Perioperative Care and Operating Room Management最新文献

{"title":"Anaesthetic management in a child with hunter syndrome and multivalvular involvement","authors":"Dr Shivam Banerjee , Prof Bhavna Hooda , Prof Shalendra Singh , Saurabh Khurana","doi":"10.1016/j.pcorm.2026.100615","DOIUrl":"10.1016/j.pcorm.2026.100615","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100615"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977433","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":"What matters to patients on the day of surgery - A qualitative study","authors":"Hejdi Gamst-Jensen ,&nbsp;Brigitta R. Villumsen ,&nbsp;Bente Buch ,&nbsp;Jannie Bisgaard Stæhr ,&nbsp;Susanne Winther Olsen ,&nbsp;Anja Egelund ,&nbsp;Lone Dragnes Brix ,&nbsp;Anette Viftrup ,&nbsp;Anne Højager Nielsen","doi":"10.1016/j.pcorm.2026.100633","DOIUrl":"10.1016/j.pcorm.2026.100633","url":null,"abstract":"<div><h3>Background</h3><div>Surgical patients often face heightened anxiety, uncertainty, and vulnerability on the day of surgery. While patient-centered care emphasizes understanding individual needs and preferences, there is limited research addressing what patients consider most important on the day of surgery. This study aims to explore the experiences, values and priorities of surgical patients.</div></div><div><h3>Methods</h3><div>This multi-center qualitative study utilized a flash-mob approach to collect data across 23 hospitals in Denmark. On the International Patient Safety Day 2024, 966 patients undergoing acute or planned surgery completed an electronic survey. The primary question, “What matters to you on the day of surgery?”, allowed patients to provide free-text responses. Data were analyzed using reflexive thematic analysis to identify recurring themes reflecting patients’ needs and experiences.</div></div><div><h3>Results</h3><div>Three central themes were identifie:d<span><span>1</span></span> “I’m a person with unique needs”: Patients emphasized the importance of being treated as individuals, with their specific needs, past experiences, and vulnerabilities acknowledged.<span><span>²</span></span> “Help me get through this”: Patients expressed fears about anesthesia, loss of control, and surgical outcomes, valuing emotional support, clear communication, and professional competence to alleviate these anxieties.<span><span>³</span></span> “Getting back to daily life”: Patients prioritized quick recovery, minimal pain, and a seamless transition back to normalcy. These findings highlight the multifaceted nature of patient needs in perioperative care.</div></div><div><h3>Conclusion</h3><div>The study demonstrates that empathetic, individualized care, coupled with clear communication and professionalism, is crucial to addressing patient-centered priorities during the surgical experience.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100633"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395669","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":"Enhancing nursing students’ preoperative care competence and problem-solving skills through video-assisted case-based learning","authors":"Betül Güven ,&nbsp;Beyza Şahin ,&nbsp;Melike Karapınar ,&nbsp;Merve Baş ,&nbsp;Özlem Gürkan","doi":"10.1016/j.pcorm.2026.100622","DOIUrl":"10.1016/j.pcorm.2026.100622","url":null,"abstract":"<div><h3>Background</h3><div>Competent nursing care provided the preoperative period is crucial for ensuring patient safety, improving surgical outcomes, and preventing potential complications. Traditional teaching methods in nursing programs may be insufficient for developing this competence. This study aimed to evaluate the effect of video-assisted CBL on nursing students’ perceived preoperative care competence and problem-solving skills.</div></div><div><h3>Methods</h3><div>A quasi-experimental, two-group, pretest–posttest design was used in this study. Seventy-seven nursing students were assigned either to the CBL group (<em>n</em> = 38) or to the lecture-based learning (LBL) group (<em>n</em> = 39). Outcomes pertaining to perceived preoperative nursing care competence and problem-solving ability were assessed in both groups using the Perceived Preoperative Nursing Care Competence Scale for Nursing Students (PPreCCNS) and the Problem Solving Inventory (PSI).</div></div><div><h3>Results</h3><div>In the CBL group, the post-intervention total and subscale scores of the PPreCCNS showed significant improvements compared with baseline. The CBL group demonstrated higher mean scores than the LBL group on all PPreCCNS sub-dimensions except for the communication. Regarding the PSI, no significant change in the total score was observed in the CBL group when compared with either the pre-intervention assessment or the LBL group; however, significant difference emerged only in the approach–avoidance style subscale.