scholarly journals Link between Occupational Fatigue and Medical Errors in Surgical Technologists

Author(s):  
Fatemeh Imani ◽  
Omid Zadi Akhuleh ◽  
Ehsan Memarbashi ◽  
Ebrahim Nasiri

Background: Regarding the operating room's sensitivity and performing various invasive procedures, it is important to investigate the relationship between occupational fatigue and the occurrence of medical errors. Thus, this study was conducted to determine the relationship between occupational fatigue and medical errors among surgical technologists. Methods: This cross-sectional descriptive study was conducted in operating rooms of hospitals of Mazandaran University of Medical Sciences in 2019. The research population included 141 surgical technologists selected via stratified random sampling. Data were collected using the Multidimensional Fatigue Inventory (MFI) and nursing errors in the operating room questionnaire. The data were analyzed using SPSS16 software. Results: 82.2% of surgical technologists had moderate to severe fatigue. Non-compliance with the sterile technique with a 49.6% incidence rate was the most frequent error among participants. The findings showed that there was a significant positive correlation between the incidence of medical errors among surgical technologists with mental fatigue (r =0.160, P=0.04) and reduced motivation (r =0.185, P=0.02). Conclusion: The level of mental fatigue and reduced motivation among surgical technologists was directly related to the level of the incidence of medical errors. Therefore, it is recommended to implement effective programs to adjust and decrease mental fatigue and increase motivation to improve surgical technologists' performance.

Author(s):  
Atefeh Ya'aqoubi ◽  
Masoud Ahmadi ◽  
Rahman Qaffari

Background and Purpose: In order to have an imagination of glass government, it is a priority to consider corruption, transparency, trust, and awareness. The present research aimed to model the relationship between the mentioned variables in the hospitals of Mazandaran Medical Science University. Materials and Methods: This was a cross-sectional descriptive research. The population included all medical and administrative staff of selected hospitals from east of Mazandaran in 2019, consisting of 4251 persons (1774 male and 2477 females), and the research was carried out on the basis of data from 353 subjects according to Cochran formula by classified sampling fitted to the size of each class. The required data were collected by using standard questionnaire and analyzed by SPSS and AMOS Software. In descriptive statistics, descriptive indicators, such as mean, variance, minimum and maximum and frequency tables, were used and in inferential statistics, the collected data were analyzed by using Kolmogorov-Smirnov tests to check the normality of the data, and path analysis. Results: The findings from confirmative factor analysis showed that transparency had a significant effect on perceived corruption (with standard deviation of 0.32 and T value of 4.814), public awareness (0.22 and 3.284), trust in government (0.23 and 3.303), trust in administrative evolution committee (0.48 and 7.109), perceived corruption on trust in government (0.28 and 4.436), trust in administrative evolution committee (0.33 and 5.483), public awareness on perceived knowledge (0.20 and 3.052), and trust in administrative evolution committee (0.16 and 2.878) and trust in administrative evolution committee had effect on trust in government (0.29  and 3.453), but public awareness had no significant effect on trust in government (0.10  and 1.715). Conclusion: Glass government should pursue reducing corruption at the level of subordinate organizations with more transparency and awareness and by doing so, trust in the government and administrative evolution committees will be achieved.


2016 ◽  
Vol 9 (3) ◽  
pp. 128 ◽  
Author(s):  
Farahnaz Sadoughi ◽  
Mahtab Karami ◽  
Gholam Abbas Mousavi ◽  
Afsaneh Karimi

<p><strong>OBJECTIVE: </strong>This study investigated the perspective of clinicians about the effect of information technology (IT) on healthcare improvement.</p><p><strong>METHODS: </strong>This cross-sectional study conducted in 2014-15, developed a questionnaire to evaluate of the perspective of 281 employees at two general hospitals affiliated with Zahedan University of Medical Sciences to measure the effect of IT on improving the healthcare system. The data was analyzed using the descriptive Kolmogorov-Smirnov and Kruskal-Wallis tests. One-way ANOVA was used to compare groups.</p><p><strong>RESULTS: </strong>The overall attitude of the research population about the effect of IT on healthcare was positive, with an average score of 3.29 ± 0.90. The most influential effects of IT on the healthcare were accelerated diagnosis and treatment. The use of standardized messaging was the most effective approach for improving the healthcare system. Developing a standard mechanism for protection of data and establishing clear rules for acceptance of computer documentation by the judicial authorities were the most influential cases to increase IT effects in the healthcare system.</p><p><strong>CONCLUSION: </strong>Physicians play important roles in the successful implementation of IT because they are directly involved in the treatment of patients. Their opinions should be considered when providing or creating any type of system. The importance of budgeting for IT should be considered, because applying these systems can be capital intensive. Because application of such systems requires acceptance by legal circles of the information obtained, it is necessary for preparations to be made.</p>


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Khalil Mahmoodi ◽  
Mehran Tahrekhani

Introduction: The establishment of a healthy relationship between healthcare professionals is required for resolving healthcare issues. The professional relationship between physicians and nurses are quite decisive and vital factor for patient care. Therefore, the purpose of this study was to examine the quality of relationship between physicians and nurses in hospitals affiliated with Zanjan University of Medical Sciences, Iran.Methods: In this descriptive-analytic study, a cross-sectional method was used. Nurses working in hospitals affiliated with Zanjan University of Medical Sciences, Iran were selected randomly. A demographic data and a 32-item questionnaire related to the professional relationship between physicians and nurses were used for data collection. Of 160 nursing staff 96 nurses returned the questionnaire. Descriptive and analytical statistics were used for data analysis via the SPSS software.Results: About 75.8% of the nurses were female and 76.8% held a bachelor's degree. Also, 86.4% of them had rotational shift works. Many of them (66.2%) held below 15 years of work experience and 59.5% received no reward to make a relationship with physicians. Moreover, 76.8% of the samples mentioned that non-existence of fixed work shifts and extra shifts created stressful and tedious conditions leading to ineffective nurse-physician relationships.Conclusions: There were major shortcomings within nurse-physician relationships. Hence, the promotion of physicians’ knowledge on nurses’ career and nurses’ welfare is required for advancing professional relationships between nurses and physicians. 


