Procedure Manual-Based Simulation Training to Improve Operating Room Nurses' Core Competencies

Condition(s) studied

Investigational drug(s) / intervention(s)

Procedure Manual-Based Simulation Training: The intervention consists of a simulation training program of procedure manuals focused on two surgical procedures: Total Hip Replacement (THR) and Retrograde Intrarenal Surgery (RIRS). Training Phase (2 weeks): Participants attend two sessions (one per procedure). Each session includes a 1-hour lecture and 2 hours of hands-on simulation practice. Self-Study: Participants are provided with a digital E-manual for continuous review. Implementation Phase (6 weeks): Participants apply the standardized procedure manuals in real surgical settings with follow-up support from the research team.

Study summary

This study aims to evaluate the effectiveness of a procedure manual-based simulation training program in improving the core competencies of operating room nurses in a Cambodian national hospital. Operating room nurses play a critical role in maintaining patient safety, assisting the surgical team, and ensuring efficient surgical workflow.

This study will use a single-group quasi-experimental pre-post design. Baseline data will be collected before the intervention to assess operating room nurses' core competencies, interprofessional collaboration, job satisfaction, and surgical procedure duration.

Participants will receive structured educational sessions and simulation-based training based on standardized surgical procedure manuals. After the training phase, nurses will implement the procedure manuals during real surgical procedures for six weeks. End-line data will be collected to evaluate improvements in competency levels, teamwork, job satisfaction, and surgical efficiency.

Eligibility

Primary outcome measure(s)

• Core Competencies of Operating Room (OR) Nurses — Baseline (Day 0) and End-line (8 weeks), immediately following the 2-week training and 6-week implementation phase.
  Measured using a 20-item researcher-developed intraoperative core competency scale. It uses a five-point Likert scale (1: never to 5: always). The total score ranges from 20 to 100, where a higher score indicates a higher level of nursing competency in the operating room.

Trial sites (1)