</div></div><div><h3>Conclusions</h3><div>To enhance students’ perceived competence in preoperative nursing care, active learning approaches such as CBL may be integrated into undergraduate nursing curricula. Further studies are needed to examine the effectiveness of longer-term CBL using diverse scenarios, as well as other active learning strategies, to better support the development of problem-solving skills.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100622"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188372","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":"Examining the correlation of moral courage with spiritual well-being and moral distress in operating room nurses in Iran: A cross-sectional study","authors":"Armin Fereidouni ,&nbsp;Shaghayegh Garmanjani ,&nbsp;Zahra Padam ,&nbsp;Zahra Maleki ,&nbsp;Sadegh Miraki ,&nbsp;Esmaeil Teymoori","doi":"10.1016/j.pcorm.2025.100602","DOIUrl":"10.1016/j.pcorm.2025.100602","url":null,"abstract":"<div><h3>Introduction</h3><div>Operating room nurses frequently encounter ethically demanding situations in their daily practice that call for moral courage. The level of moral courage among nurses can be shaped by their spiritual well-being and their experiences of moral distress. Understanding the relationships among these factors is essential to improve ethical practice and nurse well-being. However, limited research has explored these associations in the context of Iranian hospitals.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted from January to November 2023 among 372 operating room nurses in six educational hospitals in Shiraz, Iran. Stratified proportional random sampling was used to select participants. Data were collected using a demographic form, the Nurses’ Moral Courage Questionnaire, the Spiritual Well-Being Scale (SWBS), and Hamric's Moral Distress Scale-Revised (MDS-R). Descriptive statistics, Chi-square tests, Pearson correlation, independent <em>t</em>-tests, ANOVA, and multiple linear regression were performed using SPSS v22, with <em>p</em> &lt; 0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>The mean age of the participants in the study was 33.5 ± 7.61 years, of which 226 were women. Operating room nurses showed moderate moral courage (371.23 ± 98.42), average spiritual well-being (89.15 ± 18.56), and low moral distress (56.52 ± 19.74). Most participants had high moral courage (51.3 %), moderate spiritual well-being (58.1 %), and low moral distress (93.8 %). Correlation analysis indicated a positive relationship between moral courage and spiritual well-being (<em>r</em> = 0.171, <em>p</em> = 0.001) and a negative relationship with moral distress (<em>r</em> = –0.159, <em>p</em> = 0.002). Regression analysis showed that gender, employment status, work experience, spiritual well-being, and moral distress significantly influenced moral courage. Men, permanently employed nurses, and those with over 20 years of experience scored higher, while higher moral distress reduced moral courage.</div></div><div><h3>Conclusion</h3><div>Moral courage in operating room nurses is influenced by gender, employment type, work experience, spiritual well-being, and moral distress. Men, permanently employed nurses, and those with longer experience show higher moral courage, while moral distress lowers it and spiritual well-being boosts it. Enhancing nurses’ spiritual well-being and reducing moral distress may help promote their moral courage in the operating room.”</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100602"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884510","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":"A case of delayed emergence from anesthesia in a patient with organophosphorus poisoning following use of a depolarizing muscle relaxant","authors":"Shital A Dharamkhele ,&nbsp;Ashish H Nasre ,&nbsp;Shalendra Singh ,&nbsp;Shibu Sasidharan","doi":"10.1016/j.pcorm.2026.100618","DOIUrl":"10.1016/j.pcorm.2026.100618","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100618"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022984","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":"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 ,&nbsp;Shubhkarman Kahlon ,&nbsp;Santosh Chipre ,&nbsp;Vivek Anand","doi":"10.1016/j.pcorm.2025.100597","DOIUrl":"10.1016/j.pcorm.2025.100597","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;div&gt;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.&lt;/div&gt;&lt;div&gt;Predictive modeling for OR delay (&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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 &lt; 0.001), first-case on-time starts improved from 42% to 68% (p &lt; 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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Block room implementation improved perioperati","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100597"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","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}

