Abstract
Operating room (OR) nurses’ perioperative competence is vital in operation and patient care. This cross-sectional descriptive study aimed to identify perioperative competencies and educational needs for improving competencies according to the clinical ladder. A total of 318 OR nurses in Korean tertiary hospitals were recruited. Data from the self-reported questionnaire of perioperative competencies, measured on a five-point Likert scale, were used. The average score of perioperative competence was 3.78 ± 0.54; among the sub-categories of competencies were collaboration (4.08 ± 0.55), foundational knowledge and skills (3.98 ± 0.56), proficiency (3.87 ± 0.64), empathy (3.77 ± 0.77), professional development (3.65 ± 0.64), and leadership (3.34 ± 0.89). There were significant differences in perioperative competencies according to the clinical ladder as follows: foundational knowledge and skills (p < 0.001), leadership (p < 0.001), collaboration (p = 0.017), proficiency (p < 0.001), and professional development (p < 0.001). The educational needs for foundational knowledge and skills (4.43 ± 0.60) were highest, and educational needs for proficiency (4.26 ± 0.70), collaboration (4.21 ± 0.77), leadership (4.08 ± 0.81), empathy (3.99 ± 0.91), and professional development (3.91 ± 0.76) were noted. The educational needs for improving perioperative competencies by clinical ladder showed a significant difference in leadership (p = 0.026), proficiency (p = 0.045), and professional development (p = 0.002). In order to develop an effective education program for OR nurses, differentiated education designs that reflect perioperative competencies and educational needs per clinical ladder are necessary.
Highlights
Nurses account for about 40% of the hospital workforce in Korea and play a crucial role in providing patient care and medical services [1,2]
This study aims to identify the perioperative competency of Operating room (OR) nurses according to the clinical ladder, including technical and non-technical aspects and educational needs for improving OR competency
To improve OR nurses’ perioperative competencies, it is important to provide an effective, differentiated, and evidence-based educational program that reflects their educational needs, which differ according to the clinical ladder
Summary
Nurses account for about 40% of the hospital workforce in Korea and play a crucial role in providing patient care and medical services [1,2]. Operating room (OR) nurses participate in surgery teams with healthcare professionals such as surgeons, residents, anesthesiologists, anesthesia nurses, and radiologists. OR nurses must acquire knowledge related to surgical procedures, anesthesia, and patient’s medical conditions; adapt to the introduction of expensive high-tech equipment and complex new surgical techniques; and prevent patient safety accidents [4]. OR nurses’ perioperative competency is essential for coping with clinical situations, job involvement, job continuity, efficient operation management, and patient safety [8,9,10,11]
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