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Updated: Sep 18, 2025

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Transversal Competencies in Operating Room Nurses: A Hierarchical Task Analysis.

Francesca Reato1, Dhurata Ivziku2, Marzia Lommi3

  • 1Department of Nursing Education, University of Insubria, 21100 Varese, Italy.

Nursing Reports (Pavia, Italy)
|June 25, 2025
PubMed
Summary

This study identified 15 essential transversal competencies for operating room nurses, crucial for patient safety and professional development. These findings will help update nursing education to include vital non-technical skills.

Keywords:
HTAethnographyhierarchical task analysislife skillsnon-technical skillsnursesoperating roomperianesthesiologicalperioperativesoft skillstransversal competencies

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Area of Science:

  • Nursing Science
  • Healthcare Professional Development
  • Patient Safety

Background:

  • Patient safety in the operating room is paramount, necessitating robust monitoring and prevention of adverse events.
  • Professionalization of operating room nurses hinges on identifying, assessing, and certifying transversal competencies.
  • Existing competency frameworks lack consistency and integration into practice and education.

Purpose of the Study:

  • To create a validated, structured repertoire of transversal competencies for perioperative and perianesthesiological nurses.
  • To address the need for a comprehensive identification of these crucial nursing skills.

Main Methods:

  • Qualitative descriptive design utilizing shadowed observation and Hierarchical Task Analysis (HTA).
  • Convenience sample of 46 participants from Italian university and public hospital settings.
  • Data collected September 2021–June 2023, analyzed via content analysis and data triangulation.

Main Results:

  • Identified 15 transversal competencies, 50 sub-competencies, and 153 specific tasks.
  • Key competencies include communication, situation awareness, teamwork, problem-solving, resilience, leadership, and critical thinking.
  • Each competency was linked to observable tasks performed by nurses.

Conclusions:

  • The developed framework integrates essential transversal competencies alongside technical skills.
  • It provides a tool for assessing and certifying competencies vital for patient safety and professional well-being.
  • Academic institutions should revise training models to embed transversal competencies in nursing education.