The Validity of the SEEV Model as a Process Measure of Situation Awareness: The Example of a Simulated Endotracheal Intubation

Author(s):  
Tobias Grundgeiger ◽  
Anna Hohm ◽  
Annabell Michalek ◽  
Timo Egenolf ◽  
Christian Markus ◽  
...  

Objective In the context of anesthesiology, we investigated whether the salience effort expectancy value (SEEV) model fit is associated with situation awareness and perception scores. Background The distribution of visual attention is important for situation awareness—that is, understanding what is going on—in safety-critical domains. Although the SEEV model has been suggested as a process situation awareness measure, the validity of the model as a predictor of situation awareness has not been tested. Method In a medical simulation, 31 senior and 30 junior anesthesiologists wore a mobile eye tracker and induced general anesthesia into a simulated patient. When inserting a breathing tube into the mannequin’s trachea (endotracheal intubation), the scenario included several clinically relevant events for situation awareness and general events in the environment. Both were assessed using direct awareness measures. Results The overall SEEV model fit was good with no difference between junior and senior anesthesiologists. Overall, the situation awareness scores were low. As expected, the SEEV model fits showed significant positive correlations with situation awareness level 1 scores. Conclusion The SEEV model seems to be suitable as a process situation awareness measure to predict and investigate the perception of changes in the environment (situation awareness level 1). The situation awareness scores indicated that anesthesiologists seem not to perceive the environment well during endotracheal intubation. Application The SEEV model fit can be used to capture and assess situation awareness level 1. During endotracheal intubation, anesthesiologists should be supported by technology or staff to notice changes in the environment.

Author(s):  
Kimberly N. Perry ◽  
Mark W. Scerbo

The goal of the present study was to examine how interruptions occurring in dynamic scenes affect the ability to detect perceptual changes during level 1 situation awareness (SA). Undergraduates were asked to watch 24 brief videos (half with interruptions) including 8 with perceptual feature changes. All videos were unique and contained multiple dynamic objects. Three different sets of instructions regarding the changes were given to successive groups: no information, limited information, and feature specific information. Of the eight changes, half occurred during a visual interruption and half with no interruption. Results showed that participants detected few changes, but detections increased when given more information about the nature of the changes in the absence of interruptions. The findings suggest that interruptions may facilitate the decay of an objects’ activation level in working memory and that level 1 SA may be particularly fragile when the visual scene is interrupted.


Author(s):  
Alexa Doig ◽  
Katie Baraki ◽  
Frank Drews

The objective of this study was to identify cognitive predictors of failure to rescue among acute care oncology nurses. Fifty-seven oncology nurses were video recorded as they monitored a patient developing a life threatening non-routine event in a high fidelity acute care hospital setting, in the case of this analysis– sepsis. Nurses who had higher levels of level 1 situation awareness (i.e., use limited data from the electronic health record and assessment findings) were more likely to detect sepsis and initiate an appropriate response. In the failure to rescue cases, the majority of errors occurred at the level of perception or level 1 situation awareness. Twenty percent of nurses who identified that the patient was septic, were not able to project the potential severity of the situation and apply appropriate interventions.


2008 ◽  
Vol 2 (1) ◽  
pp. 1-23 ◽  
Author(s):  
Christine Chauvin ◽  
J. P. Clostermann ◽  
Jean-Michel Hoc

In this study, the authors aim to determine the impact of situation awareness (SA) in the decision-making process of “young” watch officers of a Merchant Marine training facility. The trainees were shown an ambiguous interaction situation in which they could choose among several actions. The results show that Level 1 SA (perception of the elements in the environment) tends to be of secondary importance in decision making. The major variables of the decision-making process are the interpretation of the rules and anticipation of the other vessel's intentions. Moreover, four different trainee “profiles” emerged. The main difference between them lies in the distance at which they decided to change course, the direction of this maneuver (port or starboard), the way in which they interpreted the other vessel's intentions (is it going to change course?), and whether the trainees referred to the rules. Of the trainees, 55% performed a maneuver that was against regulations, and 34% did so in an unsafe manner. This result provides an incentive to rethink the training course to put more stress on recognizing prototypical situations and choosing which actions to take in situations such as the one presented here.


