Procedure Manual-Based Simulation Training to Improve Operating Room Nurses' Core Competencies

NCT07527429 | Not Yet Recruiting DMC

• 2 other identifiers: Version 1.0-28/01/2026NECHR-2026-175
• Study Type: interventional
• Target: 49
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of a procedure manual-based simulation training program in improving the core competencies of operating room nurses in a Cambodian national hospital. Operating room nurses play a critical role in maintaining patient safety, assisting the surgical team, and ensuring efficient surgical workflow. This study will use a single-group quasi-experimental pre-post design. Baseline data will be collected before the intervention to assess operating room nurses' core competencies, interprofessional collaboration, job satisfaction, and surgical procedure duration. Participants will receive structured educational sessions and simulation-based training based on standardized surgical procedure manuals. After the training phase, nurses will implement the procedure manuals during real surgical procedures for six weeks. End-line data will be collected to evaluate improvements in competency levels, teamwork, job satisfaction, and surgical efficiency.

Conditions

Core Competency; Patient Safety; Interprofessional Collaboration; Surgical Outcome; Job Satisfaction

Keywords

Simulation Training; Procedure Manual; Operating Room Nurses; Cambodia; Quasi-Experimental Study; Nursing Education; Interprofessional Collaboration; Surgical Outcomes; Job Satisfaction

Outcome Measures

Primary Outcomes (1)

• Core Competencies of Operating Room (OR) Nurses

  Measured using a 20-item researcher-developed intraoperative core competency scale. It uses a five-point Likert scale (1: never to 5: always). The total score ranges from 20 to 100, where a higher score indicates a higher level of nursing competency in the operating room.

  Baseline (Day 0) and End-line (8 weeks), immediately following the 2-week training and 6-week implementation phase.

Secondary Outcomes (3)

• Interprofessional Collaboration

  Baseline (Day 0) and End-line (8 weeks), immediately following the 2-week training and 6-week implementation phase.

• Job Satisfaction

  Baseline (Day 0) and End-line (8 weeks), immediately following the 2-week training and 6-week implementation phase.

• Surgical Outcome

  Comparison of the 1 month prior to intervention (baseline) versus 1 month after the total intervention period.

Study Arms (1)

Simulation Training Group

EXPERIMENTAL

Registered Operating Room (OR) nurses at the Cambodia-China Friendship Preah Kossamak Hospital (CCFKH) who participate in a standardized procedure manual-based simulation training program. This group undergoes a two-week training phase followed by a six-week clinical implementation phase.

Behavioral: Procedure Manual-Based Simulation Training

Interventions

Procedure Manual-Based Simulation Training BEHAVIORAL

The intervention consists of a simulation training program of procedure manuals focused on two surgical procedures: Total Hip Replacement (THR) and Retrograde Intrarenal Surgery (RIRS). Training Phase (2 weeks): Participants attend two sessions (one per procedure). Each session includes a 1-hour lecture and 2 hours of hands-on simulation practice. Self-Study: Participants are provided with a digital E-manual for continuous review. Implementation Phase (6 weeks): Participants apply the standardized procedure manuals in real surgical settings with follow-up support from the research team.

Simulation Training Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses who are appointed to work in the intraoperative phase of Cambodia-China Friendship Preah Kossamak Hospital.
• Registered nurses at Cambodia-China Friendship Preah Kossamak Hospital who are willing to participate in the study.

You may not qualify if:

• Registered Nurses Cambodia-China Friendship Preah Kossamak Hospital who are unable to participate in intervention requirements.
• Registered Nurses Cambodia-China Friendship Preah Kossamak Hospital who are scheduled to participate in hospital mission assignments.

Sponsors & Collaborators

• Hiroshima University: lead

Study Sites (1)

Cambodia-China Friendship Preah Kossamak Hospital

Phnom Penh, Phnom Penh, 170000, Cambodia

Location

Related Publications (3)

• Brayfield, A. H., & Rothe, H. F. (1951). An Index of Job Satisfaction. Journal of Applied Psychology, 35, 307-311. https://doi.org/10.1037/h0055617

  RESULT

• 15. Gillespie, B. M., Polit, D. F., Hamlin, L., & Chaboyer, W. (2012). Developing a model of competence in the operating theatre: psychometric validation of the perceived perioperative competence scale-revised. International journal of nursing studies, 49(1), 90-101. https://doi.org/10.1016/j.ijnurstu.2011.08.001

  RESULT

• Gittell JH, Fairfield KM, Bierbaum B, Head W, Jackson R, Kelly M, Laskin R, Lipson S, Siliski J, Thornhill T, Zuckerman J. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Med Care. 2000 Aug;38(8):807-19. doi: 10.1097/00005650-200008000-00005.

  PMID: 10929993 RESULT

Related Links

• Hiroshima University - Graduate School of Biomedical and Health Sciences
• Cambodia-China Friendship Preah Kossamak Hospital (CCFKH)

Study Officials

• Michiko Moriyama, RN, MSN, Ph.D, FAAN

  Hiroshima University

  STUDY DIRECTOR

Central Study Contacts

LEANG E LEN, RN, BSN, Master Student

CONTACT

+85598735350; leangent13@gmail.com

Michiko Moriyama, RN, MSN, Ph.D, FAAN

CONTACT

+81-82-257-5365; morimich@hiroshima-u.ac.jp

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: This is an open-label, single-group educational intervention. Blinding is not feasible or applicable because the participants (Operating Room nurses) and the research team are actively engaged in the lecture-based learning, simulation practice, and manual implementation. Additionally, there is no control group involved in this quasi-experimental design, precluding the need for masking.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This is a quasi-experimental, single-group study utilizing a pre- and post-test design. All enrolled participants undergo the same sequence of events: baseline data collection, followed by a two-week standardized training intervention (lectures and simulations). After the training, participants enter a six-week clinical implementation phase to apply the procedure manual in real surgical settings. Finally, end-line data is collected to evaluate changes in core competencies and secondary outcomes.

Study Record Dates

• First Submitted: April 7, 2026
• First Posted: April 14, 2026
• Study Start: April 20, 2026
• Primary Completion (Estimated): July 20, 2026
• Study Completion (Estimated): March 31, 2027
• Last Updated: April 16, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)