Design and evaluation of an interactive training system for scrub nurses.

Glaser, Bernhard; Schellenberg, Tobias; Koch, Lucas; Hofer, Mathias; Modemann, Susanne; Dubach, Patrick; Neumuth, Thomas (2016). Design and evaluation of an interactive training system for scrub nurses. International Journal of Computer Assisted Radiology and Surgery, 11(8), pp. 1527-1536. Springer 10.1007/s11548-016-1356-9

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OBJECTIVE The current trend toward increasingly integrated technological support systems and the rise of streamlined processes in the OR have led to a growing demand for personnel with higher levels of training. Although simulation systems are widely used and accepted in surgical training, they are practically non-existent for perioperative nursing, especially scrub nursing. This paper describes and evaluates an interactive OR environment simulation to help train scrub nurses. METHODS A system comprising multiple computers and monitors, including an interactive table and a touchscreen combined with a client-server software solution, was designed to simulate a scrub nurse's workplace. The resulting demonstrator was evaluated under laboratory conditions with a multicenter interview study involving three participating ear, nose, and throat (ENT) departments in Germany and Switzerland. RESULTS The participant group of 15 scrub nurses had an average of 12.8 years hands-on experience in the OR. A series of 22 questions was used to evaluate various aspects of the demonstrator system and its suitability for training novices. DISCUSSION The system received very positive feedback. The participants stated that familiarization with instrument names and learning the instrument table setup were the two most important technical topics for beginners. They found the system useful for acquiring these skills as well as certain non-technical aspects. CONCLUSIONS Interactive training through simulation is a new approach for preparing novice scrub nurses for the challenges at the instrument table in the OR. It can also improve the lifelong training of perioperative personnel. The proposed system is currently unique in its kind. It can be used to train both technical and non-technical skills and, therefore, contributes to patient safety. Moreover, it is not dependent on a specific type of surgical intervention or medical discipline.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Dubach, Patrick


600 Technology > 610 Medicine & health








Stefan Weder

Date Deposited:

23 May 2017 14:43

Last Modified:

15 Oct 2019 14:36

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Computer-assisted instruction; Computer-assisted surgery; Nursing education; Surgical process model; Workflow




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