Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Xiangya School of Nursing, Xiangya Hospital, Central South University, Changsha, China.
BMC Med Educ. 2024 Jan 4;24(1):29. doi: 10.1186/s12909-023-05014-5.
While laparoscopic assistance is often entrusted to less experienced individuals, such as residents, medical students, and operating room nurses, it is important to note that they typically receive little to no formal laparoscopic training. This deficiency can lead to poor visibility during minimally invasive surgery, thus increasing the risk of errors. Moreover, operating room nurses and medical students are currently not included as key users in structured laparoscopic training programs.
The aim of this study is to evaluate the laparoscopic skills of OR nurses, clinical medical postgraduate students, and residents before and after undergoing virtual reality training. Additionally, it aimed to compare the differences in the laparoscopic skills among different groups (OR nurses/Students/Residents) both before and after virtual reality training.
Operating room nurses, clinical medical postgraduate students and residents from a tertiary Grade A hospital in China in March 2022 were selected as participants. All participants were required to complete a laparoscopic simulation training course in 6 consecutive weeks. One task from each of the four training modules was selected as an evaluation indicator. A before-and-after self-control study was used to compare the basic laparoscopic skills of participants, and laparoscopic skill competency was compared between the groups of operating room nurses, clinical medical postgraduate students, and residents.
Twenty-seven operating room nurses, 31 clinical medical postgraduate students, and 16 residents were included. The training course scores for the navigation training module, task training module, coordination training module, and surgical skills training module between different groups (operating room nurses/clinical medical postgraduate/residents) before laparoscopic simulation training was statistically significant (p < 0.05). After laparoscopic simulation training, there was no statistically significant difference in the training course scores between the different groups. The surgical level scores before and after the training course were compared between the operating room nurses, clinical medical postgraduate students, and residents and showed significant increases (p < 0.05).
Our findings show a significant improvement in laparoscopic skills following virtual surgery simulation training across all participant groups. The integration of virtual surgery simulation technology in surgical training holds promise for bridging the gap in laparoscopic skill development among health care professionals.
虽然腹腔镜辅助操作通常由经验较少的人员（如住院医师、实习医生和手术室护士）承担，但需要注意的是，他们通常几乎没有接受过正规的腹腔镜培训。这种缺陷可能导致微创手术期间的可视性较差，从而增加出错的风险。此外，手术室护士和实习医生目前未被纳入结构化腹腔镜培训计划的关键使用者。
本研究旨在评估手术室护士、临床医学研究生和住院医师在接受虚拟现实培训前后的腹腔镜技能，并比较不同组（手术室护士/学生/住院医师）在虚拟现实培训前后腹腔镜技能的差异。
2022 年 3 月，从中国一家三级甲等医院选择手术室护士、临床医学研究生和住院医师作为研究对象。所有参与者都需要在 6 周内完成腹腔镜模拟培训课程。从四个培训模块中各选择一个任务作为评估指标。采用前后自身对照研究比较参与者的基本腹腔镜技能，比较手术室护士、临床医学研究生和住院医师之间的腹腔镜技能能力。
共纳入 27 名手术室护士、31 名临床医学研究生和 16 名住院医师。不同组（手术室护士/临床医学研究生/住院医师）在腹腔镜模拟训练前的导航训练模块、任务训练模块、协调训练模块和手术技能训练模块的训练课程评分差异具有统计学意义（p<0.05）。腹腔镜模拟训练后，不同组之间的训练课程评分差异无统计学意义。培训课程前后比较手术室护士、临床医学研究生和住院医师的手术水平评分，均显示显著增加（p<0.05）。
我们的研究结果表明，所有参与者群体在接受虚拟手术模拟培训后，腹腔镜技能都有显著提高。将虚拟手术模拟技术整合到外科培训中，有望弥合医疗保健专业人员腹腔镜技能发展方面的差距。
