Perioperative Care and Operating Room Management最新文献

{"title":"Communication challenges faced by operating room students in clinical environments: Insights from a qualitative content analysis","authors":"Fatemeh Davodabadi ,&nbsp;Amirali Alizadeh ,&nbsp;Fatemeh Samiee ,&nbsp;Behzad Imani","doi":"10.1016/j.pcorm.2025.100553","DOIUrl":"10.1016/j.pcorm.2025.100553","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication is a crucial non-technical skill in high-pressure clinical environments like operating rooms, impacting patient safety and team coordination. However, operating room students face obstacles in developing these skills during clinical training. This study aimed to explore and provide an in-depth understanding of the contextual and system-level factors shaping communication barriers encountered by operating room students in clinical settings.</div></div><div><h3>Methods</h3><div>A qualitative study with a conventional content analysis approach was conducted in 2025 among ten undergraduate operating room students from Hamadan University of Medical Sciences, western Iran. Participants were selected through purposive sampling, and recruitment continued until data saturation was achieved. Data were collected through semi-structured interviews and analyzed concurrently using the Graneheim and Lundman method. Trustworthiness was ensured using Guba and Lincoln’s criteria.</div></div><div><h3>Results</h3><div>The analysis identified five main themes:(1) <em>Intrapersonal barriers</em> (fear of mistakes, low self-esteem, introversion, lack of interest in the clinical environment),(2) <em>Restrictive organizational and hierarchical structures</em> (surgeons’ authoritarianism, hierarchical culture, lack of formal communication channels),(3) <em>Gap between academic training and clinical demands</em> (insufficient communication skills training, exclusive focus on technical skills, lack of structured feedback),(4) <em>Clinical environmental pressures</em> (heavy workload, time constraints, adverse physical and psychological conditions), and (5) <em>Lack of professional support</em> (absence of active clinical instructors, neglect of students’ roles by the healthcare team, scarcity of positive communication role models).</div></div><div><h3>Conclusion</h3><div>Communication barriers among operating room students are multifaceted, shaped by individual, organizational, educational, and environmental factors. Addressing these challenges requires curriculum revisions, strengthened professional support, and fostering psychologically safe clinical environments.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100553"},"PeriodicalIF":1.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145099038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative analgesic efficacy of erector spinae block, quadratus lumborum block, and intrathecal morphine for post-operative pain relief after cesarean section: A randomized study","authors":"Ghada Mohammad AboElfadl ,&nbsp;Obey Mohamed Shaker ,&nbsp;Ismail Elsaid Eldeeb ,&nbsp;Mahmoud Mamdouh Ekram ,&nbsp;Ahmad Mohamed Aboelfadl","doi":"10.1016/j.pcorm.2025.100552","DOIUrl":"10.1016/j.pcorm.2025.100552","url":null,"abstract":"<div><h3>Background</h3><div>Optimal post-cesarean analgesia remains challenging. We compared the efficacy of erector spinae plane block (ESB), quadratus lumborum block (QL), and intrathecal morphine (ITM) in a randomized trial.</div></div><div><h3>Methods</h3><div>Patients undergoing cesarean delivery under spinal anesthesia were randomized to three groups 40 patients each. ITM group (hyperbaric bupivacaine + 150 µg morphine), QL group (ITM + bilateral QL block with 0.25 % bupivacaine + dexamethasone), ESB group (ITM + bilateral ESB block with 0.25 % bupivacaine + dexamethasone). The primary outcome was the time to first rescue analgesia. Secondary outcomes included pain scores (NRS at rest and on movement), the amount of analgesics consumption during the first 24 h following surgery, changes in hemodynamics, side effects, and patient satisfaction.</div></div><div><h3>Results</h3><div>QLB group provided a significantly longer time to the first analgesic request compared to both ESB and ITM (17.53 ± 1.92 h, 12.63 ± 1.19 h, 8.43 ± 1.13 h respectively), with <em>p</em> &lt; 0.001. QLB group also resulted in a significantly lower number of analgesic doses compared to ITM and ESB groups. Numeric Rating Scale (NRS)pain scores at rest &amp; on movement was significantly lower in the QLB and ESB group at various times compared to ITM. Patient satisfaction was highest in the QLB group.</div></div><div><h3>Conclusion</h3><div>QL and ESB blocks are superior to ITM alone, with QL potentially offering better visceral analgesia.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100552"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145099036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of surgical technologists' performance in laparoscopic instrument decontamination and sterilization by 360-degree appraisal method: An observational study","authors":"Leila Sadati,&nbsp;Seyedeh Sanaz Mirrahimi,&nbsp;Rana Abjar","doi":"10.1016/j.pcorm.2025.100551","DOIUrl":"10.1016/j.pcorm.2025.100551","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgical technologists play a crucial role in maintaining patient safety and ensuring the overall quality of care in surgical settings. Their performance in the field of decontamination and sterilization of laparoscopic instruments is as important as it directly affects the risk of surgical complications. Therefore, the present study aimed to appraise the performance of surgical technologists in laparoscopic instrument decontamination and sterilization by A 360-degree performance appraisal method in selected hospitals in Alborz Province, Iran.