Video-Based Skill Assessment for Postoperative T-Tube Nursing is Associated with Improved Clinical Outcomes and Patient Satisfaction: A Single-Center Retrospective Comparative Study

Background: Ensuring standardized competencies in T-tube management is pivotal for optimizing recovery and minimizing postoperative morbidity. Despite its growing use in clinical training, the impact of structured video-based skill assessments on nursing practice has not been clearly defined. Methods: < 0.05. Results: < 0.01). Conclusion: Implementation of structured video-based nursing assessments was associated with more standardized T-tube retention time, shorter hospitalization, a lower observed rate of local infection and enhanced patient-reported and nursing quality outcomes. Given the retrospective observational design and routine staffing-based (non-random) nurse assignment, these findings should be interpreted as associations rather than causal effects. Complication endpoints were infrequent, and safety-related differences require confirmation in larger prospective studies. Integrating video-based evaluation into routine nursing competency frameworks may represent a scalable quality-assurance strategy for postoperative T-tube management and warrants confirmation in prospective, preferably randomized or mixed-method, studies.