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[Improving the Fat Grafting Surgical Preparation Accuracy of Operating Room Nurses Using the ADDIE Instructional
Chun-Chu Ko1, Sheng-Pao Li1, Yu-Hong Xu1
1Department of Nursing, Keelung Chang Gung Memorial Hospital, Taiwan, ROC.
Background & Problems:
Surgical safety is a core patient-safety goal. In our hospital, the rate of accuracy among operating room nurses in preparing for fat grafting surgeries was only 55.4%. The main factors found to influence this issue were: reliance on verbal, experience-based teaching; unfamiliarity with processes and complex instruments; lack of operating manuals and checklists; inadequate in-service education; and lack of standardized operating protocols.
Purpose:
This project was developed to establish a systematic education and training program and standardized workflow to improve the accuracy of operating room nurses in preparing for fat grafting surgeries.
Resolution:
Following the ADDIE (analysis, design, development, implementation, and evaluation) instructional model, the interventions implemented in this project included: compiling a preparation manual and mind map, planning structured in-service education, producing an interactive e-book, and holding simulation workshops. Also, a preparation-accuracy checklist and knowledge test were used to track outcomes in 20 nurses. In addition, the Objective Structured Assessment of Technical Skill instrument was used to provide real-time feedback during the simulation courses, and maintenance follow-up was conducted from April through May 2025.
Results:
After the intervention, the preparation accuracy rate increased from 55.4% to 96.5% and the knowledge accuracy rate increased from 45.0% to 94.5%. Notably, the preparation accuracy rate was 100% during the maintenance follow-up period.
Conclusions:
Conclusions: Combining the ADDIE instructional model with multiple strategies may be an effective strategy for improving preoperative preparation accuracy and professional competence in nurses. Regular interprofessional consensus meetings should be held to allow rolling revisions to be made to the workflow and, accordingly, develop surgical care guidelines as references for clinical practice to further strengthen nursing quality and patient safety.
