Operating room nurses' perceptions of the missed perioperative nursing care in Iran medical science universities teaching hospitals: A cross-sectional nationwide survey

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-04-04 DOI:10.1016/j.pcorm.2025.100487

Omid Zadi , Amirali Alizadeh , Aysan judi , Vahid Rahmani , Nasrin Aghazadeh

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引用次数: 0

Abstract

Background

Missed perioperative nursing care (MPNC) in operating rooms is a critical issue that can compromise patient safety and increase adverse events. Despite the importance of perioperative nurses' roles, limited research in Iran has focused on MPNC within the operating room environment. This study aimed to assess the prevalence and characteristics of MPNC among perioperative nurses in Iran.

Methods

This cross-sectional study was done on 733 perioperative nurses from August 2023 to January 2024. data were collected from teaching hospitals of the University of Medical Sciences across the country (20 teaching hospitals were randomly selected) using a multi-stage random stratified sampling method. Data were collected using the MPNC questionnaire developed by Marsch et al. After data collection, they were analyzed using SPSS24 with descriptive and inferential statistical tests.

Results

The overall MPNC mean score was 7.36 ± 6.3, indicating a low prevalence. Communication (mean: 0.27) and legal requirements (mean: 0.26) were the most frequently missed domains, while closure routines (mean: 0.15) were the least missed. Significant associations were observed between MPNC and demographic factors, including age (P = 0.013), work experience (P < 0.001), and gender (P = 0.003). Commonly missed care included the use of venous stasis prevention devices and the proper signing of consent forms.

Conclusions

The study highlights critical gaps in perioperative nursing care, particularly in communication and legal documentation. Addressing these gaps through targeted training programs, workflow optimization, and adherence monitoring is essential to enhance patient safety and care quality in operating rooms.

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伊朗医科大学教学医院手术室护士对围手术期护理缺失的认知：一项全国横断面调查

手术室围手术期护理缺失（MPNC）是危及患者安全并增加不良事件的关键问题。尽管围手术期护士的角色很重要，但伊朗有限的研究集中在手术室环境中的MPNC。本研究旨在评估伊朗围手术期护士中MPNC的患病率和特征。方法对2023年8月至2024年1月733名围手术期护士进行横断面研究。采用多阶段随机分层抽样方法，在全国医科大学附属教学医院（随机抽取20家）进行数据采集。使用Marsch等人开发的MPNC问卷收集数据。收集数据后，使用SPSS24进行描述性和推断性统计检验。结果MPNC总分为7.36±6.3分，患病率较低。沟通（平均值：0.27）和法律要求（平均值：0.26）是最常被遗漏的领域，而关闭程序（平均值：0.15）是最少被遗漏的领域。MPNC与人口统计学因素显著相关，包括年龄（P = 0.013）、工作经验(P <；0.001)，性别（P = 0.003）。常见的遗漏护理包括静脉淤血预防装置的使用和正确签署同意书。结论：本研究突出了围手术期护理的关键空白，特别是在沟通和法律文件方面。通过有针对性的培训计划、工作流程优化和依从性监测来解决这些差距，对于提高手术室患者安全和护理质量至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.