Cédric Maillot1, Sophie Martellotto2, Malik Boukerrou3, Arnaud Winer4. 1. Department of Orthopedic Surgery, University Hospital of South Reunion Island, BP 350, 97448, Saint-Pierre Cedex, Reunion. Electronic address: cedric.maillot@sfr.fr. 2. Department of Digestive and Oncological Surgery, Gabriel Martin Hospital Center, 38 Rue Labourdonnais, 97960, Saint-Paul, Reunion. Electronic address: sophie.martellotto@gmail.com. 3. Department of Gynecology and Obstetrics, University Hospital of South Reunion Island, BP 350, 97448, Saint-Pierre Cedex, Reunion; CEPOI, Perinatal Center of Study of the Indian Ocean, Faculty of Medicine, University Hospital of South Reunion Island, 97448, St-Pierre, Reunion; CSSOI, Center for Simulation in Health of the Indian Ocean, Faculty of Medicine, University Hospital of South Reunion Island, 97448, St-Pierre, Reunion. Electronic address: malik.boukerrou@chu-reunion.fr. 4. CEPOI, Perinatal Center of Study of the Indian Ocean, Faculty of Medicine, University Hospital of South Reunion Island, 97448, St-Pierre, Reunion; Intensive Care University Hospital of South Reunion Island, BP 350, 97448, Saint-Pierre Cedex, Reunion; CSSOI, Center for Simulation in Health of the Indian Ocean, Faculty of Medicine, University Hospital of South Reunion Island, 97448, St-Pierre, Reunion. Electronic address: arnaud.winer@chu-reunion.fr.
Abstract
BACKGROUND: The delegation of procedures within the medical competence to the nurses can increase the effectiveness of the healthcare provided. The objectives of the study are (1) to assess the quality of training courses for delegated surgical procedures through implementation for graduate scrub nursing ("students") (2) and to evaluate the correlation between the evaluation of this training carried out by students and the self-assessment conducted by the faculty ("trainers"). MATERIALS AND METHODS: We set up a 49-h training for five groups of 10 students from July 2016 to July 2017 in our tertiary academic hospital. The course consisted mostly in simulations based on the "Zwisch" model and focused on acquiring the control of the gesture as well as on the development of critical reasoning. An evaluation of the training by the students but also a self-assessment of trainers were prospectively collected using the SFDP26 questionnaire. RESULTS: 52 active scrub nursing students and 21 trainers were included. 96% of students and 86% of trainers evaluated the training from "good" to "very good". Progress was observed for 41 (79%) of the students and 18 (86%) of the trainers, and 98% of students felt able to put their new skills into clinical practice after training. There was no difference between the total scores of students and teachers (p = 0.153). A statistically significant difference between the evaluations produced by the students and the self-evaluations produced by the trainers was observed for 8 of the 26 items of assessment. In case of inadequacy, the trainers' scores were always lower than those of the students. CONCLUSIONS: Training in performing delegated surgical procedures by mixed cognitive and motor gestures learning, based on the development of critical thinking and simulations seems to be effective, with a significant improvement in students' knowledge and skills. Expectations of students and trainers are well correlated.
BACKGROUND: The delegation of procedures within the medical competence to the nurses can increase the effectiveness of the healthcare provided. The objectives of the study are (1) to assess the quality of training courses for delegated surgical procedures through implementation for graduate scrub nursing ("students") (2) and to evaluate the correlation between the evaluation of this training carried out by students and the self-assessment conducted by the faculty ("trainers"). MATERIALS AND METHODS: We set up a 49-h training for five groups of 10 students from July 2016 to July 2017 in our tertiary academic hospital. The course consisted mostly in simulations based on the "Zwisch" model and focused on acquiring the control of the gesture as well as on the development of critical reasoning. An evaluation of the training by the students but also a self-assessment of trainers were prospectively collected using the SFDP26 questionnaire. RESULTS: 52 active scrub nursing students and 21 trainers were included. 96% of students and 86% of trainers evaluated the training from "good" to "very good". Progress was observed for 41 (79%) of the students and 18 (86%) of the trainers, and 98% of students felt able to put their new skills into clinical practice after training. There was no difference between the total scores of students and teachers (p = 0.153). A statistically significant difference between the evaluations produced by the students and the self-evaluations produced by the trainers was observed for 8 of the 26 items of assessment. In case of inadequacy, the trainers' scores were always lower than those of the students. CONCLUSIONS: Training in performing delegated surgical procedures by mixed cognitive and motor gestures learning, based on the development of critical thinking and simulations seems to be effective, with a significant improvement in students' knowledge and skills. Expectations of students and trainers are well correlated.
Authors: Samuel O Noonan; Scott Hetzel; Kenneth J Noonan; John E Herzenberg; Donald S Bae; Benjamin J Shore Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2022-02-15