Pub Date : 2025-12-03DOI: 10.1016/j.pcorm.2025.100598
Ada Xie , Hui (Grace) Xu , Jed Duff
Aim
This study examined turnover intention among Australian perioperative nurses and its relationship with demographic characteristics and the workplace environment.
Background
Global shortages of skilled nurses are straining perioperative care. While the United States has led research in this area, further investigation is needed in other countries to understand and address staffing challenges.
Methods
An anonymous national survey via Qualtrics gathered demographic data, Turnover Intention Scale (TIS-6) scores, Healthcare Environment Survey responses, and nursing shortage insights. Descriptive statistics, multivariate analysis, and principal component analysis were used to explore variable relationships and predictor effects, and a general linear model was applied to assess model fit and identify significant TIS-6 predictors.
Results
Of the 900 analyzed responses, 105 participants had recently changed jobs, while 60.8 % of the remaining participants reported moderate to high turnover intention. Lower turnover intention was associated with satisfaction in workload, leadership, co-worker relationships, and compensation. However, higher satisfaction with building trust with patients and families unexpectedly predicted greater turnover intention.
Conclusions
Improving the perioperative work environment is essential to reducing turnover and retaining nursing staff.
{"title":"Factors influencing turnover intentions among perioperative nurses in Australia: A cross-sectional study","authors":"Ada Xie , Hui (Grace) Xu , Jed Duff","doi":"10.1016/j.pcorm.2025.100598","DOIUrl":"10.1016/j.pcorm.2025.100598","url":null,"abstract":"<div><h3>Aim</h3><div>This study examined turnover intention among Australian perioperative nurses and its relationship with demographic characteristics and the workplace environment.</div></div><div><h3>Background</h3><div>Global shortages of skilled nurses are straining perioperative care. While the United States has led research in this area, further investigation is needed in other countries to understand and address staffing challenges.</div></div><div><h3>Methods</h3><div>An anonymous national survey via Qualtrics gathered demographic data, Turnover Intention Scale (TIS-6) scores, Healthcare Environment Survey responses, and nursing shortage insights. Descriptive statistics, multivariate analysis, and principal component analysis were used to explore variable relationships and predictor effects, and a general linear model was applied to assess model fit and identify significant TIS-6 predictors.</div></div><div><h3>Results</h3><div>Of the 900 analyzed responses, 105 participants had recently changed jobs, while 60.8 % of the remaining participants reported moderate to high turnover intention. Lower turnover intention was associated with satisfaction in workload, leadership, co-worker relationships, and compensation. However, higher satisfaction with building trust with patients and families unexpectedly predicted greater turnover intention.</div></div><div><h3>Conclusions</h3><div>Improving the perioperative work environment is essential to reducing turnover and retaining nursing staff.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100598"},"PeriodicalIF":1.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737846","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}
When education is tailored to a specific field or profession, it equips practitioners with the practical knowledge and skills required to perform effectively and advance their careers. Providing ongoing education related to professional responsibilities also strengthens patient safety and ensures compliance with legal and ethical standards. The present study aimed to improve the knowledge, attitudes, and performance of operating room nurses at Iran University of Medical Sciences through a mobile-based educational program focusing on professional laws and legal punishments.
Methods
This quasi-experimental study was conducted among 126 operating room nurses. Data were collected using a demographic questionnaire, a researcher-developed knowledge and attitude questionnaire, and a performance checklist. Participants first completed a pre-test, followed by a six-week mobile-based educational intervention delivered via domestic messaging applications. A post-test identical to the pre-test was administered after the intervention. Data were analyzed using the Wilcoxon signed-rank test, with a significance level set at 0.05.
Results
The results showed a significant improvement in the nurses’ knowledge, attitudes, and performance following the mobile-based educational intervention (P < 0.001).
Conclusion
Mobile-based education proved effective in enhancing operating room nurses’ knowledge, attitudes, and practice regarding legal punishments and professional laws. This method can serve as a practical and accessible approach to improve the quality of perioperative nursing care and promote legal awareness in clinical settings.
