Journal of Health and Safety at Work

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Introduction: Workplace design is one of the factors that can influence comfort, performance, productivity and the health status of employees. The effects of this factor on human’s productivity and performance are studied in the domain of ergonomics. The impact of workplace design on workers’ productivity and performance can be determined by investigation of the quality of the design. The main purpose of the present study was to investigate the influence of workplace design on productivity of the bank clerks.

Material and Method: Samples in this cross-sectional study were comprised of 150 employees of 22 different branches of a bank in Tehran city. Data collection tools included demographic questionnaire and a questionnaire related to the effects of workplace design on employees’ productivity, developed by Hameed and colleagues. Correlation and regression statistical tests were used in order to analyze data.

Result: According to the results, the mean (±SD) for age and job tenure of participants were 37.2(±6) and 13(±7) years, respectively. Of the surveyed demographic features, a significant relationship was observed between age and scores belonging to the temperature and furniture (P-value<0.05). In addition, there was a significant association between employees’ productivity and the noise (P-value=0.044) and spatial arrangement of environment (P-value=0.048).

Conclusion: Overall, appropriate and high quality design of work environment can improve productivity of bank clerks. In other words, employees’ productivity can be enhanced by comfortable and ergonomic design of working environment and also by considering their needs.

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Introduction: Nowadays, HEPA filters is used in hospitals, clean rooms, microbiology hoods, ventilation of surgery rooms, and Pharmacy for removing microorganisms and reduce health hazard. The aim of this study is to increase the efficiency of HEPA filters with UVC radiation to reduce the density of airborne microorganisms.

Material and Method:  The closed–loop chamber was made to evaluate Staphylococcus epidermidis, Bacillus subtilis bacteria and Aspergillus Niger, Penicillium fungi. The concentration of fungi and bacteria suspension Respectively was 106, 107 CFU/ml. After the suspension was prepared, it was sprayed into the closed loop chamber by nebulizer. Sampling was done with UVC radiation (1.8 mW/cm2 Illuminance) and no radiation (dark) that included time periods 60, 90 and 120 minutes. Microorganisms density was determined in term of CFU/m3.

Result: The result showed that there was a significant difference between UVC radiation and dark section for all the microorganisms (epidermidis, subtilis, Niger and Penicillium) at each time periods (P value< 0.05). This indicates that concentration of four microorganisms were decreased at all the time periods. UVC radiation could change the essential molecular substances for cellular factor. UVC can penetrate the cell walls of microorganisms. thus nucleic acids and other cellular vital material affected and will cause the destruction or inactivation of microorganisms.

Conclusion: UVC radiation is effectiveness to decrease concentration of four microorganisms. because UVC radiation could remove both bacteria and fungi. While the other studies in other countries, UVA radiation is only effective in reducing bacteria. Therefore, achieved greater efficiencies of HEPA filters, using HEPA filters with UVC will have a significant effect on reducing the density of microorganisms.

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Introduction: Quality of Work Life (QWL) is a new form of job satisfaction which involves ones feelings about all aspects of their job. The aim of this study was to assess the psychometric properties of the Persian version of WRQoL-2 questionnaire for use in the nursing community.

Material and Method: In this study, backward translation method was used in order to verify the linguistics stability. Then, the cross-sectional study was conducted among 270 nurses working in a hospital, affiliated to Tehran University of Medical Sciences. Reliability and construct validity was investigated using test-retest and factor analysis, respectively. In addition, discriminant validity was assessed by comparing QWL mean scores of nurses satisfied with their salary and those who were dissatisfied.

Result: Regarding the reliability, it was observed that the repeatability coefficient were at an acceptable level for all dimensions of the WRQoL-2questionnaire. According to factor analysis, six components were identified with some questions in different groups compared to the original questionnaire. Considering discriminant validity, all components, except Stress at Work, obtained P-value less than 0.05.

Conclusion: Based on the acceptable level of reliability and validity of the WRQoL-2 questionnaire, use the questionnaire to assess the quality of work life of nurses is recommended.

