ABSTRACT
We aimed to investigate the effectiveness of an online laparoscopic suturing training course conducted via an online meeting program. The mean needle loading, stitching, and knot-tying times were 77.3 s, 63.0 s, and 140.3 s, respectively on the initial test. Total laparoscopic suture time before the course was 273.8 s. After the course, time measures across all parameters decreased significantly (p < .001). The mean needle loading, suture passing, and knot tying times were 25.0 s, 31.0 s, and 34.6 s on the final test. The total intracorporeal suture time after the course was 90.0 s. The Objective and Structured Assessment of Technical Skills Scores significantly increased from 16.8 at the initial test to 25.4 at the final test (p < .001).IMPACT STATEMENTWhat is already known on this subject? Training models like box trainers and virtual reality simulators have frequently been shown to significantly improve laparoscopic skills.What the results of this study add? A 1-day online laparoscopic suturing course significantly reduces the intracorporeal suturing time.What the implications are of these findings for clinical practice and/or further research? Basis the results, online laparoscopic suturing training might become the new norm for training over conventional training given the benefits of cost and time savings.
Subject(s)
COVID-19 , Laparoscopy , COVID-19/prevention & control , Clinical Competence , Humans , Laparoscopy/methods , Pandemics , Suture Techniques/education , SuturesABSTRACT
Günümüz dünyası, Covid-19 ile birlikte deǧişimin hızının ve kapsamının belirlenemediǧi, planlama ve öngörü yapmanın zorlaştıǧı tam anlamıyla bir VUCA ortamı yaşamaktadır. VUCA, ilk olarak 1987'de kullanılan ve Warren Bennis ve Burt Nanus'un liderlik teorilerine dayanan bir kısaltma olup, deǧişkenlik, belirsizlik, karmaşıklık ve muǧlaklık anlamına gelmektedir. Araştırmanın amacı, VUCA ortamının, insan kaynakları verimliliǧi üzerine etkisinde kaygı düzeyinin aracı rolünü incelemektir. Araştırmaya ait veriler, yapılandırılmış anket tekniǧi kullanılarak aktif olarak hizmet sektöründe yer alan işletmelerde çalışmakta olan ve rassal olarak seçilen 627 çalışandan elde edilmiştir. Araştırma sonucunda VUCA ile kaygı düzeyi arasında pozitif yönlü, kaygı düzeyi ve verimlilik arasında negatif yönlü ve yine VUCA ile verimlilik arasında da negatif yönlü anlamlı bir ilişki bulunmuştur. Yapılan hiyerarşik regresyon analizi sonucunda ise kaygı düzeyinin VUCA ile verimlilik ilişkisinde tam aracılık etkisi bulunduǧu gözlemlenmiştir. Bu sonuca göre VUCA 'nın verimlilik üzerindeki negatif etkisinin nedeninin kişilerin kaygı düzeyinin artması olduǧu söylenebilir.Alternate abstract:Today 's world is going through a VUCA era where the rate of change and scope with Covid-19 cannot be determined, it is difficult to plan and predict for the upcoming periods. VUCA is an acronym first used in 1987 and based on Warren Bennis and Burt Nanus ' leadership theories, which means variability, uncertainty, complexity and ambiguity. The aim of the research is to examine the mediating role of anxiety level in the effect of VUCA environment conditions on human resources efficiency. The research data were obtained from 627 randomly selected employees who are actively working in a service business using the structured questionnaire technique. As a result of the research, a positive relationship was found between VUCA and anxiety level, and a negative relationship between VUCA and efficiency. Therefore, it cannot be said that the level of anxiety has a mediator effect in efficiency relationship with VUCA. As a result of the hierarchical regression analysis, it was observed that the level of anxiety had a full mediating effect in the relationship between VUCA and productivity. According to this result, it can be said that the reason for the negative effect of VUCA on productivity is the increase in anxiety level of the people.