Niu Aifang, Ma Huijuan, Chen Zhe, Zhu Xiaoli, Luo Yu
School of Nursing, Third Military University / Army Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, P.R. China.
Army Health Service Training Base, Third Military University / Army Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing, P.R. China.
BMC Nurs. 2023 Aug 2;22(1):254. doi: 10.1186/s12912-023-01417-3.
With the frequent occurrence of public health emergencies, conflicts and natural disasters around the world, mobile surgical teams are becoming more crucial. The competency of the operating room (OR) nurse has a substantial impact on the effectiveness and quality of the surgical team's treatment, still there is limited knowledge about OR nurse competencies in mobile surgical teams. This study aimed to explore the competencies of OR nurses in mobile surgical teams based on the Onion Model.
We conducted a qualitative descriptive study of participants from 10 mobile surgical teams in 2022. Twenty-one surgical team members were interviewed, including 15 OR nurses, four surgeons, and two anesthesiologists. Data were collected through semi-structured interviews. The data were analyzed using Mayring's content analysis.
Twenty-eight competencies were found in the data analysis, which were grouped into four major domains using the Onion Model. From the outer layer to the inner layer were knowledge and skills, professional abilities, professional quality, and personal traits. The qualitative data revealed several novel competencies, including triage knowledge, self and mutual medical aid, outdoor survival skills, and sense of discipline.
The application of the Onion Model promotes the understanding of competency and strengthens the theoretical foundations of this study. New competencies can enrich the content of the competencies of OR nurses. The results of this study can be used for clinical recruitment, evaluation and training of OR nurses in mobile surgical teams. This study encourages further research to develop competency assessment tools and training programs for OR nurses.
随着全球公共卫生突发事件、冲突和自然灾害的频繁发生，移动手术团队变得愈发重要。手术室护士的能力对手术团队治疗的有效性和质量有重大影响，但对于移动手术团队中手术室护士的能力了解有限。本研究旨在基于洋葱模型探索移动手术团队中手术室护士的能力。
2022年，我们对来自10个移动手术团队的参与者进行了定性描述性研究。采访了21名手术团队成员，包括15名手术室护士、4名外科医生和2名麻醉医生。通过半结构化访谈收集数据。使用梅林的内容分析法对数据进行分析。
数据分析中发现了28项能力，使用洋葱模型将其分为四个主要领域。从外层到内层依次为知识与技能、专业能力、专业素质和个人特质。定性数据揭示了一些新的能力，包括分诊知识、自我和相互医疗救助、户外生存技能和纪律意识。
洋葱模型的应用促进了对能力的理解，加强了本研究的理论基础。新的能力可以丰富手术室护士能力的内容。本研究结果可用于移动手术团队中手术室护士的临床招聘、评估和培训。本研究鼓励进一步开展研究，以开发手术室护士能力评估工具和培训项目。
