Introduction The evaluation of nursing performance in the operating theatre is a relevant domain for quality of care, patient safety, and professional development. Within the perioperative setting, performance cannot be reduced solely to the execution of technical procedures, but rather requires an integrated consideration of technical-clinical competencies, Non-Technical Skills, professional accountability, and organisational dimensions. Aim This study aimed to describe and explore the dimensions perceived by perioperative nurses as relevant to the evaluation of performance in the operating theatre, in order to provide a preliminary basis for the development of a competency framework. Materials and Methods A descriptive and exploratory cross-sectional observational study was conducted within the Operating Theatre Departments of the AST of Macerata. Data were collected between February and March 2026 through a structured interview administered to 48 perioperative nurses working in the hospitals of Macerata and Civitanova Marche. The instrument explored professional characteristics, organisational context, transversal technical-clinical competencies, Non-Technical Skills, professional and organisational competencies, perceptions of performance outcomes, and the perceived relevance of a competency framework. Data were analysed using descriptive and exploratory statistical methods. Results The sample consisted predominantly of scrub nurses and professionals with more than 15 years of experience in the operating theatre. Transversal technical-clinical competencies achieved high mean scores, particularly in relation to safe medication management, preparation of the operative environment, and clarity of roles and responsibilities. Among the Non-Technical Skills, teamwork and situational awareness obtained the highest scores, whereas communication and stress management showed lower values; the Friedman test revealed significant differences among the subscales, χ²(5) = 37.533; p < 0.001. Preliminary internal consistency of the interview sections was high, with Cronbach’s alpha coefficients ranging from 0.880 to 0.968. Exploratory analyses demonstrated positive associations among the principal dimensions investigated; in regression models, Non-Technical Skills and professional-organisational competencies were associated with perceptions of performance outcomes, whereas transversal technical-clinical competencies were associated with the relevance attributed to the framework. Conclusions The findings support a multidimensional consideration of nursing performance in the operating theatre. From this perspective, performance evaluation should consider not only technical-clinical competencies but also Non-Technical Skills, professional accountability, traceability, multiprofessional teamwork, and the organisational context. This study does not constitute a psychometric validation of the instrument; however, it provides a preliminary basis for the development of a competency framework and associated performance descriptors. Based on this structure, a preliminary assessment template for perioperative nursing performance is proposed, subject to further expert review, pilot testing, and evaluation of validity, reliability, and applicability. Keywords: nursing performance; operating theatre; competencies; Non-Technical Skills; framework; evaluation.
Introduzione La valutazione della performance infermieristica in sala operatoria rappresenta un ambito rilevante per la qualità dell’assistenza, la sicurezza del paziente e lo sviluppo professionale. Nel contesto perioperatorio, la performance non può essere ricondotta alla sola esecuzione tecnico-procedurale, ma richiede una lettura integrata di competenze tecnico-cliniche, Non Technical Skills, responsabilità professionale e dimensioni organizzative. Obiettivo Lo studio ha avuto l’obiettivo di descrivere ed esplorare le dimensioni percepite dagli infermieri perioperatori come rilevanti per la valutazione della performance in sala operatoria, al fine di definire una base preliminare per un framework di competenze. Materiali e metodi È stato condotto uno studio osservazionale trasversale descrittivo-conoscitivo nei Blocchi Operatori dell’AST di Macerata. La raccolta dei dati è stata effettuata tra febbraio e marzo 2026 mediante intervista strutturata somministrata a 48 infermieri perioperatori delle sedi di Macerata e Civitanova Marche. Lo strumento ha indagato caratteristiche professionali, contesto organizzativo, competenze tecnico-cliniche trasversali, Non Technical Skills, competenze professionali e organizzative, percezione degli esiti della performance e rilevanza attribuita a un framework di competenze. I dati sono stati analizzati mediante statistiche descrittive ed esplorative. Risultati Il campione era costituito prevalentemente da infermieri strumentisti e da professionisti con oltre 15 anni di esperienza in sala operatoria. Le competenze tecnico-cliniche trasversali hanno riportato valori medi elevati, in particolare per la gestione sicura dei farmaci, la preparazione del setting operatorio e la chiarezza di ruoli e responsabilità. Le Non Technical Skills hanno mostrato valori più elevati per lavoro di squadra e situational awareness, e valori più contenuti per comunicazione e gestione dello stress; il test di Friedman ha evidenziato una differenza significativa tra le sottoscale. La consistenza interna preliminare delle sezioni dell’intervista è risultata elevata, con alfa di Cronbach compreso tra 0,880 e 0,968. Le analisi esplorative hanno mostrato associazioni positive tra le principali dimensioni indagate; nei modelli di regressione, le Non Technical Skills e le competenze professionali-organizzative sono risultate associate alla percezione degli esiti della performance, mentre le competenze tecnico-cliniche trasversali sono risultate associate alla rilevanza attribuita al framework. Conclusioni I risultati supportano una lettura multidimensionale della performance infermieristica in sala operatoria. In tale prospettiva, appare opportuno che la valutazione della performance consideri non solo le competenze tecnico-cliniche, ma anche le Non Technical Skills, la responsabilità professionale, la tracciabilità, il lavoro multiprofessionale e il contesto organizzativo. Lo studio non costituisce una validazione psicometrica dello strumento, ma fornisce una base preliminare per la definizione di un framework di competenze e di descrittori orientativi. A partire da tale struttura, viene proposta una scheda fac-simile preliminare per la valutazione della performance infermieristica perioperatoria, da sottoporre a successiva revisione esperta, sperimentazione pilota e verifica di validità, affidabilità e applicabilità. Parole chiave: performance infermieristica; sala operatoria; competenze; Non Technical Skills; framework; valutazione.