{"title":"Effect of mobile-based education of professional laws and related legal punishments on the knowledge, attitude and performance of operating room nurses","authors":"Fardin Amiri , Atefeh Beigi-Khoozani , Sedigheh Hannani , Namamali Azadi","doi":"10.1016/j.pcorm.2025.100596","DOIUrl":"10.1016/j.pcorm.2025.100596","url":null,"abstract":"<div><h3>Introduction</h3><div>When education is tailored to a specific field or profession, it equips practitioners with the practical knowledge and skills required to perform effectively and advance their careers. Providing ongoing education related to professional responsibilities also strengthens patient safety and ensures compliance with legal and ethical standards. The present study aimed to improve the knowledge, attitudes, and performance of operating room nurses at Iran University of Medical Sciences through a mobile-based educational program focusing on professional laws and legal punishments.</div></div><div><h3>Methods</h3><div>This quasi-experimental study was conducted among 126 operating room nurses. Data were collected using a demographic questionnaire, a researcher-developed knowledge and attitude questionnaire, and a performance checklist. Participants first completed a pre-test, followed by a six-week mobile-based educational intervention delivered via domestic messaging applications. A post-test identical to the pre-test was administered after the intervention. Data were analyzed using the Wilcoxon signed-rank test, with a significance level set at 0.05.</div></div><div><h3>Results</h3><div>The results showed a significant improvement in the nurses’ knowledge, attitudes, and performance following the mobile-based educational intervention (<em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Mobile-based education proved effective in enhancing operating room nurses’ knowledge, attitudes, and practice regarding legal punishments and professional laws. This method can serve as a practical and accessible approach to improve the quality of perioperative nursing care and promote legal awareness in clinical settings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100596"},"PeriodicalIF":1.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737845","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}
<div><h3>Background</h3><div>Delays in operating room (OR) start times and prolonged anesthesia-controlled time (ACT) are common contributors to perioperative inefficiency. Performing regional anesthesia inside the OR prolongs ACT and creates workflow bottlenecks.</div><div>Operating room inefficiencies directly translate into reduced throughput and increased cost, especially in high-volume orthopedic centers where parallel anesthesia workflows can markedly improve utilization.</div></div><div><h3>Objective</h3><div>To evaluate the effect of a dedicated block room on OR efficiency, patient and staff satisfaction, and to assess the feasibility of predictive modeling for OR delays in a high-volume orthopedic hospital. Additionally, to define and quantify the clinical impact of these improvements using reproducible time-based metrics and machine learning–driven prediction of delay risk.</div></div><div><h3>Methods</h3><div>We conducted a before–after quality improvement study at a tertiary orthopedic center. In the pre-intervention phase (July–December 2024), regional anesthesia was performed inside the OR. In the post-intervention phase (January–June 2025), a dedicated block room was implemented. Anesthesia-controlled time (ACT) was defined as the interval between “patient in room” and “anesthesia end” time; first-case on-time start (FCOTS) was defined as the proportion of cases where the “in-room” time was within 5 minutes of the scheduled start.</div><div>Primary outcomes were ACT, first-case on-time start rates, and turnover time. Secondary outcomes included cancellations, post-anesthesia care unit (PACU) stay, and satisfaction.</div><div>Predictive modeling for OR delay (>15 minutes beyond scheduled time) was performed using logistic regression and random forest classifiers. Model performance was assessed by the area under the ROC curve (AUC), calibration plot, feature importance analysis, and decision curve analysis (DCA) for clinical utility. Institutional review board approval was obtained with waiver of individual consent.</div></div><div><h3>Results</h3><div>A total of 1,020 cases were analyzed (510 pre-intervention, 510 post-intervention). Mean ACT decreased from 28.4 to 18.6 minutes (mean difference −9.8 min; 95% CI −13.4 to −6.2; p < 0.001), first-case on-time starts improved from 42% to 68% (p < 0.001; relative improvement 62%), and turnover time decreased from 32 to 25 minutes (p = 0.004; 95% CI −10.6 to −2.1). Cancellations declined from 6.2% to 3.1% (relative reduction 50%; p = 0.03), and PACU stay decreased from 92 to 85 minutes (p = 0.045). Patient satisfaction was high (median 4.6/5), and staff reported improved workflow. Predictive modeling achieved an AUC of 0.82 (95% CI 0.77–0.87) with good calibration and net clinical benefit across thresholds of 20–60%. ASA grade, time of day, and block type were the strongest predictors of delay.</div></div><div><h3>Conclusion</h3><div>Block room implementation improved perioperati
