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, ,
Volume 1, Issue 2 (3-2012)
Abstract

Introduction: Needlestick (NSI) is a known serious treat and occupational exposure among health care workers especially nurses. Since nurses are the biggest part of healthcare workers, and considerable percent of NSI are preventable, we decided to determine frequency of NSI and some related occupational factors among a group of them.

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Methods and Materials: This cross-sectional project was conducted among all the nurses (340 nurses with at least one year work experience) in Babol and Amirkola educational and private hospitals (in north of Iran). The data were gathered by means of a tailor-made data collection sheet including personal information and some occupational effective factors, during autumn and winter. The data were analyzed with descriptive statistical indexes and Chi-square test.

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Results: Our result showed that the relative frequency of NSI among the nurses group (the mean age of nurses was 33.8±7.7 years old and the mean work experience was 10.3±8 years) was 59.7 percent. Chi-square test result indicated that there were significant differences between NSI in different groups of some personal and occupational factors including age, years of experience, training condition, and needle recapping(p<0.05).

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Conclusion: According to positive effects of training and negative effects of incorrect working habits, repetition and completion of occupational education is necessary.


S. Tarzimoghadam, S. A. Zakerian,
Volume 5, Issue 4 (12-2015)
Abstract

Introduction: The healthcare system is one of the largest sectors in most countries and is a socio-technical system in which people play a preponderant role. Nowadays medical work systems are facing three major challenges: 1) Healthcare costs, 2) Quality and patient demands and 3) complexity of healthcare. These problems show the necessity of applying ergonomic models in the healthcare sector. The aim of this study was to review the practical ergonomic models in healthcare system.
 

Material and method: For this review article, the authors searched through ScienceDirect, PubMed, ProQuest internet databases from 2005-2014 using the following keywords: Healthcare, Ergonomics, Human factors and model.
 

Result: Overall, 85 articles were reviewed. By evaluating articles' titles, 30 articles related to the study subject were chosen. Then, reviewing the abstracts resulted in 15 articles and in the final step 5 full-text articles were selected which described practical models of ergonomics in healthcare: 1) SEIPS, 2) DIAL-F, 3) Extended Patient-Staff-Machine-Interaction, 4) Adapted Medical-Task and 5) Recursive Hierarchical Task-Process-Task-Model.
 

Conclusion: Most of the published studies emphasize on application of ergonomic models in healthcare centers since these models may reduce their problems. These ergonomics approaches support patient-centered treatment processes, user-oriented design of medical environments, efficient utilization of resources and increase motivation of clinical staff.


Pourya Ahmadi Jalaldehi, Jila Yavarian, Farideh Golbabaei, Saba Kalantary, Abbas Rahimi Foroushani, Hossein Abbaslou,
Volume 13, Issue 4 (12-2023)
Abstract

Introduction: The COVID-19 pandemic has been a significant global health challenge. Primary care services, such as screening health centers, were crucial in identifying infected individuals. However, these centers were often crowded and posed a high risk to staff and non-COVID-19 patients. This study aims to assess the risk of airborne transmission of SARS-CoV-2 in such settings through simulation.
Material and Methods: In this study, waiting and sampling rooms of a COVID-19 healthcare center were simulated using different scenarios. Then, the Quanta emission rate was estimated using the viral load in the sputum of infected individuals. Finally, the airborne transmission risk of SARS-CoV-2 was determined using the Wells-Riley method for scenarios of wearing and without masks.
Results: The study showed that the Quanta emission rate in an unmodulated speaking activity was higher than other expiratory activities in both units (p <0.001). Also, the total amount of Quanta was slightly higher in the sampling room than in the waiting room, which was not statistically significant. On the other hand, the calculation of transmission risk showed that the probability of airborne virus transmission in the sampling room was higher (about 2 to 8%). In addition, wearing masks reduced the possibility of airborne transmission of the virus significantly (77 to 81%).
Conclusion: This study shows that the level of risk in the sampling and waiting rooms is moderate. Masks also significantly reduce the possibility of airborne transmission of SARS-CoV-2. Taking appropriate health and safety measures such as avoiding crowds, wearing masks, whispering, and monitoring social distancing can reduce the plausibility of airborne transmission of the SARS-CoV-2 virus.
 
Mahdi Jafari Nodoushan, Amir Houshang Mehrparvar, Mohammad Ali Ghoveh Nodoushan, Reza Jafari Nodoushan, Ali Karimi,
Volume 15, Issue 2 (7-2025)
Abstract

Introduction: Safety in healthcare facilities is critically important for the health and well-being of employees, patients, and organizational effectiveness. In recent years, various studies have examined the relationship between leadership styles or approaches and safety performance as one of the indicators of safety promotion. The present systematic review examines the relationship between different leadership styles and the safety performance of employees in healthcare facilities to provide a better understanding of the positive or negative effects of leadership on safety and to suggest strategies for improving safety performance in healthcare facilities. 
Material and Methods: A search was conducted in Scopus, PubMed, and Web of Science (ISI) databases. Keywords related to leadership, safety performance, and healthcare employees were used. Studies published up to the end of 2024 were identified and reviewed in accordance with PRISMA guidelines.
Results: Nineteen relevant papers were selected and included in the study. During the review of studies, eleven leadership styles or approaches were identified in relation to safety performance in various healthcare facilities. These included transformational leadership, leader-member exchange leadership, leader safety priority communication and feedback, ethical leadership, empowering leadership, inconsistent and destructive leadership, transactional leadership, task-oriented leadership, authentic leadership, safety leadership, and servant leadership. All leadership styles except for inconsistent and destructive leadership had a direct or indirect positive effect on safety performance. Also, the largest number of studies (n=4) focused on transformational leadership style and leader-member exchange leadership.   
Conclusion: The selection of appropriate leadership styles can contribute to enhanced safety, a reduction in occupational incidents, and improving service quality in healthcare settings. The findings of this study highlight the importance of developing effective leadership styles and strengthening appropriate managerial approaches to improve safety in healthcare facilities. 

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