2021 ◽  
pp. 106907272110399
Author(s):  
Nanhee Kim ◽  
Jinsoo Choi ◽  
Yonguk Park ◽  
Young Woo Sohn

This study aimed to provide a reliable and valid measure of workaholism for Korean workers. We translated the Multidimensional Workaholism Scale (MWS) into Korean and validated it with a sample of 1020 full-time Korean employees. An exploratory factor analysis revealed a four-factor solution (Study 1; N = 524), and a confirmatory analysis further demonstrated good model fit of the four-factor structure (Study 2; N = 496). The scale’s concurrent and construct validity was supported by positive correlations with other existing measures of workaholism, emotional exhaustion, and work–family conflict (WFC) and by a negative correlation with psychological detachment. Moreover, the MWS demonstrated a moderate association with work engagement, but no significant association with job satisfaction. It further showed significant incremental validity in predicting emotional exhaustion and WFC. The findings support the Korean MWS version’s reliability and validity for measuring workaholism among Korean employees. Theoretical implications for the workaholism literature and practical implications for corporate counselors and human resource practitioners are discussed.


2016 ◽  
Vol 36 (2) ◽  
pp. 162-174 ◽  
Author(s):  
Esther Sui Chu Ho ◽  
Kwok Wing Sum

This study aims to construct and validate the Career and Educational Decision Self-Efficacy Inventory for Secondary Students (CEDSIS) by using a sample of 2,631 students in Hong Kong. Principal component analysis yielded a three-factor structure, which demonstrated good model fit in confirmatory factor analysis. High reliability was found for the whole scale and each subscale, and construct validity was exhibited by the positive correlations with general self-esteem. Overall, evidence indicates that CEDSIS is a valid and reliable tool for effectively and efficiently assessing the educational and career decision-making self-efficacy of secondary students. Finally, implications and limitations of this study are discussed.


2019 ◽  
Vol 7 (11) ◽  
pp. 232596711988050 ◽  
Author(s):  
David A. Hankins ◽  
Ian E. Fletcher ◽  
Fermin Prieto ◽  
Andrew C. Ockuly ◽  
Orrin B. Myers ◽  
...  

Background: Many studies have evaluated the management of knee dislocations (KDs) and multiligamentous knee injuries (MLKIs). However, no study to date has analyzed the quality of the most cited articles in this literature. Hypothesis: There is a positive correlation between the number of article citations in the KD and MLKI literature and their methodologic quality. Study Design: Systematic review. Methods: The Web of Science online database was searched to identify the top 50 cited articles in KD and MLKI care. Demographic data were recorded for each study. The Modified Coleman Methodology Score (MCMS) and the Methodological Index for Non-randomized Studies (MINORS) were used to analyze the methodological quality of each article. Spearman correlation coefficients ( r s) were then calculated. Results: The articles identified were published between 1958 and 2015 in a wide variety of peer-reviewed journals (n = 16). The majority of study level of evidence (LOE) was of low quality (level 5, 16%; level 4, 54%; level 3, 16%; level 2, 14%). There were no studies of level 1 evidence. The mean MCMS and MINORS scores were 29.0 (SD, 19.1; range, 3-72) and 6.1 (SD, 3.7; range, 0-14), respectively. No significant correlation was identified between the number of citations and the publication year, LOE, MCMS, or MINORS ( r s = 0.123 [ P = .396]; r s = 0.125 [ P = .389]; r s = 0.182 [ P = .204]; and r s = 0.175 [ P = .224], respectively). Positive correlations were observed between improved MCMS and MINORS scores and more recent year of publication ( r s = 0.43 [ P = .002]; r s = 0.32 [ P = .022]) as well as improved study LOE ( r s = 0.65 [ P < .001]; r s = 0.67 [ P < .001]). Conclusion: The top 50 cited articles on KD and MLKI care consisted of low LOE and methodological quality, with no existing level 1 articles. There was no significant correlation between the number of citations and publication year, LOE, or study methodological quality. Positive correlations were observed between later publication date and improved methodological quality.


