{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T19:58:19Z","timestamp":1769543899998,"version":"3.49.0"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007547","name":"Fourth Military Medical University","doi-asserted-by":"publisher","award":["2024HLXJS04"],"award-info":[{"award-number":["2024HLXJS04"]}],"id":[{"id":"10.13039\/501100007547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The quality of perioperative care is closely linked to postoperative recovery. The level of care in low- and middle-income countries hinders the pace and quality of postoperative recovery. It is essential to understand the perioperative situation and needs of local hospitals to target the development of localized professional training programs, thereby enhancing the professionalism of nursing staff in providing high-quality care to patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To study issues related to the quality of perioperative nursing in hospitals in Lao and improve the threshold of holistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative and quantitative studies were used to design the training program. In total, 25 nurses from a hospital were selected between December 2024 and May 2025. A survey was conducted to understand issues with the targeted construction of training programs and their implementation, evaluation, and continuous supervision. A comparative analysis of operation scores and the competence level of each nurse before and after the training was conducted to evaluate the training\u2019s effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 11 aspects were identified using the Knowledge, Attitude, and Practice model. In total, 30 theoretical and 12 operational training topics were designed, and a training strategy was developed to enhance the quality of perioperative care, based on preoperative, intraoperative, and postoperative data. A STEP-CARE model was designed to ensure overall quality improvement and training effects. Hand hygiene compliance, accuracy, and performance were also improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study recommends using knowledge, attitudes, and actions as starting points for continuous quality improvement. Training qualified professionals, improving institutional processes, strengthening disciplinary collaboration, and improving facilities are imperative to enhance the overall outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1756562","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:39:58Z","timestamp":1769495998000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening surgical outcomes through nursing education: an evidence-based training model in Laos"],"prefix":"10.3389","volume":"14","author":[{"given":"Pei","family":"Yan","sequence":"first","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunxiao","family":"Wang","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamngeun","family":"Singphandy","sequence":"additional","affiliation":[{"name":"103 Military Central Hospital","place":["Vientiane, Laos"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanru","family":"Shi","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaohua","family":"Chen","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanfang","family":"Li","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiao","family":"Cheng","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Yang","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuehui","family":"Hu","sequence":"additional","affiliation":[{"name":"Xi Jing Hospital, The Fourth Military Medical University","place":["Xi\u2019an, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1186\/s12912-025-02752-3","article-title":"Knowing how, arguing why: nurse anaesthetists' experiences of nursing when caring for the surgical patient","volume":"24","author":"Lekens","year":"2025","journal-title":"BMC Nurs"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1136\/qshc.2007.023622","article-title":"The incidence and nature of in-hospital adverse events: a systematic review","volume":"17","author":"De Vries","year":"2008","journal-title":"Qual Saf Health Care"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e0252648","DOI":"10.1371\/journal.pone.0252648","article-title":"Perioperative patient safety management activities: a modified theory of planned behavior","volume":"16","author":"Kim","year":"2021","journal-title":"PLoS One"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"8726","DOI":"10.1038\/s41598-025-92871-3","article-title":"Effects of seamless care in the perioperative management of laparoscopic pancreatoduodenectomy on patients\u2019 quality of life and postoperative complications","volume":"15","author":"Chen","year":"2025","journal-title":"Sci Rep"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"152027","DOI":"10.1016\/j.apnr.2025.152027","article-title":"Knowledge and practices of surgical nurses in perioperative hypothermia management: implications for surgical patient safety and outcomes","volume":"87","author":"Gezer","year":"2026","journal-title":"Appl Nurs Res"},{"key":"ref6","volume-title":"WHO guidelines for safe surgery","year":"2009"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"157","DOI":"10.36348\/sjls.2025.v10i05.002","article-title":"The role of operation room\u2019s nursing interventions on surgical site infection and patient outcomes: a scoping review","volume":"10","author":"Mariee","year":"2025","journal-title":"Haya: Saudi J Life Sci"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1136\/bmjqs-2012-001778","article-title":"Surgical technology and operating-room safety failures: a systematic review of quantitative studies","volume":"22","author":"Weerakkody","year":"2013","journal-title":"BMJ Qual Saf"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1056\/NEJMsa0810119","article-title":"A surgical safety checklist to reduce morbidity and mortality in a global population","volume":"360","author":"Haynes","year":"2009","journal-title":"N Engl J Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"100922","DOI":"10.1016\/j.ijmmb.2025.100922","article-title":"A quality improvement initiative to reduce central line associated blood stream infection in PICU of a tertiary care hospital in North India","volume":"57","author":"Kaur","year":"2025","journal-title":"Indian J Med Microbiol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1016\/j.wneu.2019.09.140","article-title":"The need for surgical safety checklists in neurosurgery now and in the future\u2013a systematic review","volume":"134","author":"Westman","year":"2020","journal-title":"World