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Introduction: The Surgical Safety Checklist has been introduced by the World Health Organization (WHO) as a tool for reducing medical errors. Reviewing the results of the checklist application indicates significant reduction in mortality and complications in surgery. Thus, this study aimed to customize and validate surgical safety checklist in order to complying with the surgical protocol in Iran.
 

Material and Method: In this cross-sectional and descriptive study, the WHO Safety Surgery Checklist was first translated. Next, through interviews with specialists and direct observation of activities, those tasks that were susceptible to the incident, identified, prioritized and analyzed using Hierarchical Task Analysis (HTA) and the results presented in form of HTA charts. Then, using Tabulate Task Analysis (TTA) and based on the recommendation and modification commented by expert panel, some questions added to the checklist and a customized version of the Surgical Safety Checklist was provided.  Hence, the faced validity, content validity and reliability of the checklist have been evaluated.
 

Result: In the surgery, four major tasks identified for analyzing using the HTA chart. Accordingly, 41 subtasks obtained and analyzed by TTA. The Lavashe method was used to determine the content validity ratio (CVR) and the content validity index (CVI). The question from the checklist, in which, CVI was less than 0.79, modified and replaced with appropriate question. Also, the scores for 3 questions were less than 0.49, and they were removed from the checklist due to the low CVR score. In the reliability assessment, the intra-observer method is used, and the Kappa coefficient obtained was acceptable and it was higher than 0.6, which confirmed the validity of the checklist.
 

Conclusion: In this study, the surgical safety checklist customized in terms of content validity and reliability, in a field study. Considering the compliance of the checklist items with the surgical protocol in Iran, we hope to use it to improve the quality of teamwork and reduce the complications and mortality caused by surgical errors

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Introduction: As an important problem, occupational procrastination is associated with organizational efficiency. Alhough this problem has received lots of attention from researchers, scant research has been conducted on the role of psychological hardiness and marital conflict in Shahrekord university staff. The main purpose of the present research was to predict occupational procrastination based on psychological hardiness and marital conflict in Shahrekord university staff.
Material and Methods: This was a descriptive-analytical cross-sectional study. The research population consisted of Shahrekord university staff in 2017. The research sample (n=168) was selected using a convenience sampling method. The tools implemented were Occupational Procrastination Scale (Saffarinia and Amirkhani, 2011), Lang and Goulet Hardiness Scale (2003), and Marital Conflicts Questionnaire of Barati and Sanaei (2006). The obtained data was analyzed using descriptive statistics (mean and standard deviation), Pearson correlation tests, and multiple linear regression analysis.
Results: The results of Pearson correlation showed that the relationships between psychological hardiness and occupational procrastination (r = -0.316, P <0.001), and marital conflict and occupational procrastination (r = 0.511, P<0.001) were significant. The results of multiple linear regression showed that marital conflict (B = 0.347, P<0.001) was predictive of occupational procrastination and explained 27.8% of the variance of occupational procrastination in Shahrekord university staff.
Conclusion: The obtained results showed that the occupational procrastination in Shahrekord university staff can be predicted through marital conflict. Therefore, this variable is recommended to be considered in investigating procrastination in Shahrekord university staff.

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Introduction: Musculoskeletal disorders (MSDs) are prevalent in work settings and are associated with high rate of prevalence and costs. Musculoskeletal conditions have multifaceted nature, and occupational factors play an important role in their development. The aim of this study was to identify the risk factors of work-related musculoskeletal disorders in the working population in Iran during 2000 to 2015.
Material and Methods: Using the appropriate search terms, articles published in the journals, student thesis, and those presented at the conferences were searched through authentic English databases (Google Scholar, Scopus, PubMed) and Farsi ones (Magiran, SID, IranMedex, Irandoc). Following removal of duplicate citations and irrelevant studies, the full texts of the remaining publications were prepared and assessed for more detail.
Results: Perceived discomfort in low back region obtained the highest score in workers of industrial, administrative, service, and agricultural settings. However, in the handicraft and educational groups, the highest percentage of discomfort was belonged to neck (66.7%). Findings showed that the most commonly used techniques for evaluation of musculoskeletal disorders and risk factors were, respectively, Nordic questionnaire (NMQ) (76%) and REBA (13.9%). Moreover, all identified risk factors were classified into eleven groups including: biomechanical, work environment design, tools, equipment, temporal aspects of job design, job content, organizational aspects, economic and financial issues, social aspects, individual characteristics, and training.
Conclusion: Overall, a wide range of risk factors reported in the previous studies were categorized in the present review. The results are suggested to be considered by managers and decision makers as a framework to take measures for controlling musculoskeletal disorders to accomplish the goal of ergonomics, which is productivity and well-being.