2000 ◽  
Vol 44 (21) ◽  
pp. 3-394-3-397 ◽  
Author(s):  
Harvey S. Smallman ◽  
Elaine Schiller ◽  
Craig A. Mitchell

3-D displays populated with realistic 3-D icons have been touted as making good “at a glance” displays. Do they promote more rapid Situation Awareness (SA) than comparable 2-D displays? If so, is it the display format (2-D vs. 3-D) or the nature of the symbols (realistic icons vs. non-realistic symbols) populating the displays that matters, or both? Three groups of 13 participants observed a 9 minute naval air defense scenario. The first group saw it depicted in 3-D with icons, the second group saw it depicted in 2-D with icons and the third group saw it in 2-D with symbols. In each condition, the scenario was stopped every 30 seconds and we assessed ability to recall the attributes of four random tracks with an online questionnaire. We measured Endlesy's (1995) level 1 SA: the perception of elements of the display. SA for the 3-D display increased fastest over the course of the scenario. However, it started from one third the level of that for the 2-D symbol display and it took 4 minutes to reach 2-D levels. The advantages the 3-D display did confer were for those attributes that were visually explicit in the 3-D icons but available only in pop-up text boxes in the 2-D conditions. Similarly, depicting heading explicitly with the 2-D icons was superior to that with the 2-D symbols. The benefits of 3-D displays may sometimes stem from indirect application of good design principles, such as making certain information visually explicit, rather than from depicting three-dimensional space, per se. It remains an open question whether 2-D displays can be designed with comparable explicit analog coding.


Author(s):  
Christopher Wickens ◽  
Jason McCarley ◽  
Kelly Steelman-Allen

N-SEEV is a model that predicts the noticeability of events that occur in the context of routine task-driven scanning across large scale visual environments. The model is an extension of the SEEV (salience, effort, expectancy, value) model, incorporating the influence of attentional set and allowing the possibility of a dynamic environment. The model was validated against two empirical data sets. In a study of pilot scanning across a high fidelity automated 747 cockpit, the SEEV component of the model predicted the distribution of attention with correlations of 0.85 and 0.88. In a lower fidelity study of pilot noticing of the onset of critical cockpit events (flight mode annunciators) the model predicted differences in noticing time and accuracy with correlations (across conditions) above 0.95. Other properties of the model are described.


2021 ◽  
Vol 12 ◽  
Author(s):  
Václav Linkov ◽  
Marek Vanžura

This study reviews the current information concerning the measurement of the situation awareness (SA) of the teleoperated drivers of remotely controlled cars. The teleoperated drivers who drive these cars are in a remote location, and they control the cars through a communication interface. The objective methods with probes are beneficial in measuring SA on a closed circuit without real traffic. Questions specifically should address the information provided on the road by haptic sensations, such as the slope of the road and the vehicle's speed. Methods for measuring SA that involve probes and interruptions obviously are not suitable for use on public roads. A stable environment for the display and control of the communication interface is suitable for an eye tracker in measuring SA. These features also facilitate the use of subjective observer-rating methods. Both of these methods are suitable for driving on real roads because they are not intrusive. SA research in a real-road environment also should demonstrate how the SA of other drivers is affected by seeing a car without a driver. Given the remote character of driving, cultural differences in cognition may have a significant influence on the SA of the teleoperated driver.