Neurosurg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1097\/GRF.0000000000000967","article-title":"Future directions in enhanced recovery after surgery (ERAS) for gynecologic surgery","volume":"68","author":"Rusnell","year":"2025","journal-title":"Clin Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e000488","DOI":"10.1136\/bmjoq-2018-000488","article-title":"Validation of a Norwegian version of surgical patient safety system (SurPASS) in combination with the world health organizations\u2019 surgical safety checklist (WHO SSC)","volume":"8","author":"Storesund","year":"2019","journal-title":"BMJ Open Qual"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1111\/jonm.13131","article-title":"Nursing rounds: a quality improvement project to improve outpatient satisfaction","volume":"29","author":"Fan","year":"2020","journal-title":"J Nurs Manag"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e42896","DOI":"10.1097\/md.0000000000042896","article-title":"Evaluation of continuous improvement effect of perioperative nursing quality in Da Vinci robot-assisted laparoscopic radical prostatectomy","volume":"104","author":"Zhou","year":"2025","journal-title":"Medicine"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"104132","DOI":"10.1016\/j.midw.2024.104132","article-title":"Enhancing the competencies of obstetrical nurses and midwives in high-risk pregnancy management through simulation-based training in Lao people\u2019s Democratic Republic: a pilot study","volume":"137","author":"Sirisomboon","year":"2024","journal-title":"Midwifery"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s41182-024-00677-2","article-title":"Latent tuberculosis prevalence in healthcare workers in Laos: a cross-sectional study","volume":"53","author":"Duangmixay","year":"2025","journal-title":"Trop Med Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.pec.2018.08.022","article-title":"Patient education in sudden sensorineural hearing loss: knowledge, attitude\/belief, and practice findings among otolaryngologists and otologists in China","volume":"102","author":"Lai","year":"2019","journal-title":"Patient Educ Couns"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"898","DOI":"10.47772\/ijriss.2023.701070","article-title":"Content validity of questionnaire on the influence of housing affordability factors on the well-being of the B40 group using the content validity ratio (CVR)","author":"Fatimah","year":"2023","journal-title":"IJRISS"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e98764","DOI":"10.7759\/cureus.98764","article-title":"Comparison of Biportal and Uniportal Spine Endoscopy for Effectiveness and Perioperative Safety: A Systematic Review and Meta-Analysis","volume":"17","author":"Singh","year":"2025","journal-title":"Cureus"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/s12912-024-01869-1","article-title":"Effect of evidence-based nursing practices training programme on the competency of nurses caring for mechanically ventilated patients: a randomised controlled trial","volume":"23","author":"Elhabashy","year":"2024","journal-title":"BMC Nurs"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e20341","DOI":"10.1016\/j.heliyon.2023.e20341","article-title":"Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: a quasi-experimental study","volume":"9","author":"Koy","year":"2023","journal-title":"Heliyon"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2025.10.009","article-title":"Elevating patient safety education in undergraduate nursing: an integrative review beyond trends","author":"Carvajal Villalba","year":"2025","journal-title":"Int J Nurs Sci"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"106813","DOI":"10.1016\/j.nedt.2025.106813","article-title":"Mapping patient safety competency in undergraduate nursing interns: insights from a latent profile analysis","volume":"153","author":"Xu","year":"2025","journal-title":"Nurse Educ Today"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"419","DOI":"10.3390\/healthcare12040419","article-title":"Development and implementation of a mobile-integrated simulation for COVID-19 nursing practice: a randomized controlled pretest\u2013posttest experimental design","volume":"12","author":"Lee","year":"2024","journal-title":"Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1016\/j.jopan.2018.07.003","article-title":"Cognitive rehearsal training to prevent lateral violence in a military medical facility","volume":"34","author":"O\u2019Connell","year":"2019","journal-title":"J Perianesth Nurs"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"4574730","DOI":"10.1155\/2022\/4574730","article-title":"Plan-do-check-action circulation combined with accelerated rehabilitation nursing under computed tomography in prevention and control of hospital infection in elderly patients undergoing elective orthopedic surgery","volume":"2022","author":"Zhao","year":"2022","journal-title":"Contrast Media Mol Imaging"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"3252","DOI":"10.1111\/jan.16537","article-title":"Newly graduated perioperative nurses' experiences of transitioning to clinical practice: a qualitative explorative secondary analysis","volume":"81","author":"Kaldheim","year":"2025","journal-title":"J Adv Nurs"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"3785","DOI":"10.18203\/2320-6012.ijrms20252792","article-title":"Optimizing specialized nursing education in India for enhanced patient care quality: a nurse-patient centric approach","volume":"13","author":"Kumari","year":"2025","journal-title":"Int J Res Med Sci"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1186\/s12913-024-11513-y","article-title":"The state of decentralization of the healthcare system and nutrition programs in the Lao people\u2019s Democratic Republic: an organizational study","volume":"24","author":"Viphonephom","year":"2024","journal-title":"BMC Health Serv Res"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"2703","DOI":"10.1111\/jan.13698","article-title":"Collectively - the education, simulation and safety (ESS) collaboration. Can scholarship in nursing\/midwifery education result in a successful research career?","volume":"74","author":"Cooper","year":"2018","journal-title":"J Adv Nurs"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1756562\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:40:00Z","timestamp":1769496000000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1756562\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":31,"alternative-id":["10.3389\/fpubh.2026.1756562"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1756562","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"article-number":"1756562"}}