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Related Experiment Video

Updated: Aug 29, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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An observational study to assess circulating nurses' non-technical skills.

Reza Kalantari1, Zahra Zamanian1, Mehdi Hasanshahi2

  • 1Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Journal of Perioperative Practice
|September 5, 2022
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Summary

Circulating nurses demonstrate moderate non-technical skills, excelling in situational awareness but needing improvement in leadership. Experience correlates positively with these essential operating theatre skills.

Keywords:
Circulating nursesNon-technical skillsOperating theatreSurgery

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Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Surgical Nursing

Background:

  • Non-technical skills are crucial for safe and efficient operating theatre practices.
  • These skills are integral to circulating nurses' roles and overall performance during surgical procedures.
  • The quality of circulating nurses' non-technical skills remains under-assessed, with existing uncertainties.

Purpose of the Study:

  • To assess the non-technical skills of circulating nurses.
  • To identify specific areas of strength and weakness in their non-technical skill domains.

Main Methods:

  • A cross-sectional study involving 300 circulating nurses in four public hospitals in Iran (2020).
  • Demographic data collected via a questionnaire.
  • Assessment of non-technical skills using Kalantari et al's Circulating Practitioner's List of Non-Technical Skills.

Main Results:

  • Situational awareness received the highest mean score among assessed domains.
  • Leadership emerged as the domain with the lowest mean score.
  • A moderate positive relationship was observed between non-technical skill scores and years of experience as a circulating nurse.

Conclusions:

  • Circulating nurses exhibit a moderate level of non-technical skills, with notable variations across different behavioral aspects.
  • While performing well in some areas, deficiencies were identified in specific behaviors, particularly leadership.
  • Targeted educational interventions and strategic policymaking are recommended to enhance circulating nurses' non-technical skills.