Department of Operating Room, School of Paramedicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Operating Room, School of Allied Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
BMC Res Notes. 2024 Oct 9;17(1):301. doi: 10.1186/s13104-024-06970-x.
The operating room is a high-risk environment where proper patient positioning is crucial for minimizing injury and ensuring optimal access to surgical sites. This process requires effective collaboration among surgical team members, particularly operating room nurses who play a vital role in patient safety. Despite advancements in technology, challenges such as pressure injuries persist, with a significant incidence rate. Video-based training (VBT) emerges as a promising educational tool, enhancing knowledge retention and fostering a learner-centered approach. This study aims to evaluate the impact of VBT on adherence to surgical positioning standards, highlighting its potential to improve safety protocols in the operating room.
In this clinical trial, 62 qualified operating room nurses (50 women, 12 men, average age: 28.90 ± 3.75 years) were randomly divided into control and intervention group (n = 31 in each group). The control group only received positioning recommendations, but in the intervention group, in addition to the recommendations, video-based surgical positioning training was performed for 1 month, at least 3 times a week. The performance of nurses in both groups was evaluated through a researcher-made checklist at baseline and post-intervention.
Based on findings, there was no significant difference between the two groups in compliance with surgical positioning standards at baseline (p = 0.07). However, after the intervention, compliance scores significantly improved in the VBT group compared to the control group (p < 0.001). The VBT group showed a mean improvement of 62.12 points, while the control group improved by 10.77 points (p < 0.001).
This preliminary study demonstrated a notable improvement in compliance with surgical positioning standards among operating room nurses following VBT intervention. Despite the promising results, the small sample size and preliminary nature of the research necessitate further studies to confirm these findings and assess long-term outcomes. These initial insights highlight the potential of innovative training methods in enhancing surgical practices.
手术室是一个高风险环境，正确的患者定位对于最大限度地减少伤害和确保最佳手术部位进入至关重要。这一过程需要手术团队成员之间的有效协作，特别是手术室护士，他们在患者安全方面发挥着至关重要的作用。尽管技术有所进步，但仍存在压力性损伤等挑战，其发生率较高。基于视频的培训（VBT）作为一种有前途的教育工具出现，增强了知识保留并培养了以学习者为中心的方法。本研究旨在评估 VBT 对遵守手术定位标准的影响，强调其在改善手术室安全协议方面的潜力。
在这项临床试验中，随机将 62 名合格的手术室护士（50 名女性，12 名男性，平均年龄：28.90±3.75 岁）分为对照组和干预组（每组 31 名）。对照组仅接受定位建议，但在干预组中，除了建议外，还进行了为期 1 个月、每周至少 3 次的基于视频的手术定位培训。在基线和干预后，通过研究者制作的检查表评估两组护士的表现。
根据研究结果，两组在基线时遵守手术定位标准方面没有显著差异（p=0.07）。然而，干预后，VBT 组的依从性评分明显高于对照组（p<0.001）。VBT 组平均提高了 62.12 分，而对照组仅提高了 10.77 分（p<0.001）。
这项初步研究表明，VBT 干预后，手术室护士遵守手术定位标准的情况有了显著改善。尽管结果有希望，但由于样本量小和研究的初步性质，需要进一步的研究来证实这些发现并评估长期结果。这些初步发现强调了创新培训方法在增强手术实践方面的潜力。
