Application of the BL-BOPPPS Model in Electric Operating Bed Training for Operating Room Nurses

Background: Operating room nurses (ORNs) require proficient electric operating bed (EOB) skills to ensure patient safety and surgical efficiency. The Bridge-in, Learning Outcomes, Pre-assessment, Participatory learning, Post-assessment, and Summary (BOPPPS) model integrated with blended learning (BL) represents an innovative educational approach, but its effectiveness in EOB training remains unexplored. Methods: A randomized controlled trial was conducted with 400 ORNs randomly assigned to either an experimental group receiving BL-BOPPPS-based EOB training (n = 200) or a control group receiving traditional training (n = 200). Both groups participated in two 90-minute sessions. Outcome measures included EOB operation skills (primary outcome), self-efficacy, and satisfaction (secondary outcomes). Assessments were conducted at pre-intervention, immediately post-intervention, and at 3-month follow-up. Results: The experimental group demonstrated significantly higher improvements in EOB operation skills (mean difference: 18.74 points, 95% CI: 15.92–21.56, p < 0.001) and self-efficacy (mean difference: 9.63 points, 95% CI: 8.21–11.05, p < 0.001) compared to the control group. The experimental group also reported significantly higher satisfaction scores (mean difference: 5.87 points, 95% CI: 5.12–6.62, p < 0.001). Multiple regression analysis identified participation in the BL-BOPPPS model, years of OR experience, and baseline self-efficacy as significant predictors of EOB operation skills improvement. These improvements were maintained at the 3-month follow-up in the experimental group. Conclusion: The BL-BOPPPS model represents an effective approach for EOB training among ORNs, producing superior improvements in operation skills, self-efficacy, and satisfaction compared to traditional training methods. These findings suggest that integrating this pedagogical model into clinical nursing education could enhance the effectiveness of technical skills training. Clinical Trial Registration ID: ISRCTN34671997 https://www.isrctn.com/ISRCTN34671997