Competency Perceptions of Operating Room Nurses and Opinions of the Surgical Team on Factors Facilitating Competency Acquisition: A Mixed-Methods Study

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-07-31 DOI:10.1111/jep.70233

Ayşe Uçak, Fatma Cebeci

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引用次数: 0

Abstract

Objective

This study examined the perceptions of operating room nurses about perioperative competency and the views of the surgical team on factors that facilitate competency acquisition.

Design

A convergent, parallel, mixed-methods study design was used, wherein quantitative and qualitative data were collected simultaneously, analyzed independently, and then integrated during interpretation to provide a comprehensive understanding of the phenomenon.

Setting and Participants

The study was conducted between March and August 2020 in 17 university, public, and private hospitals across three cities. The quantitative phase included 224 operating room nurses, while the qualitative phase involved 54 surgical team members, including surgeons, anesthesiologists, and technicians.

Methods

Quantitative data were collected using the Perceived Perioperative Competence Scale, and qualitative data were obtained through semi-structured interviews. Data were integrated during interpretation, wherein the findings were compared and contrasted to identify areas of confirmation, expansion, or discrepancy. The STROBE, COREQ, and GRAMMS checklists were employed in reporting the study.

Results

The quantitative findings indicated high perceived perioperative competency among nurses, influenced by institutional and experiential factors. The qualitative analysis revealed three main themes influencing competency development: individual characteristics (motivation and desire to learn), institutional structures (management support and team harmony), and structured training programs. The integrated findings confirmed that formal mentoring and supportive environments enhance competency acquisition.

Conclusion

The acquisition of competency in operating room nursing can be strengthened through structured institutional mentoring systems, a supportive organizational culture, and comprehensive training. These findings support the design of targeted interventions at both the individual and institutional levels to improve perioperative nursing practice.

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手术室护士的胜任力认知及手术团队对胜任力获取因素的意见：一项混合方法研究

目的探讨手术室护士对围手术期胜任力的认知及手术团队对促进胜任力获得因素的看法。设计采用收敛、平行、混合的研究设计，定量和定性数据同时收集，独立分析，然后在解释过程中整合，以提供对现象的全面理解。该研究于2020年3月至8月在三个城市的17所大学、公立和私立医院进行。定量阶段包括224名手术室护士，定性阶段包括54名外科团队成员，包括外科医生、麻醉师和技术人员。方法采用围手术期感知能力量表收集定量资料，采用半结构化访谈法获取定性资料。在解释过程中整合数据，其中对发现进行比较和对比，以确定确认，扩展或差异的区域。采用STROBE、COREQ和GRAMMS检查表进行研究报告。结果定量调查结果显示，受制度和经验因素的影响，护士对围手术期胜任能力有较高的认知。定性分析揭示了影响胜任力发展的三个主要主题：个人特征（动机和学习欲望）、制度结构（管理支持和团队和谐）和结构化培训计划。综合的研究结果证实，正式的指导和支持性的环境促进了能力的获得。结论通过结构化的制度导师制、支持性的组织文化和全面的培训，可以加强手术室护理人员胜任力的获得。这些发现支持在个人和机构层面设计有针对性的干预措施，以改善围手术期护理实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.