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

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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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.