Development of a clinical competency evaluation index for operating room nurses in the Italian context: Delphi method and analytic hierarchy process

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-09-18 DOI:10.1016/j.pcorm.2025.100554

Gabriele Caggianelli , Irene Dello Iacono , Rita Patrizia Tomasin , Pamela Pellini , Luana Di Marte , Eleonora Bruno , Claudia Angelucci , Paolo Mazzuca , Fabio Petrelli , Sara Morales Palomares , Giovanni Cangelosi , Stefano Mancin

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引用次数: 0

Abstract

Purpose

To achieve consensus on essential elements of a clinical competency assessment for operating room nurses (OR) in Italy

Design

Delphi study

Methods

Between October 2023 and September 2024, 24 experts, including OR nurses, coordinators, and managers, identified key elements. Data collection involved two Delphi rounds and the analytic hierarchy process. Consensus was reached with a mean score ≥ 3.5 or variance < 20 %.

Findings

Five key dimensions were identified: Professional, Ethical, and Legal Practice; Nursing Care & Perioperative Practice; Interpersonal Relationships & Communication; Organizational, Managerial & Leadership Skills; and Education, Research & Professional Development. The framework, with 66 competency elements, highlights the central role of nursing care and perioperative practice.

Conclusions

This framework highlights the multifaceted nature of perioperative nursing, with the Nursing Care & Perioperative Practice dimension being central. It also emphasizes the importance of non-technical competencies, such as communication, leadership, and professional development, in improving patient outcomes and teamwork.

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意大利手术室护士临床胜任力评价指标的制定：德尔菲法与层次分析法

目的：对意大利手术室护士临床胜任力评估的基本要素达成共识。方法：2023年10月至2024年9月，包括手术室护士、协调员和管理人员在内的24名专家确定了关键要素。数据收集包括两轮德尔菲法和层次分析法。平均评分≥3.5分或方差≤20%时达成共识。调查结果确定了五个关键方面：专业、道德和法律实践；护理与围手术期实践；人际关系与沟通；组织、管理和领导能力；教育、研究和专业发展。该框架包含66个能力要素，突出了护理和围手术期实践的核心作用。结论：该框架突出了围手术期护理的多面性，以围手术期护理和实践维度为中心。它还强调了非技术能力的重要性，如沟通、领导和专业发展，以改善患者的结果和团队合作。

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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.