</div></div><div><h3>Methods</h3><div>The present study is a cross-sectional study which was conducted among 110 surgical technologists in Alborz Province, Iran from May 2024 to January 2025 using convenient sampling. Data were collected using a performance checklist and the 360-degree evaluation method. The checklist's validity was confirmed through content validity and expert panel opinions. Its reliability was established with a 0.91 agreement coefficient between two external raters and an intraclass correlation coefficient (ICC) of 0.822 for the questionnaire. Data were analyzed using SPSS version 28 software and one-sample <em>t</em>-test, independent groups <em>t</em>-test, and one-way analysis of variance.</div></div><div><h3>Results</h3><div>The findings on the performance of surgical technologists in the decontamination and sterilization of laparoscopic instruments reveal that 2 technologists were classified in the low performance category, with scores between 0 and 16. A total of 101 technologists fell into the moderate performance category, achieving scores ranging from 17 to 33. Furthermore, 7 technologists achieved the high-performance level, with scores between 34 and 50.</div></div><div><h3>Conclusion</h3><div>This study utilized the 360-degree feedback method, which revealed that surgical technologists perform moderately in reprocessing laparoscopic instruments. To gain a clearer understanding of their strengths and areas needing improvement, it is important to conduct ongoing evaluations using a range of methods.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100551"},"PeriodicalIF":1.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145099035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling a rare yet critical peril: Subcutaneous emphysema and pneumomediastinum post-tonsillectomy - A case report","authors":"Serveh Mohammadi ,&nbsp;Behzad Imani ,&nbsp;Abbas Khalilpour ,&nbsp;Yaser Ghaderi ,&nbsp;Habib Azimi ,&nbsp;Mohsen Akbaribazm","doi":"10.1016/j.pcorm.2025.100550","DOIUrl":"10.1016/j.pcorm.2025.100550","url":null,"abstract":"<div><div>This case report describes a highly unusual presentation of extensive subcutaneous emphysema (SE), pneumomediastinum (PM), and right-sided pneumothorax in a 6-year-old boy following an otherwise uneventful elective tonsillectomy. The patient’s intraoperative course, including the wound closure phase, remained completely stable, with no notable changes in hemodynamics or respiratory status observed. However, in the post-anesthesia care unit (PACU), the patient was suddenly diagnosed with crepitus, which rapidly spread from the face toward the chest. Concurrently, capnography showed persistent hypercapnia, with end-tidal CO₂ values ranging from 60 to 70 mmHg. Chest imaging confirmed the presence of SE, PM, and pneumothorax in the absence of tracheal or esophageal injury. The patient was managed conservatively with supplemental oxygen and close monitoring in an intensive care unit. No surgical intervention was required, and full recovery was observed within one week. This report also provides a brief literature review exploring the possible mechanisms behind these rare complications, as well as current evidence-based management strategies.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100550"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between operating room nurses' comfort and burnout levels: A cross-sectional study","authors":"Hatice Çiftçi ,&nbsp;Sevda Korkut ,&nbsp;Mustafa Mart ,&nbsp;Zerrin Özçelik","doi":"10.1016/j.pcorm.2025.100548","DOIUrl":"10.1016/j.pcorm.2025.100548","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' comfort level plays an important role in their ability to perform their professional duties effectively and in supporting their job satisfaction and physical-psychological well-being. Comfort can reduce stress levels and increase a person's ability to cope with challenges in their work or personal life. The study was conducted to determine the relationship between comfort and burnout level of operating room nurses.</div></div><div><h3>Methods</h3><div>This cross-sectional study was completed with the participation of 115 operating room nurses. Descriptive Characteristics Form, Nurse Comfort Questionnaire and Maslach Burnout Inventory were used to collect the study data.</div></div><div><h3>Results</h3><div>The burnout level of the nurses was significant and negatively correlated with the total comfort level, sociocultural, psychospiritual and physical comfort. The physical, sociocultural and psychospiritual comfort predicted 49% of the total variance in emotional exhaustion and 18% of the total variance in depersonalization.</div></div><div><h3>Conclusions</h3><div>As the comfort of the nurses working in the operating room decreased, their burnout levels increased. The nurses' emotional burnout level was significantly and negatively correlated with total comfort level, sociocultural and psychospiritual comfort, and depersonalization level was significantly and negatively correlated with total comfort level, sociocultural, psychospiritual and physical comfort level. In addition, comfort sub-dimensions significantly predicted emotional exhaustion and depersonalization. In order to improve the quality of healthcare services and increase nurses' overall well-being and job satisfaction, it is recommended that future studies focus on intervention-based studies aimed at increasing nurses' comfort.