Sirevåg Irene, Hansen Britt Sætre, Tjoflåt Ingrid, Gillespie Brigid M
University of Stavanger, Faculty of Health Sciences, Department of Caring and Ethics, Stavanger, Norway.
University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway.
Int J Nurs Stud Adv. 2024 Jun 20;7:100218. doi: 10.1016/j.ijnsa.2024.100218. eCollection 2024 Dec.
The primary responsibility of the operating room nurse is to prevent adverse events and patient harm during surgery. Since most preventable adverse events are the result of breakdowns in communication and teamwork, or non-technical skills, training such skills should strengthen the operating room nurses' error prevention abilities. Behavioural marker systems operationalise non-technical skills; however, previous systems for operating room nurses do not cover the full extent of non-technical skills used by operating room nurses. Thus, the Non-technical Skills for Operating Room Nurses (NOTSORN) behavioural marker system was developed.
The objective of this study was to establish face and content validity of the Non-Technical Skills for Operating Room Nurses behavioural marker system. This multi-item scale measures individual non-technical skills in operating room nursing.
A purposive sample of operating room nursing researchers, educators, and senior clinicians from nine countries worldwide.
A two round, Delphi panel with international experts in operating room nursing. The survey was administered online. Content validity index (CVI) was used to measure agreement among panel members.
25 operating room nurse experts participated in the online Delphi study. After round 1, 56 items were accepted, 26 items were revised, and 1 item was dropped. Following round 2, all items (6 with minor revisions) were accepted. Thus, the Non-technical Skills for Operating Room Nurses tool comprise 81 items. The scale level CVI score for the final 81 item tool was 0.99. The individual item level CVI scores ranged from 0.9 to 1.0.
The Non-Technical Skills of Operating Room Nurses behavioural marker system is a nuanced tool with a myriad of non-technical skills operating room nurses need to undertake their work safely. The tool's intended use includes student/trainee supervision, supervision of novice operating room nurses, self-reflection for performance reports, and in operating room nursing education. Over time, use of the tool has the potential to contribute to patient safety in the operating room.
The NOTSORN tool provides a comprehensive and holistic evaluation of OR nurses' non-technical skills for safe surgical performance.
手术室护士的主要职责是在手术期间预防不良事件和患者伤害。由于大多数可预防的不良事件是沟通和团队协作失误或非技术技能不足导致的，因此对这些技能进行培训应能增强手术室护士预防差错的能力。行为标记系统可将非技术技能具体化；然而，以往针对手术室护士的系统并未涵盖手术室护士所使用的全部非技术技能。因此，开发了手术室护士非技术技能（NOTSORN）行为标记系统。
本研究的目的是确定手术室护士非技术技能行为标记系统的表面效度和内容效度。这个多项目量表用于衡量手术室护理中的个人非技术技能。
来自全球九个国家的手术室护理研究人员、教育工作者和资深临床医生的目的抽样样本。
与手术室护理领域的国际专家进行两轮德尔菲专家咨询。通过在线方式进行调查。内容效度指数（CVI）用于衡量专家组成员之间的一致性。
25名手术室护士专家参与了在线德尔菲研究。第一轮之后，56个项目被接受，26个项目被修订，1个项目被删除。第二轮之后，所有项目（6个有小的修订）均被接受。因此，手术室护士非技术技能工具包含81个项目。最终81个项目工具的量表水平CVI得分为0.99。各个项目水平的CVI得分范围为0.9至1.0。
手术室护士非技术技能行为标记系统是一个细致入微的工具，包含了手术室护士安全开展工作所需的众多非技术技能。该工具的预期用途包括学生/实习生监督、新手手术室护士的监督、绩效报告的自我反思以及手术室护理教育。随着时间的推移，使用该工具有可能提高手术室的患者安全。
NOTSORN工具为手术室护士安全实施手术的非技术技能提供了全面而整体的评估。
