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Poorer sleep quality and lower quality of work life are independently associated with greater missed perioperative nursing care among operating room technologists.

In a cross-sectional study of 332 operating room technologists, poorer sleep quality (B=0.85, β=0.14, p=0.012) and lower quality of work life (B=-0.12, β=-0.15, p=0.021) were independently associated with greater missed perioperative nursing care. The final regression model explained 33.8% of the variance in missed care.

Last updated: Jul 25, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score34/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Sleep quality, quality of work life, and missed perioperative nursing care among operating room technologists: a multicenter cross-sectional study.

observational

Rostami K, Pourdel B, Hosseini SA, Rajabi E, Alizadeh A · BMC nursing (2026)

Participants: N/A
Duration: May to August 2025
Intervention: None (observational study assessing sleep quality and quality of work life as predictors)
Outcome: Missed perioperative nursing care (measured by Missed Perioperative Nursing Care Questionnaire)
Effect Size: R²=0.338 (adjusted R²=0.309)
Population: 332 operating room technologists from nine public referral hospitals in Southern Iran

Result:

PubMed: 42477678DOI: 10.1186/s12912-026-05044-6

Mechanism Graph

Poor sleep quality impairs cognitive function and attention
↓
Lower quality of work life reduces motivation and job engagement
↓
Combined deficits increase likelihood of omitting required care tasks
↓
Result: Greater missed perioperative nursing care

Limitations

  • ⚠Cross-sectional design precludes causal inference
  • ⚠Self-reported measures may introduce recall or social desirability bias
  • ⚠Single-country sample limits generalizability to other healthcare settings

Frequently Asked Questions

What was the main finding of this study?▼

Poorer sleep quality and lower quality of work life were independently associated with more missed perioperative nursing care among operating room technologists.

How was sleep quality measured?▼

Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI).

What does 'missed perioperative nursing care' mean?▼

It refers to necessary nursing tasks that are omitted or delayed in the operating room, which can compromise patient safety.

Can this study prove that poor sleep causes missed care?▼

No, because it is a cross-sectional study, it can only show associations, not causation.

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References

  1. 1.Rostami K, Pourdel B, Hosseini SA, Rajabi E, Alizadeh A. "Sleep quality, quality of work life, and missed perioperative nursing care among operating room technologists: a multicenter cross-sectional study.." BMC nursing, 2026. PMID: 42477678 DOI: 10.1186/s12912-026-05044-6
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.