{"title":"Psychometric evaluation of a persian version of surgical fear questionnaire in the Iranian population in 2024","authors":"Jaber Zabihirad ,&nbsp;Farzad Taban ,&nbsp;Mehdi Niksefat ,&nbsp;Amin Sattari ,&nbsp;Samaneh DehghanAbnavi ,&nbsp;Foziye Hamoole Tahmasebi","doi":"10.1016/j.pcorm.2026.100625","DOIUrl":"10.1016/j.pcorm.2026.100625","url":null,"abstract":"<div><h3>Background</h3><div>Fear of surgery is a typical psychological response among patients undergoing surgery, affecting 60–80 % of surgical candidates and potentially influencing postoperative outcomes. The Surgical Fear Questionnaire is a validated instrument designed to assess fear related to both short-term and long-term surgical consequences; however, a Persian version is not currently available.</div></div><div><h3>Objectives</h3><div>This study aimed to translate, culturally adapt, and psychometrically validate the SFQ for use among Iranian patients.</div></div><div><h3>Methods</h3><div>This cross-sectional methodological study was conducted in two phases: first, translation and cultural adaptation using forward-backward translation and expert panel review. Second phase involved psychometric evaluation among 150 patients scheduled for elective surgery in Ahvaz, Iran, assessing content validity, EFA, and CFA. Finally, internal consistency was evaluated using Cronbach’s alpha.</div></div><div><h3>Results</h3><div>All items achieved a CVI &gt; 0.8 and CVR &gt; 0.6. The two-factor model was confirmed by EFA consistent with the original model, comprising short-term and long-term surgical consequences, explaining 73.9 % of the variance. The CFA showed a good model fit (CFI = 0.993, RMSEA = 0.041). Cronbach's alpha was 0.885 for the total SFQ, 0.868 for the short-term subscale, and 0.886 for the long-term subscale.</div></div><div><h3>Conclusions</h3><div>The Persian version of SFQ demonstrates strong validity and reliability for assessing surgical fear in Iranian patients, consistent with the original instrument. Its use may help clinicians identify and address preoperative fear, potentially improving patient outcome.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100625"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188377","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":"Preemptive weight-based fluid therapy reduces post-induction hypotension in gynecological pelvic surgery: A randomized controlled trial using IVC ultrasonography","authors":"Mustafa BURGAÇ ,&nbsp;İbrahim ÖZTÜRK","doi":"10.1016/j.pcorm.2026.100619","DOIUrl":"10.1016/j.pcorm.2026.100619","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited randomized controlled evidence exists regarding preemptive weight-based fluid therapy during the preoperative fasting period in gynecological pelvic surgery with mechanical bowel preparation. This study examined its potential association with post-induction hypotension.</div></div><div><h3>Methods</h3><div>A total of 122 patients scheduled for elective surgery were randomized; after applying the exclusion criteria, 110 patients were included in the analysis (<em>n</em> = 55 in each group). Group A received weight-based maintenance crystalloid fluid therapy during the fasting period, calculated using the 4–2–1 formula, whereas Group B followed the standard fasting protocol. The primary outcome was post-induction hypotension, defined as a mean arterial pressure &lt; 60 mmHg or a decrease of ≥ 30 % from baseline. Secondary outcomes included inferior vena cava diameter (dIVC), collapsibility index (CI %), perfusion index (PI), pleth variability index (PVI), and pulse pressure variation (PPV).