ArticleSAGE open medicine2025
Assessment of preoperative and intraoperative patient safety measures in government hospitals in the Gaza Strip: The nurses' perspective.
Article in SAGE open medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Patient safety during surgical procedures is especially critical in resource-limited and conflict-affected regions such as the Gaza Strip. Nurses play a central role in implementing and monitoring safety protocols in operating rooms. However, their perspectives on safety practices have been understudied in this context. This study aimed to assess nurses' views on preoperative and intraoperative patient safety measures in Gaza's government hospitals. Methods: A cross-sectional descriptive study was conducted in 2023 across three major public hospitals in Gaza: Al Shifa Medical Complex, Nasser Medical Complex, and Gaza European Hospital. Using a census sampling method, 150 nurses working in the main operating rooms were recruited, resulting in a 92.6% response rate. Data were gathered using a structured, validated questionnaire based on the World Health Organization Patient Safety Assessment Tool. Demographic and professional characteristics were also recorded. Data analysis was conducted using SPSS version 26. Results: The sample was predominantly male (78.0%) with a mean age of 32.9 ± 7.3 years and an average of 7.23 years of surgical experience. Most nurses held a bachelor's degree (71.4%), and 43.3% had specialized training in operating room care. High levels of reported adherence were observed in preoperative preparation (85.3%), preoperative assessment (74.7%), and operating room readiness (76.0%). Lower adherence rates were noted in documentation practices (68.7%) and identification of surgical risks (64.0%). No statistically significant differences were found between hospitals. Conclusion: Despite resource constraints, safety protocols are largely followed in preoperative procedures and operating room readiness. However, shortcomings remain in risk identification, monitoring, and documentation. The study highlights nurses' key role and calls for better training, policies, infrastructure, and teamwork to improve surgical safety in conflict-affected areas.
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