Operating Room Staff Engagement in Design Planning: A Mixed Methods Study of Professional Perspectives in Australia.

Authors

Kasey Irwin, Janet Kelly, Frank Donnelly

Published in

HERD. Pages 19375867261454387. Jun 26, 2026. Epub Jun 26, 2026.

Abstract

PurposeThis study examines how operating room (OR) staff in Australia are engaged in OR design planning and how their professional experience shapes participation, safety considerations, and design priorities.BackgroundThe design of OR environments influences safety, efficiency, and workflow. Yet design processes are complex, requiring regulatory compliance, technical expertise, and integration of end-user perspectives.MethodsA sequential exploratory mixed methods design was used. Phase one involved qualitative interviews with OR staff and design professionals (n = 16) to explore experiences of design processes and perceptions of safety. Phase two involved a national cross-sectional survey (n = 418) to assess broader patterns of engagement and role-based differences in safety and design priorities.ResultsMixed methods integration showed that OR design in Australia is shaped by systemic and professional barriers, including fragmented communication, limited interdisciplinary engagement, and hierarchical decision-making. OR staff reported inconsistent or minimal involvement, while designers reported challenges embedding participatory approaches within project constraints. OR staff prioritized safety, ergonomics, and workflow efficiency, while designers focused more on regulatory and technical elements. Access to support, spatial layout, and ergonomic considerations emerged as top safety-related design features.ConclusionsOR environments are shaped by the interaction of clinical, architectural, and institutional priorities, yet design processes often lack inclusive, safety-focused collaboration. Strengthening participatory mechanisms that integrate clinical expertise with technical and regulatory demands may improve the relevance and safety of surgical built environments. These findings can inform future policy, standards, and design frameworks to support more collaborative OR planning.

PMID:
42363426
Bibliographic data and abstract were imported from PubMed on 27 Jun 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.