加强埃塞俄比亚手术室的专业承诺——见解和必要性

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-08-20 DOI:10.1016/j.pcorm.2025.100545

Alaye Debas Ayenew , Tadesse Belayneh Melkie , Nurhusen Riskey Arefayne , Zewditu Abdissa Denu , Belete Muluadam Admassie

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引用次数: 0

摘要

专业承诺在手术室等高压力环境中至关重要，直接影响医疗质量和患者预后。然而，关于低资源环境下手术室工作人员承诺水平的证据仍然很少。目的评估2023年埃塞俄比亚西北部转诊医院手术室工作人员的专业承诺及其影响因素。方法采用简单随机抽样法，于2023年4月20日至5月20日进行多中心、横断面研究。数据收集采用预测试，自我管理的问卷，并分析与SPSS版本26。因子分析和多元线性回归在95%的置信水平上确定了显著的预测因子。结果总有效率为96.9%。平均专业承诺得分中等，为67.4% （95% CI: 66.6-71.0）。主要预测因子包括教育程度、月收入、工作经验、情感性与规范性组织承诺、个人特质、伦理型领导。结论手术室工作人员表现出中等程度的专业承诺。改善承诺需要有针对性的干预措施，包括培训、公平薪酬和促进道德领导，以加强低收入和中等收入国家卫生保健系统的劳动力复原力和护理质量。

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Strengthening professional commitment in Ethiopia’s operating rooms — Insights and imperatives

Background

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.

Objective

To assess professional commitment and its associated factors among operating room staff in referral hospitals in Northwest Ethiopia in 2023.

Methods

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.

Results

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.

Conclusion

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.

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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.