Transversal Competencies in Operating Room Nurses: A Hierarchical Task Analysis.

Background: Ensuring the safety of patients in the operating room, through the monitoring and prevention of adverse events is a central priority of healthcare delivery. In the professionalization of operating room nurses, the processes of identifying, assessing, developing, monitoring, and certifyin...

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Publicado en:Nursing Reports Vol. 15; no. 6; pp. 200 - 224
Autores principales: Reato, Francesca, Ivziku, Dhurata, Lommi, Marzia, Bresil, Alessia, Andreotti, Anna, D'Angelo, Chiara, Gorli, Mara, Picozzi, Mario, Carcano, Giulio
Formato: research tables/charts Journal Article
Publicado: MDPI Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Transversal Competencies in Operating Room Nurses: A Hierarchical Task Analysis.
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          Reato, Francesca
          Ivziku, Dhurata
          Lommi, Marzia
          Bresil, Alessia
          Andreotti, Anna
          D'Angelo, Chiara
          Gorli, Mara
          Picozzi, Mario
          Carcano, Giulio
        affil: Department of Nursing Education, University of Insubria, 21100 Varese, Italy
      sug:
        subj:
          Operating Room Nurses Psychosocial Factors
          Professional Competence
          Perioperative Care
          Perianesthesia Nursing
          Human Italy
          Italy
          Qualitative Studies
          Descriptive Research
          Convenience Sample
          Content Analysis
          Male
          Female
          Adult
          Middle Age
          Task Performance and Analysis
          Communication
          Interpersonal Relations
          Teamwork
          Problem Solving
          Decision Making
          Leadership
          Coping
          Hardiness
          Time Management
          Ethics
          Critical Thinking
          Learning
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Ensuring the safety of patients in the operating room, through the monitoring and prevention of adverse events is a central priority of healthcare delivery. In the professionalization of operating room nurses, the processes of identifying, assessing, developing, monitoring, and certifying transversal competencies are crucial. While national and international frameworks have attempted to define such competencies, they often vary in scope and remain inconsistently integrated into education and clinical practice. There is, therefore, a need for a comprehensive and structured identification of transversal competencies relevant to both perioperative and perianesthesiological nursing roles. Objectives: To formulate a validated and structured repertoire of transversal competencies demonstrated by operating room nurses in both perioperative and perianesthesiological contexts. Methods: A qualitative descriptive design was adopted, combining shadowed observation with Hierarchical Task Analysis (HTA). A convenience sample of 46 participants was recruited from a university and a public hospital in Italy. Data were collected between September 2021 and June 2023 and analyzed using content analysis and data triangulation. Results: Through a qualitative, inductive and iterative approach the study identified 15 transversal competencies, 50 sub-competencies, and 153 specific tasks and activities. Specifically, operating room nurses working in perioperative and perianesthesiological roles presented the following transversal competencies: communication and interpersonal relationships, situation awareness, teamwork, problem solving and decision-making, self-awareness, coping with stressors, resilience and fatigue management, leadership, coping with emotions, task and time management, ethical and sustainable thinking, adaptation to the context, critical thinking, learning through experiences, and data, information and digital content management. Each competency was associated with specific tasks observed. Conclusions: This framework complements the existing repertoire of technical-specialist competencies by integrating essential transversal competencies. It serves as a valuable tool for the assessment, validation, and certification of competencies related to patient and professional safety, emotional well-being, relational dynamics, and social competencies. The findings underscore the need for academic institutions to revise traditional training models and embed transversal competencies in both undergraduate and postgraduate nursing education.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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