{"title":"Block room implementation for regional anesthesia: a quality improvement and predictive modeling study on operating room efficiency in a tertiary orthopedic center","authors":"Gautham Patel , Shubhkarman Kahlon , Santosh Chipre , Vivek Anand","doi":"10.1016/j.pcorm.2025.100597","DOIUrl":"10.1016/j.pcorm.2025.100597","url":null,"abstract":"<div><h3>Background</h3><div>Delays in operating room (OR) start times and prolonged anesthesia-controlled time (ACT) are common contributors to perioperative inefficiency. Performing regional anesthesia inside the OR prolongs ACT and creates workflow bottlenecks.</div><div>Operating room inefficiencies directly translate into reduced throughput and increased cost, especially in high-volume orthopedic centers where parallel anesthesia workflows can markedly improve utilization.</div></div><div><h3>Objective</h3><div>To evaluate the effect of a dedicated block room on OR efficiency, patient and staff satisfaction, and to assess the feasibility of predictive modeling for OR delays in a high-volume orthopedic hospital. Additionally, to define and quantify the clinical impact of these improvements using reproducible time-based metrics and machine learning–driven prediction of delay risk.</div></div><div><h3>Methods</h3><div>We conducted a before–after quality improvement study at a tertiary orthopedic center. In the pre-intervention phase (July–December 2024), regional anesthesia was performed inside the OR. In the post-intervention phase (January–June 2025), a dedicated block room was implemented. Anesthesia-controlled time (ACT) was defined as the interval between “patient in room” and “anesthesia end” time; first-case on-time start (FCOTS) was defined as the proportion of cases where the “in-room” time was within 5 minutes of the scheduled start.</div><div>Primary outcomes were ACT, first-case on-time start rates, and turnover time. Secondary outcomes included cancellations, post-anesthesia care unit (PACU) stay, and satisfaction.</div><div>Predictive modeling for OR delay (>15 minutes beyond scheduled time) was performed using logistic regression and random forest classifiers. Model performance was assessed by the area under the ROC curve (AUC), calibration plot, feature importance analysis, and decision curve analysis (DCA) for clinical utility. Institutional review board approval was obtained with waiver of individual consent.</div></div><div><h3>Results</h3><div>A total of 1,020 cases were analyzed (510 pre-intervention, 510 post-intervention). Mean ACT decreased from 28.4 to 18.6 minutes (mean difference −9.8 min; 95% CI −13.4 to −6.2; p < 0.001), first-case on-time starts improved from 42% to 68% (p < 0.001; relative improvement 62%), and turnover time decreased from 32 to 25 minutes (p = 0.004; 95% CI −10.6 to −2.1). Cancellations declined from 6.2% to 3.1% (relative reduction 50%; p = 0.03), and PACU stay decreased from 92 to 85 minutes (p = 0.045). Patient satisfaction was high (median 4.6/5), and staff reported improved workflow. Predictive modeling achieved an AUC of 0.82 (95% CI 0.77–0.87) with good calibration and net clinical benefit across thresholds of 20–60%. ASA grade, time of day, and block type were the strongest predictors of delay.</div></div><div><h3>Conclusion</h3><div>Block room implementation improved perioperati","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100597"},"PeriodicalIF":1.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737847","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100594
Brahim Kammoun , Mehdi Borni , Mohammed Atef Azab , Hela Ben-Jemaa , Basma Souissi , Samir Aloulou , Mohamed Zaher Boudawara
Background
Early ventriculoperitoneal shunt (VPS) malfunction can result from intraoperative valve chamber contamination or damage. Contamination can occur with blood from surgical field. The objective of this technical note is to describe a surgical trick to avoid such complications.
Methods
We describe a simple, cost-effective technique using the sterile cap from the ligated distal peritoneal catheter as a temporary cover for the VPS valve chamber outlet during implantation, removed only before final connection.
Results
Our experience with this readily available, no-cost method has shown no early valve chamber-related malfunctions potentially linked to contamination.
Conclusion
Using the peritoneal catheter cap for intraoperative valve chamber protection in VPS is a straightforward measure aligning with contamination prevention, potentially improving shunt integrity and reducing early complications.
