Evidence map›Paper›PMID 42719303›Full record

ReviewFrontiers in public health2026

Reframing workplace safety, wellbeing, and performance among operating room nurses in contemporary healthcare systems.

Liying Zhang, Yun Feng, Dan Li, Dongfang Liu

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Liying ZhangDepartment of Anesthesia Operation, Zhejiang Hospital, Hangzhou, China.
Yun FengDepartment of Anesthesia Operation, Zhejiang Hospital, Hangzhou, China.
Dan LiDepartment of Anesthesia Operation, Zhejiang Hospital, Hangzhou, China.
Dongfang LiuDepartment of Anesthesia Operation, Zhejiang Hospital, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Operating rooms are complex, high-risk, and technology-intensive environments in which nurses perform safety-critical roles. This review aimed to reframe workplace safety, wellbeing, and performance among operating room nurses as interconnected system-level determinants of perioperative care. Using a thematic narrative approach and conceptual scope, literature published mainly between 2020 and 2026 was reviewed, with selected foundational studies included where conceptually necessary. Evidence was synthesized across occupational hazards, psychosocial stress, emotional labor, burnout, compassion fatigue, quality of work life, teamwork, safety culture, distractions, cognitive load, ergonomics, robotic surgery, artificial intelligence, perioperative competency, empowerment, retention, and workforce sustainability. The findings indicate that unsafe or poorly supported operating room environments expose nurses to physical, psychological, cognitive, ergonomic, and technological pressures that may compromise wellbeing and professional performance. Nurse wellbeing supports attention, communication, emotional regulation, resilience, clinical judgment, and participation in safety practices. Conversely, burnout, compassion fatigue, interruptions, hierarchical communication, ergonomic strain, and inadequate technology readiness may weaken vigilance, teamwork, procedural reliability, and patient-safety margins. Operating room nursing performance is therefore multidimensional, encompassing technical competence, infection-prevention behavior, situational awareness, adaptability, speaking-up behavior, and technology-enabled workflow coordination. Treating nurse safety and wellbeing as patient-safety and system-performance priorities may strengthen surgical care, teamwork, retention, and the sustainability of perioperative healthcare systems.

Indexed as

Occupational HealthOperating Room NursingOperating RoomsWork PerformanceBurnout, ProfessionalHumansPsychological Well-BeingWorking Conditionsnurse wellbeingoperating room nursespatient safetyperioperative performanceworkplace safety

Identifiers

PMID42719303
PMCPMC13557026

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.