Operating Room Nurses' Perceptions of the Missed Perioperative Nursing Care in Iran Medical Science Universities Teaching Hospitals: A Cross-Sectional Nationwide Survey Publisher



Zadi O^{1, 2} ; Alizadeh A³ ; Judi A⁴ ; Rahmani V^{3, 5} ; Aghazadeh N³
Source: Perioperative Care and Operating Room Management Published:2025

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. © 2025 Elsevier Inc.