Author(s):  
Stefan Röttger ◽  
Hannes Krey

Introduction Empirical data on the effectiveness of BRM trainings is still sparse and as far as studies were published, not very encouraging. Both O’Connor (2011) and Röttger, Vetter & Kowalski (2016) report that a classroom-based BRM training adopted from CRM in aviation had no effect on performance, behavior (Röttger et al.) or even knowledge and attitudes (O’Connor) of training participants. Both studies conclude that the BRM trainings under study did not sufficiently take the specific training needs of bridge teams into account, but relied too much on contents and methods from CRM trainings in aviation. The purpose of the study reported here was to assess the effectiveness of a simulator-based BRM module specifically designed to improve teamwork behavior in navigation. Method The BRM module started with a two-hour lecture on non-technical (NTS) skills with emphasize on exchanging relevant information. A one-hour simulator exercise was provided for practice of NTS during navigation. Subsequently, a detailed debriefing was conducted with feedback on the NTS that had been introduced before the simulator run. Total duration of the module was 4 hours. Fourteen bridge teams (72 sailors) served as control group and received standard nautical simulator training. Ten teams (54 sailors) were in the experimental group and received the BRM module. Differences between control group and experimental group were assessed on four levels of training evaluation as proposed by Kirkpatrick (1979): Participants’ reactions to the training, cognitive effects in terms of attitude changes (assessed with the SMAQGN, Röttger, Vetter & Kowalski, 2012), behavior as observed in the frequencies (utterances per minute) of information exchange regarding level 1 situation awareness (e.g. readings of instruments or sightings of other vessel) and of level 2 situation awareness (SA) as defined by Endsley (1995), and performance in the detection and avoidance of an upcoming collision during a simulator run subsequent to the BRM training module. Results Reactions regarding global evaluation as well as organization and presentation of the simulator training did not differ between groups, but the traditional training was found to be of higher interest and relevance (3.8 vs. 4.1 on a five-point Likert-scale, p<.01). No attitude differences were found between groups at the end of the simulator training. Within-subject comparisons of ship management attitudes were performed with one-sided t-tests for dependent samples, based on the assumption that the training would have a positive or no effect, but not a negative effect on attitudes. Attitude change was found in the experimental group, but not in the control group. Attitudes were more positive towards communication and coordination after as compared to before the simulator training (4.0 vs. 4.1, p<.01). Due to the distinct non-normal distribution of the behavior frequency data, medians instead of arithmetic means are used to report central tendencies, and significance of group differences was assessed with Wilcoxon-Mann-Whitney tests. As for attitudes, effects of the BRM module in the direction opposite to the training aims were deemed unlikely and one-sided tests were performed. Sharing level 1 SA information was very similar in both groups (every 103 vs. 100 seconds, p=.45). Communications on situation assessments or command aims were observed every 5.5 minutes in the experimental group, but only every 9 minutes in the control group. With p=.06, this difference narrowly missed statistical significance. Teams who avoided a collision with or without a last-minute maneuver are distributed equally between control group and experimental group. Collisions, however, occurred in the control group only. Pearson's χ2 test was performed to examine this difference. Based on the frequency distribution, it tests the null hypothesis that all safety outcomes have equal probabilities in both groups. With χ2 = 3.43, p = .056, statistical significance is again narrowly missed. Discussion The effects found in this study are rather small, and the observed differences between experimental group and control group in behavior and performance fell just short of the standard limit of α ≤ .05 for statistical significance. This can be explained by the limited scale of the BRM module, which lasted only four hours and comprised only one cycle of instruction, exercise, and feedback. Due to the consistent pattern of results, we argue that this data can be regarded as an indication of the effectiveness of a simulator-based BRM training. When comparing the results reported here with those described in Röttger et al. (2016), we find it remarkable that four hours of BRM training in a simulator have a stronger effect on behavior and performance than five days of BRM training in the classroom. If the instructions on non-technical skills is scheduled at the beginning of simulator trainings, and feedback on the non-technical skills will be provided together with nautical feedback at the end of each simulator run over the course of 2 – 4 days of training, we expect larger effects on behavior and performance of the sailors than those we could find in this study.


Sign in / Sign up

Export Citation Format

Share Document