

The Monograph is intended to identify occupational risk factors affecting operating room nurses, assess their impact on health complaints, and systematically search for measures to mitigate occupational risk factors affecting operating room nurses. The scientific study is characterised by various research methods, combining quantitative and qualitative research methods. In this way, the Monograph is multidisciplinary, as it integrates the fields of nursing, public health, education, management, and psychology. The Monograph on these issues is the first in Lithuania, as there has not yet been an open discussion of the challenges nurses face in their professional lives. Although the study involved the participation of Lithuanian operating room nurses, the research also discusses the experiences of other countries around the world related to the professional activities of operating room nurses and the risk factors, as well as their impact on health and the mitigation of occupational risk factors.
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How to Cite: Piščalkienė, V., Juškauskienė, E. (2025). Occupational safety challenges for operating room nurses: contributing factors, health impacts, and coping measures. Tallinn: Scientific Route OÜ. doi: https://doi.org/10.21303/978-9916-9850-8-3
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Indexing:
Chapter 1 outlines the development of the profession of operating room nursing and its links with the development of surgical science. It presents the current view of operating room nursing and the existing practice of training nurses and operating room nurses, focusing on the Lithuanian context.
Chapter 2 describes the concept of occupational risk and the factors such as biological, chemical, ergonomic, physical, and psychosocial. It also analyses the categories of the harm that occupational risks cause to health and provides recommendations for mitigating or preventing risks. This chapter offers statistical facts on occupational riskiness. It focuses on the WHO, the United Nations, the European Union, and the Lithuanian legislation regulating the prevention or mitigation of occupational risk.
Chapter 3 highlights the occupational risks that operating room nurses are exposed to, identifies the occupational risk groups relevant to the profession, specifies the factors involved, and suggests universal measures to prevent or mitigate these factors. It provides a detailed analysis of the findings of the research conducted by various researchers from around the world, revealing the ergonomic, physical, biological, and chemical occupational risk factors affecting operating room nurses, their impact on health, and the practices of mitigating occupational risk factors operating room nurses are exposed to in different countries. The chapter also discusses the challenges of addressing the physiological needs of operating room nurses in relation to the specificity of the profession. It reviews the findings of a multi-country study that point to the possibilities for mitigating or even preventing occupational risks for nurses and their connection with responsible attitudes of operating room nurses themselves, managerial-organisational and cultural factors, as well as the importance of legislation and methodological guidelines.
Chapter 4 presents the methodology of the quantitative study and the psychometric quality of the research instruments, and provides a detailed review of the opinions of Lithuanian operating room nurses who participated in the survey of the expression of occupational risk factors and their impact on health. It also presents statistical calculations showing differences in occupational risk factors by sociodemographic groups and investigates the correlation between occupational risk factors and health complaints. Chapter 4 also introduces the insights of the Lithuanian operating room nurses who participated in the study on the measures and methods to prevent or mitigate occupational risk factors in their work.
Chapter 5 provides the findings of the qualitative study conducted with the participation of nursing management in operating rooms in Lithuanian hospitals. The thematic analysis carried out revealed their attitudes towards the occupational safety of operating room nurses and their assurance.
PhD, Associate Professor
Nursing Department
https://orcid.org/0009-0009-7673-5541
Corresponding author
viktorija.piscalkiene@kaunokolegija.lt
PhD, Assistant
Nursing Department
https://orcid.org/0000-0002-8945-373X
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