in Korea:Acceptability and concerns[J]. Technol Health Care, 2023, 31(3):855-865. doi: 10.3233/THC-220242
[14]	李春蓉, 李烁, 刘玲芳, 等. 心律失常相关心脏传导系统动画的设计及在护理临床教学中的应用研究[J]. 中华护理教育, 2025, 22(1):37-42.
	Li CR, Li S, Liu LF, et al. Design of arrhythmia-related cardiac conduction system animation and its application in nursing clinical ECG teaching[J]. Chin J Nurs Educ, 2025, 22(1):37-42.
[15]	Ohn MH, Souza UD, Ohn KM. A qualitative study on negative attitude toward electrocardiogram learning among undergraduate medical students[J]. Tzu Chi Med J, 2020, 32(4):392-397. doi: 10.4103/tcmj.tcmj_91_19
[16]	Tahri Sqalli M, Al-Thani D, Elshazly MB, et al. Understanding cardiology practitioners’ interpretations of electrocardiograms:an eye-tracking study[J]. JMIR Hum Factors, 2022, 9(1):e34058. doi: 10.2196/34058
[17]	毛文平, 骆金铠, 王云, 等. 基于学习行为数据分析的护士分层培训平台优化设计与应用[J]. 中国护理管理, 2025, 25(5):650-654.
	Mao WP, Luo JK, Wang Y, et al. Optimization design and application of nurse hierarchical training platform based on learning behavior data analysis[J]. Chin Nurs Manag, 2025, 25(5):650-654.
[18]	魏申毅, 李进, 吕娟, 等. 护士分层培训与管理系统的开发与应用[J]. 中华护理教育, 2023, 20(6):691-696.
	Wei SY, Li J, Lü J, et al. Development and application of nurse hierarchical training and management system[J]. Chin J Nurs Educ, 2023, 20(6):691-696.
[19]	Cosoli G, Spinsante S, Scalise L. Wrist-worn and chest-strap wearable devices:Systematic review on accuracy and metrological characteristics[J]. Measurement, 2020, 159:107789. doi: 10.1016/j.measurement.2020.107789
[20]	陈秀婉, 黄华玲, 洪雪珮, 等. 可穿戴设备在护士职业健康监护中的应用进展[J]. 中华护理杂志, 2025, 60(10):1277-1281. doi: 10.3761/j.issn.0254-1769.2025.10.020
	Chen XW, Huang HL, Hong XP, et al. Research progress of wearable devices in occupational health surveillance among nurses[J]. Chin J Nurs, 2025, 60(10):1277-1281. doi: 10.3761/j.issn.0254-1769.2025.10.020

Qualitative study on the experience of using eye-tracking technology in electrocardiogram training for emergency and critical care nurses

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