手术室护士非技术技能（NOTSORN）工具的双语内容验证：德尔菲研究

IF 3.1 Q1 NURSING International Journal of Nursing Studies Advances Pub Date : 2024-06-20 DOI:10.1016/j.ijnsa.2024.100218

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引用次数: 0

摘要

背景手术室护士的主要职责是在手术过程中预防不良事件和对病人的伤害。由于大多数可预防的不良事件都是由于沟通和团队合作的中断或非技术性技能造成的，因此对此类技能的培训应加强手术室护士的防错能力。行为标记系统将非技术性技能可操作化；然而，以往针对手术室护士的系统并未涵盖手术室护士使用的全部非技术性技能。因此，我们开发了手术室护士非技术技能（NOTSORN）行为标记系统。目标本研究的目标是建立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。参与人员来自全球九个国家的手术室护理研究人员、教育工作者和高级临床医师。方法由手术室护理领域的国际专家组成两轮德尔菲小组。调查采用在线方式进行。结果 25 位手术室护理专家参与了在线德尔菲研究。第 1 轮后，56 个项目被接受，26 个项目被修改，1 个项目被放弃。第二轮后，所有项目（6 个项目略有修改）均被接受。因此，手术室护士非技术技能工具由 81 个项目组成。最终 81 个条目工具的量表级 CVI 得分为 0.99。结论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大量非技术技能。该工具的预期用途包括学生/受训者督导、手术室护士新手督导、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，该工具的使用有可能促进手术室的患者安全。Tweetable 摘要NOTSORN 工具对手术室护士的非技术技能进行了全面综合的评估，以保证手术的安全进行。

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Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study

Background

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.

Objective

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.

Participants

A purposive sample of operating room nursing researchers, educators, and senior clinicians from nine countries worldwide.

Methods

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.

Results

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.

Conclusions

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.