A simulation-based role-reversal training program improves knowledge, skills, and job satisfaction of endovascular scrub nurses

• Role-reversal simulation-based education program enhances endovascular scrub nurses' technical skills. • Rating Scale scores increased from 19.0 to 43.0 (max 55), Checklist scores from 49.0 to 73.0 (max 85). • Improved understanding of procedures boosts teamwork and job satisfaction. • Endovascular scrub nurses reported better anticipation of surgeons' needs, fostering collaboration. • Potential for role-reversal training to improve surgical outcomes and job satisfaction. This study assessed the effectiveness of a modified simulation-based education (SBE) program, originally designed for vascular surgical trainees, adapted for endovascular scrub nurses (ESNs). The goal was to enhance their technical and non-technical skills and explore the program’s impact on operating room (OR) teamwork and workflow. A mixed-methods design was used. Eleven experienced ESNs—each with experience from approximately 100 endovascular procedures in the past 2–3 years—participated in role-reversal simulations, practicing peripheral endovascular procedures in the role of the surgeon under the guidance of a supervisor. Quantitative assessments included the Global Rating Scale (GRS) and an Examiner’s Checklist for technical skills, while semi-structured interviews provided qualitative insights into non-technical domains such as teamwork, workflow, and job satisfaction. The program significantly improved ESNs' technical skills, with GRS scores increasing from median IQR 19.0 14.0; 24.0 to 43.0 32.0; 44.0 (p=. 004) and Examiner’s Checklist scores rising from 49.0 45.0; 58.0 to 73.0 65.0; 78.0 (p=. 004). Qualitative findings, derived from the themes of learning potential, job satisfaction, culture, feedback, overwhelming, and COVID-19, further demonstrated improvements in non-technical domains, including understanding of procedural sequences, teamwork, workflow, and job satisfaction. Participants reported better anticipation of surgeons' needs and a more collaborative atmosphere in the operating room. The role-reversal simulation-based education program for ESNs improved technical skills and strengthened teamwork and collaboration in the operating room. These findings highlight the potential of role-reversal training to enhance surgical performance and job satisfaction among OR staff.