Mohammadi Masoumeh, Omid Athar, Tarrahi Mohammad Javad, Ghadami Ahmad
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Med Educ. 2025 May 7;25(1):670. doi: 10.1186/s12909-025-07042-9.
Approximately half of all adverse events occur in the operating room, highlighting the critical role of non-technical skills in operating rooms. Effective non-technical skills among operating room nurses can significantly reduce the occurrence of such events. Moreover, self-efficacy in non-technical skills may directly impact professional performance and patient safety. Therefore, this study aimed to investigate the impact of intraoperative non-technical skills training on scrub practitioners' self-efficacy.
In a randomized controlled trial, 30 scrub practitioners were assigned to the intervention group and 30 to the control group through random allocation. The intervention group underwent training in non-technical skills using a combined technique of lectures and simulated video scenarios delivered in two two-hour training sessions. Meanwhile, the control group received no training. The data collection tool was a two-part questionnaire. The first part collected demographic data (age, gender, work experience, and educational level), while the second part assessed scrub practitioners' self-efficacy in intraoperative non-technical skills. The questionnaire was administered online in two phases, with a one-month interval between them, through the Telegram application to the participants in both groups. The data were analyzed using descriptive statistics, independent t-tests, and paired t-tests.
The demographic variables of the intervention group did not show significant differences compared to the control group. The independent t-test revealed no significant difference in overall self-efficacy between the intervention and control groups before the training (P = 0.513). However, after the training, a statistically significant difference was observed (P = 0.025). There were no significant differences among the self-efficacy components between the intervention and control groups before the training (P > 0.05). However, after the training, self-efficacy in the two skills of situation awareness and communication and teamwork showed statistically significant differences (P < 0.05).
Non-technical skills are crucial for scrub practitioners to perform their tasks safely and efficiently. Training can enhance the self-efficacy of scrub practitioners in their non-technical skills. Therefore, it is necessary to incorporate non-technical skills training into the educational curriculum and continuing education programs for scrub practitioners.
The IRCT code (IRCT20150715023216N15) was obtained from the Iranian Clinical Trials Registry website on 2023/08/05 before sampling.
约一半的不良事件发生在手术室，这凸显了非技术技能在手术室中的关键作用。手术室护士具备有效的非技术技能可显著减少此类事件的发生。此外，非技术技能的自我效能感可能直接影响专业表现和患者安全。因此，本研究旨在调查术中非技术技能培训对刷手护士自我效能感的影响。
在一项随机对照试验中，通过随机分配将30名刷手护士分配至干预组，30名分配至对照组。干预组采用讲座和模拟视频场景相结合的技术，在两次两小时的培训课程中接受非技术技能培训。同时，对照组未接受培训。数据收集工具是一份分为两部分的问卷。第一部分收集人口统计学数据（年龄、性别、工作经验和教育水平），而第二部分评估刷手护士在术中非技术技能方面的自我效能感。问卷通过Telegram应用程序分两个阶段在线发放给两组参与者，两阶段间隔一个月。数据采用描述性统计、独立样本t检验和配对t检验进行分析。
与对照组相比，干预组的人口统计学变量无显著差异。独立样本t检验显示，培训前干预组和对照组的总体自我效能感无显著差异（P = 0.513）。然而，培训后，观察到有统计学显著差异（P = 0.025）。培训前，干预组和对照组在自我效能感各成分之间无显著差异（P > 0.05）。然而，培训后，态势感知以及沟通与团队合作这两项技能的自我效能感显示出统计学显著差异（P < 0.05）。
非技术技能对于刷手护士安全、高效地完成任务至关重要。培训可提高刷手护士在非技术技能方面的自我效能感。因此，有必要将非技术技能培训纳入刷手护士的教育课程和继续教育项目中。
IRCT代码（IRCT20150715023216N15）于2023年8月5日在抽样前从伊朗临床试验注册网站获得。
