Usefulness of Videos Recorded by a Wearable Camera during Prehospital Care in Reviewing Quality of Care Provided by Novice Nurses

Abstract

Objective: A wearable camera was attached to a novice flight nurse (“novice”) while being engaged in prehospital care of a doctor helicopter. The purpose of this study was to examine the usefulness of the video recorded by the camera during prehospital care in order to review the performance of a novice.

Method: One novice was asked to identify problems in prehospital care services through videos recorded by a wearable camera. In addition, one certified instructor flight nurse (“certified instructor”) checked the same videos and showed the novice the problems that she did not recognize. The number of differences in the problems recognized by the novice and the certified instructor were analyzed. The video review checked whether 13 key items (actions such as checking patient’s vital signs) were implemented by the novice during the prehospital care.

Results: There were differences in the problems recognized by the novice and the certified instructor in prehospital activities, and many problems were not recognized by the novice. The items with the lowest implementation rates were flight records (28%) and information sharing with the flight doctor regarding patient status such as vital signs (44%).

Conclusions: Review of cases using videos Recorded by a wearable camera during prehospital activities enables objective evaluation of a newcomer’s performance.