Evidence map›Paper›PMID 42633303›Full record

ArticleJournal of multidisciplinary healthcare2026

Effect of an Educational Intervention on Operating Room Nurses' Caring Behaviors During the COVID-19 Pandemic: A Quasi-Experimental Study.

Reza Mohebbi, Mahboobeh Afzali, Saeed Babajani-Vafsi, Mojgan Mohammadimehr

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Article in Journal of multidisciplinary healthcare, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Reza MohebbiDepartment of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.ORCID 0000-0003-4843-4425
Mahboobeh AfzaliDepartment of Emergency Medicine, School of Paramedical, Aja University of Medical Sciences, Tehran, Iran.
Saeed Babajani-VafsiDepartment of Operating Room Technology, Faculty of Paramedical Sciences, Aja University of Medical Sciences, Tehran, Iran.
Mojgan MohammadimehrDepartment of Laboratory Sciences, Faculty of Paramedicine, Aja University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: During outbreaks of acute respiratory infections (eg, COVID-19), operating room nurses face heightened exposure risks due to aerosol-generating procedures. Adherence to evidence-based caring behaviors is critical for both patient and staff safety, yet structured educational interventions in this high-stakes setting remain underexplored. This study aimed to evaluate the impact of a tailored, evidence-based education program on the caring behaviors of operating room nurses during such outbreaks. Materials and Methods: A quasi-experimental study was conducted from 2021 to 2022 with operating room nurses from four military hospitals in Tehran, Iran. Participants were allocated to intervention (n = 40) and control (n = 40) groups via convenience sampling. The intervention group received a structured, evidence-based education program focusing on infection prevention and patient safety protocols, delivered via a blended learning approach (asynchronous scientific posters and interactive webinars). Caring behaviors were assessed at baseline and post-intervention using the validated Caring Behaviors of Operating Room Nurses Questionnaire (CBIONQ; 21 items, score range: 21-105). Data were analyzed using paired and independent Results: At baseline, no significant difference existed between groups (p = 0.208). Post-intervention, caring behavior scores in the intervention group significantly increased from 57.20 ± 5.41 to 74.22 ± 8.39 (p < 0.001; Cohen's d = 2.77, 95% CI: 14.84 to 19.20), while the control group showed no significant change (55.65 ± 5.51 to 57.12 ± 6.39; p = 0.253, Cohen's d = 0.12). Domain-specific analyses revealed significant improvements across all five CBIONQ subscales (p < 0.001; Bonferroni-corrected α = 0.01), with the largest effect observed in the knowledge of surgical care domain (Cohen's d = 2.17). Conclusion: This study demonstrated significant improvements in self-reported caring behavior scores among operating room nurses following an evidence-based blended education program. However, given the quasi-experimental design, reliance on self-reported data, and absence of long-term follow-up, these findings should be interpreted as enhanced perceived competency rather than confirmed sustained behavioral change. Future research employing objective observational measures and delayed assessments is warranted to evaluate long-term sustainability.

Indexed as

acute respiratory infectionscaring behaviorsevidence-based educationoperating room nurses

Identifiers

PMID42633303
PMCPMC13499558

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.