Self-Reported Plastic-Related Occupational Scenarios and Perceived Support Priorities Among Operating-Room Nursing Staff: A Multicentre Cross-Sectional Survey.

Authors

Jie Yang, Panyu Chen, Zhihui Huang, Lin Yang, Qian Feng, Xiaoli Zhong, Qinghua Zhang, Junhong Zhou, Jun Cheng, Meng Shi, Qihao Chen, Yongqiong Tan, Yonghua Chen

Published in

Journal of nursing management. Volume 2026. Issue 1. Pages e7475740.

Abstract

To examine work-context associations with self-reported plastic-related occupational scenario burden and perceived support priorities among operating-room nursing staff.
Operating rooms rely heavily on plastic-containing disposable materials and smoke-generating workflows, but nursing-management evidence on how staff report these occupational scenarios remains limited.
This exploratory multicentre cross-sectional survey included 448 eligible nursing personnel from nine recruitment groups in China (eight hospital-based; one visiting-nurse training cohort); 415 frontline staff formed the analytic population. The principal outcome was a 0-100 formative occupational scenario-burden index. Adjusted linear regression included recruitment-group fixed effects, with alternative index definitions and binary distribution-based outcomes examined as sensitivity analyses.
Among 415 frontline operating-room nursing staff, the mean occupational scenario-burden score was 50.7 (SD 12.4); 408 participants had complete data for the principal regression. Night-shift status was associated with a 3.86-point higher score (HC3 95% CI 0.96-6.76), and this association remained positive across the principal sensitivity analyses. Orthopaedic involvement was associated with a 4.93-point higher score in the original index, although the estimate attenuated after specialty-specific content was removed. The most frequently endorsed support priorities were rest-area water infrastructure (69.9%), meal-container reform (63.6%) and ventilation/smoke-management optimisation (63.4%).
Night-shift work was associated with higher self-reported occupational scenario burden, with positive point estimates across the principal sensitivity analyses, whereas the specialty-related association was more sensitive to index composition. These findings identify organisational priorities for review and provide a basis for prospective studies integrating validated scenario measures with objective exposure assessment.
Staff-endorsed priorities provide a practical agenda for nurse managers to review workflows, smoke-control practices, procurement, rest-area infrastructure and night-shift support and to select priorities for prospective evaluation.

PMID:
42891530
Bibliographic data and abstract were imported from PubMed on 18 Oct 2026.

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