</div></div><div><h3>Results</h3><div>Post-induction hypotension was observed in 30.9 % of patients in Group A (17/55) and in 52.7 % of patients in Group B (29/55) (<em>p</em> = 0.02). Minimum inferior vena cava diameter (dIVCmin), CI ( %), PVI, PPV, and baseline mean blood pressure (MBP) were associated with the occurrence of hypotension. Multivariate logistic regression analysis identified CI ( %) and baseline MBP as independent predictors of post-induction hypotension. Each one-unit increase in CI ( %) was associated with a 1.176-fold increase in the odds of hypotension (95 % confidence interval: 1.093–1.266; <em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>Preemptive weight-based maintenance fluid therapy administered during the preoperative fasting period reduced the incidence of post-induction hypotension in patients undergoing gynecological pelvic surgery with mechanical bowel preparation. Preoperative measurement of the CI ( %) may serve as a supportive and practical tool for identifying patients at increased risk of post-induction hypotension.</div></div><div><h3>Research registration number</h3><div>Clinical Trials, NCT 06231472</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100619"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022985","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":"Beyond the stethoscope: Triple-domain POCUS and venous excess ultrasound (VExUS) in pediatric patients- an integrated approach to hemodynamic and respiratory assessment","authors":"Neelesh Anand ,&nbsp;Amrita Rath ,&nbsp;Vrushali Ponde","doi":"10.1016/j.pcorm.2025.100603","DOIUrl":"10.1016/j.pcorm.2025.100603","url":null,"abstract":"<div><div>Point-of-care ultrasound (POCUS) has become integral to bedside assessment in pediatric emergency, intensive care, and perioperative settings. The triple-domain POCUS assessment is a focused, rapid bedside protocol integrating cardiac (focused echocardiography), lung ultrasound, and inferior vena cava (IVC) assessment. It provides a pragmatic, physiologic snapshot of circulatory and respiratory status. In children, where clinical signs of shock and respiratory compromise are often subtle and imaging resources may be limited, an integrated triple-point approach improves diagnostic accuracy, shortens time-to-decision, and guides targeted resuscitation. Venous congestion i.e. elevated right-sided pressures transmitted to organ venous beds, is a key and under-recognised driver of multi-organ dysfunction in critically ill children. The Venous Excess Ultrasound (VExUS) approach grades systemic venous congestion by integrating inferior vena cava (IVC) size with Doppler waveforms from the hepatic, portal and intrarenal veins. This narrative review summarizes the physiologic rationale, technical approach, interpretation algorithms, clinical applications, evidence base, limitations, training considerations, and future directions for triple-domain POCUS and VExUS in pediatric practice, particularly in Pediaric Intensive Care Units (PICU) and postoperative patients.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100603"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884511","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":"Patient and staff safety differences between open and laparoscopic surgical procedures: A qualitative study of operating room nurses' perspectives","authors":"Neslihan Ilkaz ,&nbsp;Dercan Gencbas","doi":"10.1016/j.pcorm.2025.100555","DOIUrl":"10.1016/j.pcorm.2025.100555","url":null,"abstract":"<div><h3>Background</h3><div>Operating room nurses play a critical role in maintaining safety for both patients and staff during the perioperative period. Given the distinct nature of open and laparoscopic surgical procedures, they must identify and address procedure-specific safety risks through preventive strategies.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the factors that threaten patient and staff safety in open and laparoscopic surgeries.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews with 18 operating room nurses from various surgical units selected via purposive sampling. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.</div></div><div><h3>Results</h3><div>Analysis yielded three main themes: Operating room environment, Staff responsibility,and Risk specific for surgical procedure. Sub-themes included environmental and psychological factors, team harmony, risk in surgical preparation, and risk during intraoperative. The findings showed that open and laparoscopic surgical procedures posed different risks to patient and staff safety.</div></div><div><h3>Conclusions</h3><div>Recognizing the safety challenges of different surgical methods is essential for improving outcomes. Operating room nurses and surgical teams should implement proactive, procedure-specific strategies to mitigate risks across all phases of surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100555"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120953","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}