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100548"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prioritization of operating room maintenance factors with fuzzy analytic hierarchy process","authors":"Şeyda Gür ,&nbsp;Tamer Eren","doi":"10.1016/j.pcorm.2025.100549","DOIUrl":"10.1016/j.pcorm.2025.100549","url":null,"abstract":"<div><div>Operating rooms are one of the most critical units of hospitals and, therefore, the health system. Managers need to keep the effectiveness of these units at a high level. Since the results of operating room performance directly affect patient health, maintenance in these priority areas must be carried out regularly and properly. For this reason, it is necessary to determine the factors affecting the planned maintenance strategy and to prevent the adverse effects that these factors may cause. This required maintenance increases the economic life of the expensive equipment in the operating rooms and ensures the continuity of the use of the operating rooms. In this study, the factors influencing the maintenance processes of operating rooms were identified, and their impact on the performance of these rooms was evaluated. In this evaluation phase, the fuzzy analytic hierarchy method was used. According to the results obtained, suggestions were made to hospital managers.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100549"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updated risk prediction model for perioperative hypothermia in adults: A systematic review and meta-analysis","authors":"Na Zhang,&nbsp;Huijuan He,&nbsp;Guiyuan Qiao,&nbsp;Mengying Li,&nbsp;Ling Wang,&nbsp;Lei Yue,&nbsp;Xiangrong Wang","doi":"10.1016/j.pcorm.2025.100540","DOIUrl":"10.1016/j.pcorm.2025.100540","url":null,"abstract":"<div><h3>Aim</h3><div>To systematically review and critically assess existing risk prediction models for inadvertent perioperative hypothermia (IPH) in adult patients undergoing non-cardiac surgery.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis of observational studies.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted from inception to December 31, 2023. The databases searched included PubMed, Web of Science, Medline, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Science and Technology Journal Database (VIP). Two researchers independently extracted data following CHARMS guidelines, and quality assessment was performed using the PROBAST checklist. Meta-analysis included studies with externally validated models, with effect measures calculated using MetaDiSc 1.4 software.</div></div><div><h3>Results</h3><div>A total of 1792 studies were retrieved, with 43 studies comprising 49 IPH prediction models included in the final review. Logistic regression was the most common method for model development. Model performance, assessed by AUC, ranged from 0.683 to 0.968. Frequent predictors included age, BMI, and ambient temperature. The meta-analysis of externally validated models showed a pooled AUROC of 0.908, demonstrating strong predictive capability.</div></div><div><h3>Conclusion</h3><div>Despite the promising performance of the IPH prediction models, their applicability to diverse populations needs further consideration. High risk of bias highlights the need for methodological rigor. Nonetheless, meta-analysis confirms the robustness of these models in predicting perioperative hypothermia.</div></div><div><h3>Implications</h3><div>Implementing robust IPH prediction models can aid healthcare professionals in identifying high-risk patients, thus improving perioperative temperature management and patient outcomes.</div></div><div><h3>Trial and Protocol Registration</h3><div>The review was registered in PROSPERO (ID: CRD42023343403).</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100540"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT and American Society of Anesthesiologists (ASA) classifications - utilizing artificial intelligence in ASA classification of pediatric surgical patients","authors":"Chaitanya Challa ,&nbsp;Abdulla Ahmed ,&nbsp;Giuliana Geng-Ramos ,&nbsp;Jennica Luu ,&nbsp;Sohel Rana ,&nbsp;Jessica A. Cronin","doi":"10.1016/j.pcorm.2025.100547","DOIUrl":"10.1016/j.pcorm.2025.100547","url":null,"abstract":"<div><h3>Background</h3><div>The American Society of Anesthesiologists (ASA) physical status classification system is a widely used tool to assess preoperative risk. However, variability in assigning ASA scores due to subjectivity among healthcare workers remains an issue. Advances in artificial intelligence (AI) present an opportunity to improve the consistency of ASA classifications. The aim of this study was to evaluate the potential of ChatGPT, a large language model (LLM), to assign ASA scores in pediatric surgical patients. The authors hypothesized that ChatGPT's classifications would correlate with anesthesiologist-determined ASA scores.</div></div><div><h3>Methods</h3><div>This retrospective cross-sectional pilot study was conducted at a tertiary pediatric hospital, including 203 pediatric patients who underwent surgery between June 4–7, 2023. Summaries of each patient's medical history and surgery details were created and reviewed by a board-certified anesthesiologist. These summaries were presented to both a study anesthesiologist and entered into ChatGPT (x2) for ASA classification. The ASA classifications by ChatGPT were compared to those provided by both the study anesthesiologist and the day-of-surgery (DOS) anesthesiologist. Cohen's kappa with linear weighting was used to assess inter-rater agreement between ChatGPT and anesthesiologists and to measure intra-rater reliability between different ChatGPT outputs.