Translation and Psychometric Properties of the Persian Version of Oxford Non-technical Skills 2 System: Assessment of Surgical Teams' Non-technical Skills in Orthopedic Surgery Wards

Reza Kalantari; Ahmad Zanjirani Farahani; Ehsan Garosi; Hamze Badeli; Jamshid Jamali

Translation and Psychometric Properties of the Persian Version of Oxford Non-technical Skills 2 System: Assessment of Surgical Teams' Non-technical Skills in Orthopedic Surgery Wards

Arch Bone Jt Surg. 2019 Mar;7(2):173-181.

Authors

Reza Kalantari^{1

2

2

3

4

5}, Ahmad Zanjirani Farahani^{1

2

2

3

4

5}, Ehsan Garosi^{1

2

2

3

4

5}, Hamze Badeli^{1

2

2

3

4

5}, Jamshid Jamali^{1

2

2

3

4

5}

Affiliations

¹ Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran.
² Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran.
³ Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
⁴ Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
⁵ Research performed at at two selected public hospitals of Tehran, Iran.

PMID: 31211196
PMCID: PMC6510912

Abstract

Background: Non-technical skills are interpersonal and cognitive skills involved in safe performance and preventing adverse events during surgery. it is necessary to dominate the non-technical skills to ensure patient safety. This study has aimed to assess the validity and reliability of Oxford Non-technical skills 2 system (Oxford NOTECHS 2) in Iran and to evaluate surgical teams' non-technical skills in orthopedic surgery wards.

Methods: This cross-sectional study was conducted in Tehran, Iran during 2015. The level of evidence is III based on Canadian Task Force on the Periodic Health Examination. We followed the Beaton's guideline for Persian translation and cross-cultural adaptation of the checklist. In this study, 60 orthopedic surgical team members working in two selected public hospitals were selected by cluster random sampling method.Oxford NOTECHS 2 system which is consisted of four subscales including leadership and management, teamwork and collaboration, decision-makingand problem-solving, and situational awareness was used to collect the data.

Results: The overall mean score of non-technical skills was 69.52±6.64. The mean score for surgery, anesthesia, and nursing sub-teams were 24.98±3.71, 21.12±4.29, and 23.42±3.60, respectively. The teams' scores in total, leadership and management, teamwork and collaboration, problem solving and decision making, and situational awareness at the standard level were 74.70%, 76.95%, 73.75%, 66.87%, and 74.70% of maximum score, respectively.

Conclusion: The validity and reliability of the Persian version of Oxford NOTECHS 2 scale in Iran was confirmed. The results of this study showed that surgical teams' non-technical skills were at a moderate level in orthopedic surgery wards. The minimum score of the surgical teams' non-technical skills belonged to anesthesia and maximum to surgery sub-team. Using the training programs and setup workshop is recommended to improve the surgical teams' non-technical skills, especially surgery-nursing sub-team.

Keywords: Non-technical skills; Operating room; Orthopedic surgery; Oxford NOTECHS 2; Oxford non-technical skills 2; Persian version.