{"title":"Technical note: Intraoperative protection of ventriculoperitoneal shunt valve chambers using a peritoneal catheter-derived cap","authors":"Brahim Kammoun , Mehdi Borni , Mohammed Atef Azab , Hela Ben-Jemaa , Basma Souissi , Samir Aloulou , Mohamed Zaher Boudawara","doi":"10.1016/j.pcorm.2025.100594","DOIUrl":"10.1016/j.pcorm.2025.100594","url":null,"abstract":"<div><h3>Background</h3><div>Early ventriculoperitoneal shunt (VPS) malfunction can result from intraoperative valve chamber contamination or damage. Contamination can occur with blood from surgical field. The objective of this technical note is to describe a surgical trick to avoid such complications.</div></div><div><h3>Methods</h3><div>We describe a simple, cost-effective technique using the sterile cap from the ligated distal peritoneal catheter as a temporary cover for the VPS valve chamber outlet during implantation, removed only before final connection.</div></div><div><h3>Results</h3><div>Our experience with this readily available, no-cost method has shown no early valve chamber-related malfunctions potentially linked to contamination.</div></div><div><h3>Conclusion</h3><div>Using the peritoneal catheter cap for intraoperative valve chamber protection in VPS is a straightforward measure aligning with contamination prevention, potentially improving shunt integrity and reducing early complications.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100594"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617887","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100585
Leila Sadati, Seyedeh Sanaz Mirrahimi, Rana Abjar
{"title":"Corrigendum to “Evaluation of surgical technologists' performance in laparoscopic instrument decontamination and sterilization by 360-degree appraisal method: an observational study” [Perioperative Care and Operating Room Management 41 (2025) 100551]","authors":"Leila Sadati, Seyedeh Sanaz Mirrahimi, Rana Abjar","doi":"10.1016/j.pcorm.2025.100585","DOIUrl":"10.1016/j.pcorm.2025.100585","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100585"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736190","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100588
Zohreh Khoshgoftar , Sara Bagheri , Atiyeh Sadat Sajadi , Nasrin Aghazadeh , Vahid Rahmani
This article investigates the essential function of spatial intelligence and visual memory in improving the performance of scrub nurses in the operating room (OR). Cognitive abilities are crucial for the swift and precise handling of surgical tools, significantly influencing surgical efficiency and patient safety. Delays in handing over instruments, especially during critical times, can make surgery take longer, cause more problems, and even put the patient's life at risk. The current programs that train nurses mostly focus on technical skills, while cognitive skills such as spatial intelligence and visual memory are often overlooked. One approach could be to incorporate cognitive skill assessments during the hiring or admissions process to identify candidates with strong cognitive abilities, which could lead to improved performance in the operating room.
The article examines scientific data indicating that spatial intelligence and visual memory may be enhanced using modern educational methods, such as Virtual Reality (VR), Augmented Reality (AR), and microlearning.These technologies offer immersive, interactive environments that allow scrub nurses to practice visualizing and recalling surgical instrument arrangements under simulated high-pressure conditions. The research also suggests an interactive teaching game that simulates real-world surgical problems, allowing nurses to develop cognitive abilities including quick instrument recognition and exact tool delivery. By incorporating cognitive training into scrub nurse education, these methods have the potential to increase performance, minimize medical mistakes, and improve overall surgical results. The article highlights the importance of including cognitive skills in training programs, arguing that doing so could considerably contribute to safer and more efficient surgical operations, eventually leading to improved patient outcomes.
