ArticleJournal of healthcare leadership2025
Long-Term Effects of Structured Microbreak Interventions on Musculoskeletal Health, Psychological Wellbeing, and Patient Safety Among Operating Room Nurses: A Multicenter Longitudinal Cohort Study.
Article in Journal of healthcare leadership, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Combined PLIBEL and RULA assessment of ergonomic risks across 12 operating room nursing procedures: a cross-sectional observational study.Scientific reports · 2026Observational
- PLIBEL and QEC for ergonomic risk assessment in operating room scrub nurses during coronary artery bypass grafting: a pilot study.Scientific reports · 2026Article
- Reframing workplace safety, wellbeing, and performance among operating room nurses in contemporary healthcare systems.Frontiers in public health · 2026Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Operating room (OR) nurses frequently experience work-related musculoskeletal disorders (MSDs) and psychological strain due to prolonged static postures, repetitive movements, and high-stress conditions. While short-term benefits of microbreak interventions have been demonstrated, evidence on their long-term effectiveness and impact on patient safety remains limited. This study aimed to evaluate the sustained effects of structured microbreaks on MSD outcomes, psychological wellbeing, and patient safety, and to explore organizational factors influencing intervention adherence. Methods: A nonrandomized, controlled, multicenter mixed‑methods study, six-month follow‑up (N = 178 analyzed) was conducted in five hospitals in Shanxi Province, China. Ninety-one OR nurses received a structured microbreak intervention (2-3-minute breaks every 30 minutes during procedures >60 minutes, including ergonomic exercises and mindfulness practices), while 87 served as controls (analyzed cohorts after attrition). Quantitative data (Nordic Musculoskeletal Questionnaire, Perceived Stress Scale, Maslach Burnout Inventory, patient safety metrics) were collected at baseline and six months. Qualitative data were gathered through semi-structured focus groups and interviews with intervention participants. Results: Compared to controls, intervention nurses experienced significantly greater reductions in MSD prevalence (-20.9 vs -5.7 percentage points, Conclusion: Structured microbreaks yielded sustained improvements in MSD outcomes, psychological wellbeing, and patient safety, with organizational support and adaptability proving crucial for long-term success. Integrating microbreaks into routine OR workflows may enhance nurse health, reduce errors, and improve patient care quality, offering a strategic, resource-feasible intervention for high-stress healthcare settings. Findings support embedding microbreaks into standard operating procedures and orientation, using leadership role‑modeling, brief "buddy" coverage, and lightweight prompts to optimize fidelity at scale.
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