Performance infermieristica per competenze in sala operatoria: studio osservazionale trasversale
PALLOTTI, ALESSANDRO
2025/2026
Abstract
Introduction The evaluation of nursing performance in the operating theatre is a relevant domain for quality of care, patient safety, and professional development. Within the perioperative setting, performance cannot be reduced solely to the execution of technical procedures, but rather requires an integrated consideration of technical-clinical competencies, Non-Technical Skills, professional accountability, and organisational dimensions. Aim This study aimed to describe and explore the dimensions perceived by perioperative nurses as relevant to the evaluation of performance in the operating theatre, in order to provide a preliminary basis for the development of a competency framework. Materials and Methods A descriptive and exploratory cross-sectional observational study was conducted within the Operating Theatre Departments of the AST of Macerata. Data were collected between February and March 2026 through a structured interview administered to 48 perioperative nurses working in the hospitals of Macerata and Civitanova Marche. The instrument explored professional characteristics, organisational context, transversal technical-clinical competencies, Non-Technical Skills, professional and organisational competencies, perceptions of performance outcomes, and the perceived relevance of a competency framework. Data were analysed using descriptive and exploratory statistical methods. Results The sample consisted predominantly of scrub nurses and professionals with more than 15 years of experience in the operating theatre. Transversal technical-clinical competencies achieved high mean scores, particularly in relation to safe medication management, preparation of the operative environment, and clarity of roles and responsibilities. Among the Non-Technical Skills, teamwork and situational awareness obtained the highest scores, whereas communication and stress management showed lower values; the Friedman test revealed significant differences among the subscales, χ²(5) = 37.533; p < 0.001. Preliminary internal consistency of the interview sections was high, with Cronbach’s alpha coefficients ranging from 0.880 to 0.968. Exploratory analyses demonstrated positive associations among the principal dimensions investigated; in regression models, Non-Technical Skills and professional-organisational competencies were associated with perceptions of performance outcomes, whereas transversal technical-clinical competencies were associated with the relevance attributed to the framework. Conclusions The findings support a multidimensional consideration of nursing performance in the operating theatre. From this perspective, performance evaluation should consider not only technical-clinical competencies but also Non-Technical Skills, professional accountability, traceability, multiprofessional teamwork, and the organisational context. This study does not constitute a psychometric validation of the instrument; however, it provides a preliminary basis for the development of a competency framework and associated performance descriptors. Based on this structure, a preliminary assessment template for perioperative nursing performance is proposed, subject to further expert review, pilot testing, and evaluation of validity, reliability, and applicability. Keywords: nursing performance; operating theatre; competencies; Non-Technical Skills; framework; evaluation.| File | Dimensione | Formato | |
|---|---|---|---|
|
Tesi_Pallotti_Alessandro_Performance_infermieristica_per_competenze.pdf
embargo fino al 16/01/2028
Descrizione: Lo studio analizza la percezione della performance delle competenze infermieristiche in sala operatoria,con il fine di produrre un framework attuale per la valutazione delle competenze tecniche, non tecniche e professionali-organizzative nella performance
Dimensione
1.5 MB
Formato
Adobe PDF
|
1.5 MB | Adobe PDF |
I documenti in UNITESI sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/20.500.12075/27033