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This cross-sectional study evaluated circulating nurses' aseptic practices during orthopedic and general surgeries in public hospitals in Shiraz, Iran, using a demographics questionnaire and the Aseptic Practices among Circulating Nurses Scale. Mean scores were moderately high overall, but several practice items remained low, with weak negative relationships for age and work experience. Practice differed significantly across academic education levels, highlighting targeted improvement needs.",{"@graph":63,"@context":122},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/assessment-of-circulating-nurses-aseptic-practices-in-orthopedic-and-general-surgeries-of-public-hospitals-in-shiraz-iran/263555/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/assessment-of-circulating-nurses-aseptic-practices-in-orthopedic-and-general-surgeries-of-public-hospitals-in-shiraz-iran/263555.png","ImageObject",442,249,{"name":88,"@type":89},"Dozel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-21","2026-09-14",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114,118],{"name":105,"@type":106,"acceptedAnswer":107},"What was the purpose of this study?","Question",{"text":108,"@type":109},"To assess circulating nurses' aseptic practices in orthopedic and general surgeries in public hospitals in Shiraz, Iran.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How were aseptic practices measured?",{"text":113,"@type":109},"Using the Aseptic Practices among Circulating Nurses Scale together with a demographics questionnaire, after psychometric assessment of the tool.",{"name":115,"@type":106,"acceptedAnswer":116},"What were the key findings about nurses' aseptic practices?",{"text":117,"@type":109},"The average aseptic practice score was above the midpoint, but some specific items scored low. Age and work experience showed weak negative correlations with the sterile field establishment subscale, and scores differed significantly by academic education level.",{"name":119,"@type":106,"acceptedAnswer":120},"How can aseptic practices be improved according to the conclusions?",{"text":121,"@type":109},"By improving specific aseptic behaviors through providing necessary materials, applying appropriate guidelines and educational programs, supervising practice, and setting suitable policies.","https://schema.org",{"og:url":78,"og:type":124,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":126,"canonical":78},"index,follow",{"doc_id":128,"site_id":56},263555,1790011224,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":88,"user_avatar":133,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":139,"language":140,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":61,"update_tm":144,"read_time":76},962085662650,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Published online 2022 July 13 . Research Article  \nAssessment of Circulating Nurses' Aseptic Practices in Orthopedic and General Surgeries of Public Hospitals in Shiraz, Iran  \nHamed Parnikh 1 , Reza Kalantari 2, * , Samaneh DehghanAbnavi 3 , Mehdi Hasanshahi 4 and  \nSomayeh Gheysari 4  \n1Department of Operating Room, School of Paramedicine, AraK University of Medical Sciences, Arak, Iran 2Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran  \n3Department of Operating Room, Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran  \n4Department of Operating Room, Faculty of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran  \n*Corresponding author: Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran. Email: [rezae218@yahoo.com](rezae218@yahoo.com)[ ](rezae218@yahoo.com)[Received](Received 2022 March 05)[ 2022 March 05](Received 2022 March 05); [Revised](Revised 2022 May 30)[ 2022 May 30](Revised 2022 May 30); [Accepted](Accepted) 2022 June 18 .  \nAbstract  \nBackground: Infection is a possible problem in operating rooms. The aseptic technique is one of the circulating nurses' duties to prevent infections and keep patients safe against microorganisms in the operating room.  \nObjectives: This study aimed to assess the circulating nurses' aseptic practices in orthopedic and general surgeries.  \nMethods: This cross-sectional study was conducted on 296 circulating nurses who worked in public hospitals in Shiraz, Iran, during the 2020 summer. Data collection tools included a demographics questionnaire and theAseptic Practices among Circulating Nurses Scale. The data were collected after the assessment of the psychometric properties of the tool. The data were analyzed using SPSS software (version 22) .  \nResults: The mean score of the aseptic practice scale was 3.50 out of 5 . Although the aseptic practice score was higher than the average level, the circulating nurses had low scores in several items. Age and work experience had a weak negative correlation with the “establishment of a sterile field” subscale. The aseptic practice score was significantly different in circulating nurses with different academic educational levels.  \nConclusions: There is a need to improve some aseptic practices. Supplying the hospitals with necessary materials, using appropriate guidelines and educational programs, supervising, and setting appropriate policies can help improve aseptic practices.  \nKeywords: Aseptic, Circulating Nurse, Surgery, Operating Room, Infection  \n1. Background  \nCirculating nurses are key surgical team members with essential duties in the operating room (1) . Their roles are vital to a smooth flow of events in the operating room. Circulating nurses work outside the sterile field and link sterile and nonsterile realms (2) . They can positively reduce the patient's preoperative fear (3) and recover errors in the operating room (4) . Circulating nurses ensure the patient's positioning on the operating table and do equipment safety checks (5) . They supervise the activity of other surgical team members and respond to their needs (6) . They can promote patient safety by observing, monitoring, and managing possible threats to the surgical field (7) . Ensuring sterility is another responsibility of the circulating nurses that is very important to reduce the probability of surgical site infections (2) .  \nInfection is a serious postoperative complication that  \nsurgical team members should prevent by applying aseptic and sterile techniques (2) . Infections can increase the stay of patients in hospitals (8) . It is an important issue asthe infections in the operating room contribute to surgical morbidity and mortality (9). Asepsis means without the presence of pathogens and implies that an object does not convey pathogenic microorganisms (2) . One of","cbCaibNwRQE8o5Pu","https://ap.wps.com/l/cbCaibNwRQE8o5Pu","pdf",141655,7,"English","# Background\n## Infection and aseptic technique\n## Role of circulating nurses\n# Methods\n## Study design and setting\n## Data collection tools\n# Results\n## Overall aseptic practice score\n## Correlations and education differences\n# Conclusions\n## Need for improved aseptic practices","[{\"question\":\"What was the purpose of this study?\",\"answer\":\"To assess circulating nurses' aseptic practices in orthopedic and general surgeries in public hospitals in Shiraz, Iran.\"},{\"question\":\"How were aseptic practices measured?\",\"answer\":\"Using the Aseptic Practices among Circulating Nurses Scale together with a demographics questionnaire, after psychometric assessment of the tool.\"},{\"question\":\"What were the key findings about nurses' aseptic practices?\",\"answer\":\"The average aseptic practice score was above the midpoint, but some specific items scored low. Age and work experience showed weak negative correlations with the sterile field establishment subscale, and scores differed significantly by academic education level.\"},{\"question\":\"How can aseptic practices be improved according to the conclusions?\",\"answer\":\"By improving specific aseptic behaviors through providing necessary materials, applying appropriate guidelines and educational programs, supervising practice, and setting suitable policies.\"}]","Assessment of Circulating Nurses' Aseptic Practices in Orthopedic and General Surgeries of Public Hospitals in Shiraz, Iran | PDF",1789371946]