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Clinical use of the revised Japanese SPLINTS: A pilot evaluation of non-technical skills in scrub practitioners
Aki Enomoto1,2
1Department of Nursing, School of Nursing, Wayo Women's University, Chiba, Japan.
Background:
Non-technical skills are important for perioperative patient safety. The Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) system provides a structured framework for observing scrub practitioners' non-technical skills, but its clinical application in Japan remains limited.
Objective:
To evaluate the clinical feasibility and preliminary reliability of the revised Japanese Scrub Practitioners' List of Intraoperative Non-Technical Skills in actual operating room practice.
Methods:
Seven Certified Nurses in Perioperative Nursing used the revised Japanese Scrub Practitioners' List of Intraoperative Non-Technical Skills to observe and rate 18 scrub nurses. Clinical observability, internal consistency, and exploratory correlations among the three Scrub Practitioners' List of Intraoperative Non-Technical Skills categories were examined.
Results:
Cronbach's alpha was 0.967 for Situation Awareness, 0.963 for Communication and Teamwork, and 0.949 for Task Management. Some behaviours received not-rated responses, suggesting that observability may depend on the surgical context. Correlations among the three categories were positive (ρ = 0.47-0.81).
Conclusions:
The revised Japanese Scrub Practitioners' List of Intraoperative Non-Technical Skills supported structured observation of non-technical skills in actual surgical practice. These preliminary findings support further evaluation and practical implementation in Japanese perioperative settings.