{"title":"Enhancing spatial intelligence and visual memory: Educational gamification to improve operating room scrub nurses' skills","authors":"Zohreh Khoshgoftar , Sara Bagheri , Atiyeh Sadat Sajadi , Nasrin Aghazadeh , Vahid Rahmani","doi":"10.1016/j.pcorm.2025.100588","DOIUrl":"10.1016/j.pcorm.2025.100588","url":null,"abstract":"<div><div>This article investigates the essential function of spatial intelligence and visual memory in improving the performance of scrub nurses in the operating room (OR). Cognitive abilities are crucial for the swift and precise handling of surgical tools, significantly influencing surgical efficiency and patient safety. Delays in handing over instruments, especially during critical times, can make surgery take longer, cause more problems, and even put the patient's life at risk. The current programs that train nurses mostly focus on technical skills, while cognitive skills such as spatial intelligence and visual memory are often overlooked. One approach could be to incorporate cognitive skill assessments during the hiring or admissions process to identify candidates with strong cognitive abilities, which could lead to improved performance in the operating room.</div><div>The article examines scientific data indicating that spatial intelligence and visual memory may be enhanced using modern educational methods, such as Virtual Reality (VR), Augmented Reality (AR), and microlearning.These technologies offer immersive, interactive environments that allow scrub nurses to practice visualizing and recalling surgical instrument arrangements under simulated high-pressure conditions. The research also suggests an interactive teaching game that simulates real-world surgical problems, allowing nurses to develop cognitive abilities including quick instrument recognition and exact tool delivery. By incorporating cognitive training into scrub nurse education, these methods have the potential to increase performance, minimize medical mistakes, and improve overall surgical results. The article highlights the importance of including cognitive skills in training programs, arguing that doing so could considerably contribute to safer and more efficient surgical operations, eventually leading to improved patient outcomes.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100588"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618036","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100591
Ashkan karimi , Jaber Zabihirad , Behzad Imani , Reza Feizi , Ali Gharahzade , Farzad Abaszadeh , Reza Tavakkol
{"title":"Corrigendum to “Evaluation of patient privacy in perioperative care in the operating room of Be’sat hospital in Hamadan city” [Perioperative Care and Operating Room Management 40 (2025), 100523]","authors":"Ashkan karimi , Jaber Zabihirad , Behzad Imani , Reza Feizi , Ali Gharahzade , Farzad Abaszadeh , Reza Tavakkol","doi":"10.1016/j.pcorm.2025.100591","DOIUrl":"10.1016/j.pcorm.2025.100591","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100591"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736191","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100593
Ruocui Zhang , Jintian Gu , Qing Wang , Xueyun Li , Zhuanyun Zhang
Background
Perianesthesia nursing in China faces challenges of fragmented management and uneven resources, calling for systematic guidance aligned with national policies and international benchmarks.
Aim
This quality improvement project aimed to develop, implement, and evaluate a Perianesthesia Nursing Care Management Model (PNCMM) based on China’s Tertiary Hospital Evaluation Standards.
Methods
This quality improvement project employed a pre/post design.The PNCMM was implemented in January 2019.Outcomes were evaluated by comparing data before (December 2018) and after (December 2023) implementation using standardized nursing evaluations, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and records of scholarly outputs.
Results
Following implementation, the comprehensive nursing care evaluation score improved significantly (P=0.001). The nursing practice environment composite score also increased markedly (P<0.05). Furthermore, scholarly outputs such as research projects, publications, and evidence-based projects rose substantially (P<0.05).
Conclusion
The PNCMM successfully standardized perianesthesia nursing management, improved the practice environment, and fostered scholarly activity. This model provides a feasible framework for aligning perianesthesia nursing with national standards and international benchmarks, such as the ASPAN standards.
{"title":"Construction and application of a perianesthesia nursing care management model based on China’s tertiary hospital evaluation standards: A quality improvement project","authors":"Ruocui Zhang , Jintian Gu , Qing Wang , Xueyun Li , Zhuanyun Zhang","doi":"10.1016/j.pcorm.2025.100593","DOIUrl":"10.1016/j.pcorm.2025.100593","url":null,"abstract":"<div><h3>Background</h3><div>Perianesthesia nursing in China faces challenges of fragmented management and uneven resources, calling for systematic guidance aligned with national policies and international benchmarks.</div></div><div><h3>Aim</h3><div>This quality improvement project aimed to develop, implement, and evaluate a Perianesthesia Nursing Care Management Model (PNCMM) based on China’s Tertiary Hospital Evaluation Standards.</div></div><div><h3>Methods</h3><div>This quality improvement project employed a pre/post design.The PNCMM was implemented in January 2019.Outcomes were evaluated by comparing data before (December 2018) and after (December 2023) implementation using standardized nursing evaluations, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and records of scholarly outputs.</div></div><div><h3>Results</h3><div>Following implementation, the comprehensive nursing care evaluation score improved significantly (P=0.001). The nursing practice environment composite score also increased markedly (P<0.05). Furthermore, scholarly outputs such as research projects, publications, and evidence-based projects rose substantially (P<0.05).</div></div><div><h3>Conclusion</h3><div>The PNCMM successfully standardized perianesthesia nursing management, improved the practice environment, and fostered scholarly activity. This model provides a feasible framework for aligning perianesthesia nursing with national standards and international benchmarks, such as the ASPAN standards.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100593"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617886","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100590
Ashkan karimi , Behzad Imani , Jaber Zabihirad , Reza Feizi , Ali Gharahzade , Reza Tavakkol
{"title":"Corrigendum to “A cross-sectional study on dimensions of low back pain in Hamedan Hospitals” [Perioperative Care and Operating Room Management 38 (2025), 100464]","authors":"Ashkan karimi , Behzad Imani , Jaber Zabihirad , Reza Feizi , Ali Gharahzade , Reza Tavakkol","doi":"10.1016/j.pcorm.2025.100590","DOIUrl":"10.1016/j.pcorm.2025.100590","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100590"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736192","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}
Pub Date : 2025-11-26DOI: 10.1016/j.pcorm.2025.100595
Rachel RP Lee , Angus Douglas , Levon D Rush , Louisa Lowes
Background
Multidisciplinary preoperative team briefings (PTBs) enhance communication, teamwork, and safety culture. At our two co-located large tertiary teaching hospitals, PTBs were not conducted routinely despite evidence supporting their benefit.
