Evaluation of surgical technologists' performance in laparoscopic instrument decontamination and sterilization by 360-degree appraisal method: An observational study

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-09-06 DOI:10.1016/j.pcorm.2025.100551

Leila Sadati, Seyedeh Sanaz Mirrahimi, Rana Abjar

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引用次数: 0

Abstract

Introduction

Surgical technologists play a crucial role in maintaining patient safety and ensuring the overall quality of care in surgical settings. Their performance in the field of decontamination and sterilization of laparoscopic instruments is as important as it directly affects the risk of surgical complications. Therefore, the present study aimed to appraise the performance of surgical technologists in laparoscopic instrument decontamination and sterilization by A 360-degree performance appraisal method in selected hospitals in Alborz Province, Iran.

Methods

The present study is a cross-sectional study which was conducted among 110 surgical technologists in Alborz Province, Iran from May 2024 to January 2025 using convenient sampling. Data were collected using a performance checklist and the 360-degree evaluation method. The checklist's validity was confirmed through content validity and expert panel opinions. Its reliability was established with a 0.91 agreement coefficient between two external raters and an intraclass correlation coefficient (ICC) of 0.822 for the questionnaire. Data were analyzed using SPSS version 28 software and one-sample t-test, independent groups t-test, and one-way analysis of variance.

Results

The findings on the performance of surgical technologists in the decontamination and sterilization of laparoscopic instruments reveal that 2 technologists were classified in the low performance category, with scores between 0 and 16. A total of 101 technologists fell into the moderate performance category, achieving scores ranging from 17 to 33. Furthermore, 7 technologists achieved the high-performance level, with scores between 34 and 50.

Conclusion

This study utilized the 360-degree feedback method, which revealed that surgical technologists perform moderately in reprocessing laparoscopic instruments. To gain a clearer understanding of their strengths and areas needing improvement, it is important to conduct ongoing evaluations using a range of methods.

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用360度评价法评价外科技术人员在腹腔镜器械消毒灭菌中的表现：一项观察性研究

外科技术人员在维护患者安全和确保手术环境的整体护理质量方面发挥着至关重要的作用。它们在腹腔镜手术器械的消毒和灭菌方面的表现同样重要，因为它直接影响手术并发症的风险。因此，本研究旨在通过360度绩效评估方法，对伊朗Alborz省选定医院的外科技术人员在腹腔镜器械去污消毒方面的表现进行评估。方法采用方便抽样的方法，对2024年5月至2025年1月伊朗阿尔博尔兹省110名外科技术人员进行横断面调查。使用性能检查表和360度评估方法收集数据。通过内容效度和专家小组意见两种方式确认了本量表的效度。两外部评分者的一致系数为0.91，类内相关系数（ICC）为0.822。数据分析采用SPSS 28版软件，采用单样本t检验、独立组t检验和单因素方差分析。结果对外科技术人员在腹腔镜器械消毒灭菌工作中的表现进行调查，结果显示有2名技术人员表现较差，得分在0 ~ 16分之间。共有101名技术人员属于中等表现类别，得分从17分到33分不等。此外，7名技术人员达到了高性能水平，得分在34到50之间。结论本研究采用360度反馈方法，显示外科医师在腹腔镜器械的再处理中表现适度。为了更清楚地了解它们的优势和需要改进的领域，使用一系列方法进行持续的评估是很重要的。

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

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.