</div></div><div><h3>Results</h3><div>A total of 203 pediatric cases were analyzed. The agreement between repeated ASA classifications from ChatGPT was significant (κ=0.61, 95% CI 0.52–0.69) with 66% exact match in classifications. The agreement between the first ChatGPT output and the study anesthesiologist showed statistical agreement (κ=0.60, 95% CI 0.51–0.69), with a 66% match. Similarly, the second ChatGPT output had agreement with the study anesthesiologist (κ=0.59, 95% CI 0.50–0.68), with a 67% match. The highest agreement (κ=0.72, 95% CI 0.62–0.81) was observed between the DOS anesthesiologist and the study anesthesiologist, with a 75% match.</div></div><div><h3>Conclusions</h3><div>The correlation between ChatGPT's ASA scores and those assigned by the pilot study anesthesiologist was found to be 66–67%. These findings indicate that AI has the potential to support pediatric anesthesiologists in determining patient ASA classifications.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100547"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived barriers and facilitators for using video consultations in a surgical outpatient clinic – A qualitative study among clinicians with limited prior experience","authors":"Mia Grøftholdt Pedersen ,&nbsp;Helle Poulsen ,&nbsp;Lærke Kjær Tolstrup","doi":"10.1016/j.pcorm.2025.100546","DOIUrl":"10.1016/j.pcorm.2025.100546","url":null,"abstract":"<div><h3>Introduction</h3><div>Accelerated use of telehealth, including video consultations, is a highly relevant topic in healthcare worldwide. While video consultations offer potential benefits, clinicians remain reluctant to use them. Clinicians’ perspectives might affect the implementation of video consultations, however, research investigating clinicians’ perspectives is limited in surgical settings. This study aimed to investigate clinicians’ perspectives on barriers and facilitators for using video consultations in a surgical outpatient clinic among clinicians with limited prior experience with video consultations.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted through three focus groups with thirteen nurses and seven physicians. The focus groups were based on dilemma games, using a semi-structured interview guide based on a contextual case to give participants different roles to reflect upon. Data were analyzed by systematic text condensation.</div></div><div><h3>Results</h3><div>Clinicians identified several barriers, including fear of failing technology, limited ability to conduct clinical assessments or to care for the patient, and difficulty in choosing the right consultation type. On the other hand, facilitators included time savings for patients and relatives, increased patient comfort, and advantages of video consultations over telephone consultations, including the ability to observe non-verbal cues during communication and the option to illustrate or screen-share.</div></div><div><h3>Conclusions</h3><div>The study identifies barriers and facilitators concerning video consultations in a surgical outpatient setting among clinicians with limited experience with video consultations. Identifying barriers and facilitators can possibly reduce potential resistance from clinicians, ensuring a better application of video consultations. Clinicians proposed initiatives to ease implementation, including adequate introduction, ‘How-to’ guides, and help from others.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100546"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening professional commitment in Ethiopia’s operating rooms — Insights and imperatives","authors":"Alaye Debas Ayenew ,&nbsp;Tadesse Belayneh Melkie ,&nbsp;Nurhusen Riskey Arefayne ,&nbsp;Zewditu Abdissa Denu ,&nbsp;Belete Muluadam Admassie","doi":"10.1016/j.pcorm.2025.100545","DOIUrl":"10.1016/j.pcorm.2025.100545","url":null,"abstract":"<div><h3>Background</h3><div>Professional commitment is crucial in high-stress settings like operating rooms, directly influencing healthcare quality and patient outcomes. However, evidence on the commitment levels of operating room staff in low-resource settings remains scarce.</div></div><div><h3>Objective</h3><div>To assess professional commitment and its associated factors among operating room staff in referral hospitals in Northwest Ethiopia in 2023.</div></div><div><h3>Methods</h3><div>A multi-center, cross-sectional study was conducted from April 20 to May 20, 2023, involving 424 participants selected by simple random sampling. Data were collected using a pre-tested, self-administered questionnaire and analyzed with SPSS version 26. Factor analysis and multiple linear regression identified significant predictors at a 95 % confidence level.</div></div><div><h3>Results</h3><div>The response rate was 96.9 %. The mean professional commitment score was moderate at 67.4 % (95 % CI: 66.6–71.0). Key predictors included educational level, monthly income, work experience, affective and normative organizational commitment, personal characteristics, and ethical leadership.</div></div><div><h3>Conclusion</h3><div>Operating room staff showed moderate professional commitment. Improving commitment requires targeted interventions, including training, fair remuneration, and promotion of ethical leadership to strengthen workforce resilience and care quality in LMIC healthcare systems.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100545"},"PeriodicalIF":1.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}