Key result
OR nurses identify ethical caring and professional accountability as key skills missing from crew resource management.
Why the study?
Operating room nurses rely on tacit knowledge that has limited the identification of their non-technical skills beyond the existing crew resource management framework.
This study identified novel non-technical skills (ethical caring and professional accountability) for operating room nurses that are not described in the traditional crew resource management framework.
Standard CRM training may overlook ethical caring and accountability skills in OR teams; leaves open whether expanded frameworks improve safety outcomes.
Background Operating room nurses have specialised technical- and non-technical skills and are essential members of the surgical team. The profession’s dependency of tacit knowledge has made their non-technical skills inaccessible to researchers, thus, creating limitations in the identification of the non-technical skills of operating room nurses. Non-technical skills are categorised in the crew resource management framework, and previously, non-technical skills of operating room nurses have been identified within the scope of the framework. The purpose of this study is to explore operating room nurses’ descriptions of their practices in search for non-technical skills not included in the crew resource management framework. Methods This study has a qualitative design. An expert panel of experienced operating room nurses (N = 96) in Norway provided qualitative descriptions of their practice in a Delphi survey. This study was conducted and reported in line with Standards for Reporting Qualitative Research (SRQR). Results The inductive thematic analysis developed two themes, ‘Ethical caring’ and ‘Professional accountability’, that encompass operating room nurses’ novel descriptions of their non-technical skills. The participants take pride in having the patients’ best interest as their main objective even if this may threaten their position in the team. Conclusions This study has identified novel non-technical skills that are not described in the crew resource management framework. These findings will contribute to the development of a new behavioural marker system for the non-technical skills of operating room nurses. This system will facilitate verbalisation of tacit knowledge and contribute to an increased knowledge about the operating room nursing profession.
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Sirevåg et al. (2023) studied Operating room nursing (n=96). Qualitative exploration of non-technical skills was evaluated on Identification of non-technical skills not included in the crew resource management framework. Operating room nurses identified 'Ethical caring' and 'Professional accountability' as key non-technical skills not covered by the standard crew resource management framework.
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