Background: Technical skills play an integral part in perioperative nurse work in preventing adverse outcome in operating rooms (OR). Pervasive critical shortage of skills and evolution of technologies has pushed for integration of different approaches to training to address the deficit in technical skills. Objective: The aim is to investigate the impact of training in technical skills on operating theatre nurses’ clinical competence and describe important factors of clinical competence for operating theatre nurses (OTNs). Method: We used systematic review of the evidences on the best practice in design and delivery of training for operating theatre nurses. The review systematically searched for six relevant articles in PubMed, CINAHL and Embase using keywords and mesh terms for studies on training of perioperative nurses in December 2024. We extracted information on training and the impact of training on participant’s technical skills. Results: The systematic review screened 518 sources from the three identified databases where six peer-reviewed sources met the inclusion criteria developed by the authors and were included for analysis. The authors used the Cochrane Risk of Bias tool to assess the level of empirical evidence based on five domains of bias. Finding: Our findings demonstrate that simulation and technology-based approaches significantly improve nurses’ technical skills and confidence. Conclusion: The review underscores the importance of structured and technology-driven training programs in enhancing operating room (OR) nurses’ technical skills. The lack of standardized training approaches and limited research on long-term outcome indicates a need for further studies to optimize training designs and delivery methods for operating room nurses.
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