Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec;38(12):7024-7036.
doi: 10.1007/s00464-024-11335-3. Epub 2024 Oct 18.

Training and education of operating room nurses in robot-assisted surgery: a systematic review

Affiliations

Training and education of operating room nurses in robot-assisted surgery: a systematic review

Louise Møller et al. Surg Endosc. 2024 Dec.

Abstract

Background: With the introduction of robot-assisted surgery, the role and responsibility of the operating room nurses have been expanded. The surgical team for robotic-assisted surgery depends on the ability of the operating room nurses to operate and handle the robotic system before, during, and after procedures. However, operating room nurses must acquire the necessary competencies for robotic-assisted surgery.

Method: We performed a systematic review using the databases MEDLINE and EMBASE to review the evidence on educating and training operating room nurses in robot-assisted surgery. Studies describing operating room nurses' training and team-training with operating room nurses for robot-assisted surgery were included. The Medical Education Research Study Quality Instrument (MERSQI) and the Newcastle-Ottawa Scale-Education (NOS-E) were used to evaluate the quality of the included studies.

Results: We identified 3351 potential studies and included 16 in the final synthesis. Nine studies focused on team-training in robot-assisted surgery: four focused solely on training for operating room nurses, and only three on operating room nurses as first assistants in robot-assisted surgery. Most studies examined team-training in RAS, including OR nurses, focused on emergency situations and conversion to an open procedure. Only a few studies addressed other competencies relevant to OR nurses in RAS. No randomized controlled trials were identified. Only a few studies used pre- and post-testing, and only one examined clinical outcomes. The quality assessment of the included studies was moderate to low, with a median MERSQI score of 10.3 and a median NOS-E score of 2.

Conclusion: There is sparse research on the education of operating room nurses in robot-assisted surgery, and the literature emphasizes the training of surgeons. More research is needed to develop evidence-based training for operating room nurses in robot-assisted surgery.

Keywords: Education; Nursing; Operating room; Robot-assisted surgery; Simulation; Training.

PubMed Disclaimer

Conflict of interest statement

Declarations. Disclosures: RNs Louise Møller, Lone Jørgensen and Jane Petersson, Drs Rikke Groth Olsen, Peter Hertz, Andreas Røder, Lars Konge and Flemming Bjerrum have no conflicts of interest or financial ties to disclose.

References

    1. McGarvey HE, Chambers MGA, Boore JRP (2000) Development and definition of the role of the operating department nurse: a review. J Adv Nurs 32:1092–1100. https://doi.org/10.1046/j.1365-2648.2000.01578.x - DOI - PubMed
    1. Bull R, FitzGerald M (2006) Nursing in a technological environment: nursing care in the operating room. Int J Nurs Pract 12:3–7. https://doi.org/10.1111/j.1440-172X.2006.00542.x - DOI - PubMed
    1. Møller L, Hertz P, Grande U, Aukdal J, Fredensborg B, Kristensen H, Petersson J, Konge L, Bjerrum F (2023) Identifying curriculum content for operating room nurses involved in robotic-assisted surgery: a Delphi study. Surg Endosc 37:2729–2748. https://doi.org/10.1007/s00464-022-09751-4 - DOI - PubMed
    1. Kang MJ et al (2016) Perioperative nurses ’ work experience with robotic surgery. Comput Inform Nurs 00:1–7
    1. Abdel Raheem A, Song HJ, Chang KD, Choi YD, Rha KH (2017) Robotic nurse duties in the urology operative room: 11 years of experience. Asian J Urol 4:116–123. https://doi.org/10.1016/j.ajur.2016.09.012 - DOI - PubMed - PMC

Publication types

LinkOut - more resources