Non-technical Skills of Operating Room Nurses in University Hospital

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Wanvimol Kongsuwan
Rattima Sirihorachai
Thanapan Kunalasiri
Manunpat Tongbunkular
Watanyuta Wianchai


          Purpose: To examine the behavior of non-technical skills of scrub nurses during intra -operative phase, and the relationship between age, work experience and type of surgery of scrub nurses.

          Design: Descriptive correlation study.

          Methods: Non-technical skills of ninety-nine scrub nurses in operating rooms at University hospital in Thailand were observed using SPLINT System consisting of 3 subscales (situation awareness, communication and teamwork, task management). Inter-rater reliability using Cohen’s kappa was .99. Data were analyzed by using descriptive statistics, Pearson product moment correlation and one-way ANOVA.

          Main findings: The sample had non-technical skills at a standard level for each subscale; 1) task management, gif.latex?\bar{X} = 3.21, SD = .46) 2) situation awareness, gif.latex?\bar{X} = 3.15, SD = .56 and 3) communication and teamwork, gif.latex?\bar{X} = 3.05, SD = .53 respectively. Age and work experience were found to be positively correlated with non-technical skills at significance level .05. (r = .263, p < .01; r = .386, p < .01,  respectively). Surgery with high procedure complexity needs more overall non-technical skills and task management domain than other type of surgery (F = 3.609, p < .05 and F = 5.787, p < .01, respectively)

          Conclusion and recommendations: Non-technical skills are important skills scrub nurses in operating rooms must require; thus, there is a need to maintain standard non-technical skills for the scrub nurses in the setting. A workshop or training to enhance these nurses to achieve such skills beyond the standard level is suggested in order to improve patient safety in the operating rooms and being a role model for others to follow.


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Kongsuwan, W., Sirihorachai, R., Kunalasiri, T., Tongbunkular, M., & Wianchai, W. (2019). Non-technical Skills of Operating Room Nurses in University Hospital. Nursing Science Journal of Thailand, 37(4), 42-53. Retrieved from
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