Key Skill Management in Operating Room Erasmus Project

Project Title

Key Skill Management in Operating Room

Project Key Action

This project related with these key action: Cooperation for innovation and the exchange of good practices

Project Action Type

This project related with this action type : Strategic Partnerships for vocational education and training

Project Call Year

This project’s Call Year is 2016

Project Topics

This project is related with these Project Topics: Research and innovation; Health and wellbeing

Project Summary

CONTEXT: In Europe, Operating Room nurses don’t have necessarily a specific training before working in operating room. Specific trainings are heterogeneous or nonexistent. The 60-day mortality rate in operating rooms is substantially different between European countries ranging from 0.5% to 5%. Significant pressure on operating rooms is clear: staff turnover, development of ambulatory surgery, operating rooms multiculturalism. Staff and especially Head Operating Room Nurses (HORN) are subject to more and more demanding requirements on their practices. How to respond to these public health issues affecting operating room nurses (ORN) and therefore the patient?

KSM, A FIRST PROJECT APPRECIATED: UNAIBODE (French national association of operating room nurses) and several European partners experimented and adapted the KSM (Key Skills Management) method in a previous project. KSM approach has been presented in ten European congresses. With KSM, HORN have a method, focused on key practices, used in high-risk environments.
KSMOR, THE ISSUES OF THE NEW PROJECT: In 2015, the HAS (National Health Authority) strengthened requirements for certification auditors on human resources management in operating rooms. HAS made documented integration, regular individual assessment and updated training mandatories. Therefore HAS and ANAP (French National Agency for Performance Support) want a large scale KSM approach experimentation. In addition, HORN and UNAIBODE want to have a self-assessment tool to evaluate new ORN pedagogical paths in a field where they will have to master between 1500 and 2000 practices. To respond to these issues of skills and human resources management in OR, the CEPPRAAL (health quality and security regional support structure in France) decided to set up the KSMOR project.

THE GOALS OF KSMOR project are: to elaborate an online self-assessment tool of OR nurses’ practices allowing Head Operating Room Nurses (HORN) and nurse to position themselves in their practices and to evaluate their autonomy and thus their training course both for the common core and for surgical specialties. To experiment KSM approach in 5 to 10 French hospitals. Disseminate KSM approach to target audiences at congresses, professional journals, professional organizations and training organizations.

PARTICIPATING ORGANIZATIONS: the project brings together 7 European partners. France is represented by CEPPRAAL: a health quality and security regional support structure; the UNAIBODE: the French national association of operating room nurses and DPG, a structure that brings the expertise of the KSM method designer. Professionals from leading countries in training and OR safety like Finland (Savonia University) combined Parnasse Vinci group (Belgium) whose representatives have participated at the first project. The University of Pardubice in the Czech Republic has experience in international research programs. A Greek partner (IDEC) specialized in quality and skills, has already worked on these issues with the project designer.

DESCRIPTION OF MAIN ACTIVITIES IMPLEMENTATION: 4 European countries (Belgium, Finland, Greece, Czech Republic) have tested and assessed the “progression table” tool with working groups composed by nurses and head operating room nurses. A user guide has been written and an online application with the tools has been created. An experimentation of the KSM approach took place in 8 French hospitals in order to teste and evaluate the impact of KSM approach on the OR process.

RESULTS AND IMPACTS: recommendations on the use of the tool emerged from workgroups; the online application is functional, the user guide is written and the implementation of KSM approach have been tested and evaluated in 8 French hospitals. The experimentation impact is positive with a better integration of the new nurses and the optimization of the skills management in OR.

IDENTIFIED BENEFITS : French hospitals who have experimented KSM approach want to continue to use it and extend it to OR not included in the experimentation. The application and the user guide will allow any hospital to deploy the KSM approach within its OR. The long-term benefits are a better skill management in OR with benefits for staff, life quality at work and patient safety.

EU Grant (Eur)

Funding of the project from EU: 377779,75 Eur

Project Coordinator

CEPPRAAL : Coordination pour l’Evaluation des Pratiques Professionnelles en santé en Auvergne Rhône-Alpes & Country: FR

Project Partners

• Pasteau David Jacques
• Haute Ecole Léonard de Vinci
• Union Nationale des Associations d’Infirmiers de Bloc Opératoire Diplômés d’Etat
• AINTEK SYMVOULOI EPICHEIRISEON EFARMOGES YPSILIS TECHNOLOGIAS EKPAIDEFSI ANONYMI ETAIREIA
• dpgestion
• SAVONIA-AMMATTIKORKEAKOULU OY
• UNIVERZITA PARDUBICE