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Introduction: Previous studies have been conducted on the effects of exposure of industrial workers to high levels of noise and their association with mental health or exposure of people to harmful levels of environmental noise. In this study, we investigated the association between moderate noise levels and the symptoms of depression, anxiety, and stress in non-industrial workers.
Material and Methods: This study is a Cross-Sectional study that was conducted using the enrollment phase data of the Tehran University of Medical Sciences Cohort (TEC) study. The study population consisted of 3899 workers of Tehran University of Medical Sciences who were employed in seven occupational groups of the university, Office Workers, Healthcare workers, technical personnel, services workers, security guards, and radiology-radiation units. Exposure to moderate noise level was examined using the Leq10min index, and the Depression Anxiety Stress Scales were examined on the mentioned population by DASS-42 questionnaires.
Results: The results showed that the prevalence of severe to very severe symptoms of depression, anxiety and stress were 8.2, 7.9, and 11% respectively. Also, it was observed that 14.5% of the participants of the study were exposed to noises of more than 70 dB(A). Furthermore, the results indicated that the highest average noise was equal to 71.3 dB(A) for the technical staff group, and the lowest value with an average of 59.1 dB(A) was recorded for the office workers group. The symptoms of severe to very severe depression was associated with exposure to noises above 70 dB(A) (OR:5.22) anxiety (OR:1.16), stress (OR:1.17) and socioeconomic status (OR:1.84). The severe to very severe anxiety was associated with stress (OR: 1.25). On the other hand, the symptoms of severe to very severe stress was associated with variables of age (OR:0.99), gender (OR:0.46), socioeconomic status (OR:1.52), having job management position (OR:0.81) and having healthcare working job (OR:0.65).
Conclusion: Regarding the obtained results of the present study, it was concluded that exposure to moderate noise levels had positive and significant association with depression in non-industrial workers. In non-industrial work environments, exposure to moderate noise levels is and can be independently associated with depression.

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Introduction: Permit-to-work system (PTW) system is a documented system to control the activities with inherent risks and probability of accident occurrence. To inform the performance and efficiency of a system, it must be periodically monitored and evaluated, and the permit to work system is no exception of this principle. The aim of the present study was to design and develop software for evaluating the performance of the PTW system.
Material and Methods: This study included two main stages. At the first stage, based on the literature review and interview to the academic and industrial experts, the PTW questionnaire for evaluating the performance was created. The second stage involved the design and implementation of an initial version of a software and the investigation of its usability. Designing the software was performed using system development life cycle (SDLC). The usability of this software was evaluated by Think -Aloud method. Finally, the users’ satisfaction was measured using the Questionnaire for User Interface Satisfaction (QUIS) questionnaire.
Results: Based on the results of the QUIS questionnaire, the overall satisfaction of the designed software was 7.71 in a nine-point scale. The scores of the software performance, display and user interface features, software terminology and information, learning, and overall system capabilities were obtained as 7.58, 7.37, 7.75, 8.11, and 7.74, respectively. Also, the outputs of the excel and SPSS software were in accordance with those of designed software, which show the reliability of the outputs of the designed software.
Conclusion: The designed software facilitate the proper and systematic analysis and it is flexible to evaluate the PTW system and represent types of reports in predefined structures that can be a useful tool in the process industries such as oil and petrochemical refineries and other similar industries.