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Core Curriculum for Italian OR Scrub Nurses: An eDelphi Study
AORN Journal
|July 28, 2026
Summary
A national standard for scrub nurse (SN) training in Italy is needed. This study identified 79 core competencies and timeframes to standardize SN education and improve consistency in healthcare institutions.
Area of Science:
- Nursing Education
- Perioperative Nursing
- Healthcare Standards
Background:
- No national curriculum for scrub nurses (SNs) in Italy leads to inconsistent training and practice.
- Variability exists in role expectations and competency assessment among Italian healthcare institutions.
- Standardization is crucial for effective perioperative nursing.
Purpose of the Study:
- To identify core competencies for Italian scrub nurses.
- To define timeframes for achieving these competencies in clinical practice.
- To establish a framework for standardized SN education in Italy.
Main Methods:
- A multiphase eDelphi study was conducted with 35 expert perioperative nurses.
- A framework based on the European Operating Room Nurses Association Core Curriculum was utilized.
- Two rounds of surveys and expert discussions were employed to reach consensus.
Main Results:
- Panelists reviewed 113 competencies, retaining 79 core competencies relevant to Italian OR nursing.
- Consensus was achieved on indicative timeframes for competency attainment.
- High internal reliability (Cronbach's alpha > 0.95) was demonstrated.
Conclusions:
- The developed framework provides a foundation for competency-based education for SNs in Italy.
- It supports role transition and aims to enhance consistency in SN training.
- Implementation can lead to improved perioperative nursing standards across Italian healthcare.
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