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Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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A Delphi study identifying operating room nurses' non-technical skills.

Irene Sirevåg1, Ingrid Tjoflåt1, Britt Saetre Hansen1

  • 1University of Stavanger, Stavanger, Norway.

Journal of Advanced Nursing
|October 9, 2021
PubMed
Summary
This summary is machine-generated.

Operating room nurses possess extensive non-technical skills beyond prior understanding, including novel leadership and decision-making abilities. This research aims to enhance patient safety through improved training and education for these essential skills.

Keywords:
Delphi studyDelphi techniquecirculating nursecrew resource managementnon-technical skillsoperating room nursingpatient safetyperioperative nursingscrub nurse

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Area of Science:

  • Nursing Science
  • Patient Safety
  • Human Factors in Healthcare

Background:

  • Non-technical skills are critical for operating room (OR) nurses but are not fully understood.
  • Previous research has not comprehensively identified the non-technical skills of both scrub and circulating OR nurses.
  • Understanding these skills is essential for optimizing OR team performance and patient outcomes.

Purpose of the Study:

  • To empirically identify and categorize the non-technical skills of operating room nurses.
  • To explore the non-technical skills specific to scrub and circulating nursing roles.
  • To contribute to the development of training and assessment tools for OR nurses' non-technical skills.

Main Methods:

  • A modified online Delphi technique was employed over three rounds.
  • An expert panel of 106 OR nurses with at least two years of experience was recruited.
  • Data were collected via online surveys (April-September 2020) using crew resource management theory, analyzed using descriptive and thematic analysis.

Main Results:

  • Consensus was reached on maintaining established non-technical skill categories: situation awareness, leadership, decision-making, communication, and teamwork.
  • Novel non-technical skills were identified through qualitative data analysis, notably independent decision-making and enhanced leadership capabilities.
  • The study confirmed a broader spectrum of non-technical skills than previously documented.

Conclusions:

  • The non-technical skills of OR nurses are more extensive than previously recognized, encompassing tacit knowledge.
  • This research provides a verbalized list of essential non-technical skills for OR nurse education and training.
  • The findings can inform the development of tools to improve OR nurse training, supervision, and assessment, ultimately enhancing surgical patient safety.