Methods
We undertook a quality improvement (QI) project with a SMART aim of achieving ≥80 % compliance with full multidisciplinary PTB attendance within one month. This involved education sessions, information dissemination and staged implementation. A modified checklist was co-designed with anaesthetic, surgical and nursing staff, piloted, and then rolled out. Compliance was measured using PTB checklists, and safety climate using Safety Attitudes Questionnaire (SAQ) Short Form.
Results
PTB compliance increased from 0 % to 80.6 % (p < 0.001). Post-intervention staff surveys reported positive feedback on communication and teamwork, though SAQ scores declined modestly (76.6 % vs 72.2 %, p = 0.035).
Conclusions
Introducing structured PTBs achieved the compliance target and was valued by staff. Key factors to sustain its implementation include embedding PTBs as a default practice and ensuring ongoing targeted education of staff.
多学科术前小组简报（ptb）可以加强沟通、团队合作和安全文化。在我们的两家位于同一地点的大型三级教学医院，尽管有证据支持ptb的益处，但ptb并未常规进行。方法：我们开展了一项质量改进（QI）项目，其SMART目标是在一个月内达到≥80%的多学科PTB患者出席率。这包括教育会议、信息传播和分阶段执行。与麻醉、外科和护理人员共同设计了一份修改后的检查表，进行了试点，然后推出。使用PTB检查表测量依从性，使用安全态度问卷（SAQ）简短形式测量安全气候。结果sptb依从性由0%提高至80.6% （p < 0.001）。干预后的员工调查报告了沟通和团队合作方面的积极反馈，尽管SAQ得分略有下降（76.6% vs 72.2%, p = 0.035）。结论引入结构化ptb达到了合规目标，受到员工的重视。维持其实施的关键因素包括将ptb作为默认做法，并确保对工作人员进行持续的有针对性的教育。
{"title":"Improving multidisciplinary communication through daily preoperative team huddles: A quality improvement initiative in Australian operating theatres","authors":"Rachel RP Lee , Angus Douglas , Levon D Rush , Louisa Lowes","doi":"10.1016/j.pcorm.2025.100595","DOIUrl":"10.1016/j.pcorm.2025.100595","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary preoperative team briefings (PTBs) enhance communication, teamwork, and safety culture. At our two co-located large tertiary teaching hospitals, PTBs were not conducted routinely despite evidence supporting their benefit.</div></div><div><h3>Methods</h3><div>We undertook a quality improvement (QI) project with a SMART aim of achieving ≥80 % compliance with full multidisciplinary PTB attendance within one month. This involved education sessions, information dissemination and staged implementation. A modified checklist was co-designed with anaesthetic, surgical and nursing staff, piloted, and then rolled out. Compliance was measured using PTB checklists, and safety climate using Safety Attitudes Questionnaire (SAQ) Short Form.</div></div><div><h3>Results</h3><div>PTB compliance increased from 0 % to 80.6 % (<em>p</em> < 0.001). Post-intervention staff surveys reported positive feedback on communication and teamwork, though SAQ scores declined modestly (76.6 % vs 72.2 %, <em>p</em> = 0.035).</div></div><div><h3>Conclusions</h3><div>Introducing structured PTBs achieved the compliance target and was valued by staff. Key factors to sustain its implementation include embedding PTBs as a default practice and ensuring ongoing targeted education of staff.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100595"},"PeriodicalIF":1.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145652088","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号