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Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study
Irene Sirevåg1, Britt Sætre Hansen2, Ingrid Tjoflåt2
1University of Stavanger, Faculty of Health Sciences, Department of Caring and Ethics, Stavanger, Norway.
The Non-technical Skills for Operating Room Nurses (NOTSORN) tool was developed to evaluate crucial non-technical skills. This validated 81-item system enhances operating room nurse performance and patient safety.
Area of Science:
- Nursing Science
- Patient Safety Research
- Surgical Care Improvement
Background:
- Operating room nurses are crucial for preventing surgical adverse events.
- Breakdowns in communication, teamwork, and non-technical skills contribute to preventable harm.
- Existing behavioral marker systems inadequately cover the full spectrum of non-technical skills for OR nurses.
Purpose of the Study:
- To establish the face and content validity of the Non-technical Skills for Operating Room Nurses (NOTSORN) behavioral marker system.
- To develop a comprehensive scale for measuring individual non-technical skills in operating room nursing.
Main Methods:
- A two-round online Delphi panel involving 25 international operating room nursing experts.
- Purposive sampling of researchers, educators, and senior clinicians from nine countries.
- Content Validity Index (CVI) was utilized to assess expert agreement.
Main Results:
- The NOTSORN tool was finalized with 81 items after expert review and revision.
- The scale-level CVI was 0.99, with individual item CVI scores ranging from 0.9 to 1.0, indicating high content validity.
- The system effectively operationalizes a wide range of non-technical skills essential for OR nurses.
Conclusions:
- The NOTSORN system is a validated, comprehensive tool for evaluating operating room nurses' non-technical skills.
- Its applications include trainee supervision, performance evaluation, and nursing education.
- The tool has the potential to significantly enhance patient safety in surgical settings.
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