Eye Movements as Predictors of Student Experiences during Nursing Simulation Learning Events

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Bibliographic Details
Title: Eye Movements as Predictors of Student Experiences during Nursing Simulation Learning Events
Language: English
Authors: Madison Lee Mason (ORCID 0000-0001-6395-0976), Caleb Vatral, Clayton Cohn, Eduardo Davalos, Mary Ann Jessee, Gautam Biswas, Daniel T. Levin
Source: Cognitive Research: Principles and Implications. 2025 10.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 22
Publication Date: 2025
Sponsoring Agency: National Science Foundation (NSF), Division of Research on Learning in Formal and Informal Settings (DRL)
Contract Number: 2418602
Document Type: Journal Articles
Reports - Research
Descriptors: Eye Movements, Nursing Students, Student Experience, Nursing Education, Simulation, Learning Activities, Student Behavior, Predictor Variables, Self Efficacy
DOI: 10.1186/s41235-025-00640-7
ISSN: 2365-7464
Abstract: Although the "eye-mind link" hypothesis posits that eye movements provide a direct window into cognitive processing, linking eye movements to specific cognitions in real-world settings remains challenging. This challenge may arise because gaze metrics such as fixation duration, pupil size, and saccade amplitude are often aggregated across timelines that include heterogeneous events. To address this, we tested whether aggregating gaze parameters across participant-defined events could support the hypothesis that increased focal processing, indicated by greater gaze duration and pupil diameter, and decreased scene exploration, indicated by smaller saccade amplitude, would predict effective task performance. Using head-mounted eye trackers, nursing students engaged in simulation learning and later segmented their simulation footage into meaningful events, categorizing their behaviors, task outcomes, and cognitive states at the event level. Increased fixation duration and pupil diameter predicted higher student-rated teamwork quality, while increased pupil diameter predicted judgments of effective communication. Additionally, increased saccade amplitude positively predicted students' perceived self-efficacy. These relationships did not vary across event types, and gaze parameters did not differ significantly between the beginning, middle, and end of events. However, there was a significant increase in fixation duration during the first five seconds of an event compared to the last five seconds of the previous event, suggesting an initial encoding phase at an event boundary. In conclusion, event-level gaze parameters serve as valid indicators of focal processing and scene exploration in natural learning environments, generalizing across event types.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1476082
Database: ERIC
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Description
Abstract:Although the "eye-mind link" hypothesis posits that eye movements provide a direct window into cognitive processing, linking eye movements to specific cognitions in real-world settings remains challenging. This challenge may arise because gaze metrics such as fixation duration, pupil size, and saccade amplitude are often aggregated across timelines that include heterogeneous events. To address this, we tested whether aggregating gaze parameters across participant-defined events could support the hypothesis that increased focal processing, indicated by greater gaze duration and pupil diameter, and decreased scene exploration, indicated by smaller saccade amplitude, would predict effective task performance. Using head-mounted eye trackers, nursing students engaged in simulation learning and later segmented their simulation footage into meaningful events, categorizing their behaviors, task outcomes, and cognitive states at the event level. Increased fixation duration and pupil diameter predicted higher student-rated teamwork quality, while increased pupil diameter predicted judgments of effective communication. Additionally, increased saccade amplitude positively predicted students' perceived self-efficacy. These relationships did not vary across event types, and gaze parameters did not differ significantly between the beginning, middle, and end of events. However, there was a significant increase in fixation duration during the first five seconds of an event compared to the last five seconds of the previous event, suggesting an initial encoding phase at an event boundary. In conclusion, event-level gaze parameters serve as valid indicators of focal processing and scene exploration in natural learning environments, generalizing across event types.
ISSN:2365-7464
DOI:10.1186/s41235-025-00640-7