Factors that influence the non‐technical skills performance of scrub nurses: a prospective study

Kang, Evelyn; Massey, Debbie; Gillespie, Brigid M.

doi:10.1111/jan.12743

Cited by 45 publications

(56 citation statements)

References 42 publications

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“…Team members may prioritize required surgical activities based on their experience, and the high surgical volume of the ophthalmology service with its rapid between‐case turnaround can inhibit communication . Work and team familiarity are crucial elements that are needed to enhance team performance and a shared mental model, and this may be lacking when there is inadequate staffing. Our research team coded the absence of the information‐exchange element when we observed silence and nonverbal communication during surgical procedures, failure to clarify requests, lack of clear verbal responses, or speaking quietly, which could be interpreted by other surgical team members as incompetence and lack of confidence that the participants would be supported by the rest of the team …”

Section: Discussionmentioning

confidence: 99%

“…The three elements that fell below the acceptable value for r wg were providing and maintaining standards ( r wg = 0.66), coping with pressure ( r wg = 0.66), and gathering information ( r wg = 0.69) . The researchers calculated the internal consistency between element ratings and category ratings and reported a mean absolute difference of M < 0.2 between all three categories, which indicated “there was good internal consistency.” 3(p206) Although the SPLINTS tool showed adequate psychometric properties in western practices, evaluation across other settings and cultures could provide additional evidence of its applicability …”

Section: Literature Reviewmentioning

confidence: 99%

“…Specific behavioral assessment tools exist for NTS of practitioners in other disciplines . One behavior assessment tool that nurses and leaders can use to assess the NTS of scrub persons is the Scrub Practitioners’ List of Intraoperative Non‐Technical Skills (SPLINTS) …”

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confidence: 99%

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Assessment of Scrub Practitioners’ List of Intraoperative Non‐Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting

Loh¹,

Korne²,

Yin³

et al. 2019

AORN Journal

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Communication and other nontechnical skills can affect the number of adverse events occurring in perioperative areas. Our study assessed the properties of the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) used to assess nontechnical skills of scrub nurses in a diverse Asian ophthalmic ambulatory setting. We evaluated the content validation index, cultural equivalence index, concurrent validity, interrater reliability, test-retest reliability, internal consistency, and concurrent validity. The content validity and cultural equivalence indices were 0.93 and 0.91, respectively. We found that the tool showed acceptable interrater reliability, acceptable test-retest reliability, and an appropriate Cronbach alpha ranging from 0.80 to 0.88. We found satisfactory concurrent validity between the SPLINTS and the communication and teamwork scale assessment (r s = 0.73, P < .001) and clinical teamwork scale (r s = 0.64, P < .001). We concluded that SPLINTS is a sound psychometric tool for assessing the nontechnical skills of culturally-diverse scrub persons in ambulatory surgery settings.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Assessment of Scrub Practitioners’ List of Intraoperative Non‐Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting

Loh¹,

Korne²,

Yin³

et al. 2019

AORN Journal

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“…Observers and training. Across the 23 studies, the most used two observers (n ¼ 11) 17,64,86,90,91,94,95,[97][98][99]101 ; nine studies had observers with a clinical background 8,9,50,64,68,86,90,93,98 ; and eight studies had observers with a nonclinical background. 50 Non-technical skills * NOTECHS 2 24,25 Oxford non-technical skills Oxford NOTECHS 6 [11][12][13]16,26,27 Revised non-technical skills Revised NOTECHS 6 [28][29][30][31][32][33] Non-technical skills (modified) NOTECHS (modified) 1 34 Oxford Non-technical skills II Oxford NOTECHS II 6 4,[35][36][37][38][39] Non-technical skills for surgeons y NOTSS 19 9,[40][41][42][43]…”

Section: Observational Teamwork Assessment For Surgerymentioning

confidence: 99%

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

McMullan

Urwin

Sunderland

et al. 2020

Journal of Surgical Research

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a b s t r a c tBackground: Errors and adverse events in the operating room (OR) are associated with not only poor technical performance but also deficits in nontechnical skills (NTSs). Numerous tools have been developed to assess NTS in the OR. Our aim was to conduct a systematic review of observational tools and report on their implementation and psychometric properties to guide healthcare professionals, educators, and researchers in tool selection and use.Methods: A systematic literature search (January 1, 1990eMay 28, 2019) was conducted across databases (MEDLINE, Embase, CINAHL, and PsycINFO) and reference lists of included studies. Reviewers independently screened articles for inclusion, assessed study quality, and extracted data.Results: Thirty-one tools were identified across 88 studies, most commonly conducted in a real-world OR (n ¼ 50), involving two observers (n ¼ 50). The NTS of individuals (n ¼ 62)were assessed more often than that of subteams (n ¼ 21) or entire teams (n ¼ 20). The NOn-Technical Skills for Surgeons demonstrated content validity, concurrent validity, predictive validity, and face validity across a range of studies. Oxford NOn-TECHnical Skills demonstrated content validity, concurrent validity, and predictive validity with good inter-rater reliability and test-retest validity. Conclusions:The NOn-Technical Skills for Surgeons has the strongest evidence of validity and reliability for assessing individuals, whereas the most robust tool for evaluating teams was Oxford NOn-TECHnical Skills. We recommend continued investigation of these observational tools regarding their feasibility and reproducibility of methods. Further research is needed to determine the training requirements for observers and the potential of video and audio recordings in the OR. CrownThe operating room (OR) is a complex, high-risk environment in which many factors influence team performance and patient safety. The complexity that is manifested within and across the patient, procedure, equipment, team, and culture increases the likelihood of adverse events. 1 It has been estimated that approximately 40% to 65% of all in-hospital ScienceDirect jo urnal homepage: www.J ou rn alofS urgicalR esearch.com j o u r n a l o f s u r g i c a l r e s e a r c h m a r c h 2 0 2 0 ( 2 4 7 ) 3 0 6 e3 2 2

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“…The non-technical skills, as described in other studies [30] [31] [39], can be seen as the ability to think ahead, trying to imagine everything that can go wrong, and utilizing an understanding the team to primitively address these concerns. The balance between needs related to safety and patients, as explained in this study, are similar to concepts suggested by Buber [40].…”

Section: K Brodin Et Al Open Journal Of Nursingmentioning

confidence: 99%

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory

Brodin¹,

Häggström²

2017

OJN

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Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category "achieve and maintain ethical treatment of patients" in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team's behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.

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Factors that influence the non‐technical skills performance of scrub nurses: a prospective study

Cited by 45 publications

References 42 publications

Assessment of Scrub Practitioners’ List of Intraoperative Non‐Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting

Assessment of Scrub Practitioners’ List of Intraoperative Non‐Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting

Observational Tools That Quantify Nontechnical Skills in the Operating Room: A Systematic Review

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory

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