Møller Louise, Olsen Rikke Groth, Jørgensen Lone, Hertz Peter, Petersson Jane, Røder Andreas, Konge Lars, Bjerrum Flemming
Copenhagen Academy for Medical Education and Simulation (CAMES) Rigshospitalet, Centre for HR and Education, The Capital Region of Denmark, Ryesgade 53B, 2100, Copenhagen, Denmark.
Copenhagen Prostate Cancer Center, Rigshospitalet, Copenhagen, Denmark.
Surg Endosc. 2024 Dec;38(12):7024-7036. doi: 10.1007/s00464-024-11335-3. Epub 2024 Oct 18.
With the introduction of robot-assisted surgery, the role and responsibility of the operating room nurses have been expanded. The surgical team for robotic-assisted surgery depends on the ability of the operating room nurses to operate and handle the robotic system before, during, and after procedures. However, operating room nurses must acquire the necessary competencies for robotic-assisted surgery.
We performed a systematic review using the databases MEDLINE and EMBASE to review the evidence on educating and training operating room nurses in robot-assisted surgery. Studies describing operating room nurses' training and team-training with operating room nurses for robot-assisted surgery were included. The Medical Education Research Study Quality Instrument (MERSQI) and the Newcastle-Ottawa Scale-Education (NOS-E) were used to evaluate the quality of the included studies.
We identified 3351 potential studies and included 16 in the final synthesis. Nine studies focused on team-training in robot-assisted surgery: four focused solely on training for operating room nurses, and only three on operating room nurses as first assistants in robot-assisted surgery. Most studies examined team-training in RAS, including OR nurses, focused on emergency situations and conversion to an open procedure. Only a few studies addressed other competencies relevant to OR nurses in RAS. No randomized controlled trials were identified. Only a few studies used pre- and post-testing, and only one examined clinical outcomes. The quality assessment of the included studies was moderate to low, with a median MERSQI score of 10.3 and a median NOS-E score of 2.
There is sparse research on the education of operating room nurses in robot-assisted surgery, and the literature emphasizes the training of surgeons. More research is needed to develop evidence-based training for operating room nurses in robot-assisted surgery.
随着机器人辅助手术的引入，手术室护士的角色和职责得到了扩展。机器人辅助手术的手术团队依赖于手术室护士在手术前、手术中和手术后操作和处理机器人系统的能力。然而，手术室护士必须具备机器人辅助手术所需的能力。
我们使用MEDLINE和EMBASE数据库进行了系统评价，以回顾关于手术室护士机器人辅助手术教育和培训的证据。纳入了描述手术室护士培训以及与手术室护士进行机器人辅助手术团队培训的研究。使用医学教育研究质量工具（MERSQI）和纽卡斯尔-渥太华量表-教育（NOS-E）来评估纳入研究的质量。
我们识别出3351项潜在研究，最终纳入16项进行综合分析。9项研究聚焦于机器人辅助手术的团队培训：4项仅专注于手术室护士培训，仅有3项关注手术室护士在机器人辅助手术中作为第一助手的培训。大多数研究考察了包括手术室护士在内的机器人辅助手术团队培训，重点是紧急情况和转为开放手术。只有少数研究涉及与机器人辅助手术中手术室护士相关的其他能力。未识别出随机对照试验。只有少数研究进行了前后测试，仅有1项研究考察了临床结果。纳入研究的质量评估为中等到低等，MERSQI中位数评分为10.3，NOS-E中位数评分为2。
关于手术室护士机器人辅助手术教育的研究较少，文献主要强调外科医生的培训。需要更多研究来为手术室护士开展基于证据的机器人辅助手术培训。
