Application of a two-dimensional code video in neurosurgery device manipulation training for growing nurses in operating room

Gland Surg. 2021 Dec;10(12):3233-3240. doi: 10.21037/gs-21-129.

Abstract

Background: There are many types of neurosurgery devices, their manipulation procedures are complex, and it is difficult for growing nurses in operating room to use them proficiently. In clinical practice, a set of detailed, intuitive, and flexible training methods are needed to improve the effectiveness of training for growing nurses in operating room. In this study, a two-dimensional (2D) code video was used to train growing nurses in operating room to operate these devices, aiming to improve their ability to do so in the clinical setting.

Methods: Before training, we created a video for every step of device manipulation, decoded the videos, generated a 2D code respectively, and scanned the code to play on a personal digital assistant (PDA). In 2019, we enrolled 32 growing nurses at the N1 level (N1 refers to the lowest level of nurses) in the north and south divisions of our hospital. A total of 16 nurses from the south division were trained with traditional methods, and 16 nurses from the north division were trained based on traditional training, plus 2D code video self-teaching. The intervention period for both groups was 6 months. After the intervention, the performance of the two groups was compared. Scores from the theoretical knowledge test, operation ability evaluation, and satisfaction of nurses from the training program were all compared between the two groups.

Results: The knowledge test score (83.43±6.70 vs. 78.60±6.08, P=0.041) and the operation ability evaluation (84.7±6.84 vs. 80.93±6.59, P=0.025) of nurses from the north division were higher than those from the south division; satisfaction of nurses from the north division was higher than that of nurses from the south division (97.52±3.31 vs. 93.40±5.96, P=0.022). There were also significant differences in the total scores of study ability between the two groups (97.87±12.37 vs. 90.07±12.99, P=0.021).

Conclusions: The use of a 2D code video can improve nurses' ability to manipulate neurosurgery devices.

Keywords: Two-dimensional code; neurosurgery device; surgical; training; video.