2008 ◽  
Vol 2 (4) ◽  
pp. 179
Author(s):  
Joko Supono

Diare pada balita masih menjadi masalah kesehatan masyarakat yang penting di Indonesia. Persepsi keseriusan penyakit diare yang rendah merupakan kendala upaya menurunkan angka kesakitan diare. Penelitian yang menggunakan desain cross sectional ini bertujuan menguji hubungan antara faktor pengetahuan, pengalaman kontak, dan kepercayaan, dengan persepsi ibu terhadap diare pada balita. Populasi pada penelitian ini adalah ibu balita yang bermukim di Kecamatan Bekasi Utara, Jawa barat. Dari hasil penelitian terbukti bahw pengetahuan, pengalaman kontak, dan kepercayaan berhubungan secara bermakna dengan persepsi ibu terhadap diare pada balita. Ibu balita yang berpengetahuan rendah berisiko 2,5 kali untuk berpersepsi diare sebagai penyakit biasa daripada ibu yang berpengetahuan tinggi (OR: 2,535; 95%CI: 1,321 – 4,866) setelah variabel pendidikan dikendalikan. Ibu balita yang tidak pernah berpengalaman kontak berisiko hampir 5 kali lebih besar untuk berpersepsi diare sebagai penyakit biasa daripada ibu balita yang pernah kontak (OR: 4,761; 95% CI: 1,853 - 12,235). Ibu balita dengan kepercayaan rendah berisiko 0,4 kali untuk mempersepsikan diare sebagai penyakit biasa lebih kecil daripada ibu dengan kepercayaan tinggi setelah variabel jumlah balita dikendalikan (OR: 0,392; 95%CI: 0,195 - 0,765). Upaya memperbaiki persepsi ibu balita disarankan dengan meningkatkan program promosi kesehatan yang dilakukan melalui peningkatan pengetahuan, menciptakan pengalaman dengan model simulasi, serta merasionalkan kepercayaan tentang diare pada balita di masyarakat.Kata kunci : Diare pada balita, persepsi, pengetahuan, pengalaman kontak, kepercayaanAbstractDiarrhea among under-five children is still a major problem in developing countries such as Indonesia. The low perception to the seriousness of diarrhea is one of the obstacles in decreasing the diarrhea frequency. Using cross sectional design, this research aims to find the relationship between knowledge, contact experience, and belief about diarrhea on under five children with the perception of mothers towards the seriousness of diarrhea. The research population is mothers with under five children in Bekasi Utara district, and 175 subjects were selected randomly across 6 regions (kelurahan). This research showed that knowledge, contact experience and belief have significant relation with the perception towards the seriousness of diarrhea on under five children. Mothers who had limited knowledge had chance 2,5 times more than mothers who had wide knowledge to perceive that diarrhea was not serious (OR: 2.535; 95%CI: 1.321 – 4.866) after education variable was controlled. Mothers who had no experience with diarrhea had chance almost 5 times more than mothers who had experience to perceive that diarrhea was not serious (OR: 4.761; 95%CI: 1.853 – 12.235). Mothers who had low belief had chance 0.4 times more than mothers who had high belief to perceive that diarrhea was not serious (OR: 0.392; 95%CI: 0.195 – 0.765) after the number of under five children was controlled. The effort to improve the perception of mothers towards diarrhea can be conducted by improving the program to promote health, such as enhancing the knowledge/ awareness, creating contact experience by simulation model, and by rationalizing belief about diarrhea.Keywords : Diarrhea, perception, knowledge, contact experience, belief


Author(s):  
Mohammad Reza Yeganeh ◽  
Moluk Pouralizadeh ◽  
Atefeh Ghanbari

Background & Aim: Professional autonomy is a key component of decision-making and empowerment of the nurses. However, ICU nurses sometimes experience a degree of moral distress in their decision-making but the relationship of this distress with their autonomous performance in intensive care units is unclear. The aim of this study is determining the relationship between professional autonomy and moral distress of ICU nurses. Methods & Materials: In this correlational cross-sectional study, 180 ICU nurses were selected by census method from educational hospitals of Guilan University of Medical Sciences in 2017. Research tools were Varjuss professional autonomy and Corely et al. moral distress questionnaires. Data were analyzed using SPSS software version 16. Results: Most of the subjects were female (93.89%), full-time nurses (61.67%), with age mean and standard deviation of 35±5.97. Mean and standard deviation of professional autonomy and moral distress were 77.04±4 and 140.85±5.45, respectively. Moral distress of most nurses (55.6%) was moderate. There was a positive and significant correlation between professional autonomy and moral distress scores (p<0.001, r=0.33). Conclusion: This study showed that by increasing the professional autonomy, the moral distress of ICU nurses increases as well. These results, by informing nursing mangers, remind the necessity of using some approaches for reducing the moral distress of nurses along with improving their professional autonomy.


Author(s):  
Arefeh Dehghani tafti ◽  
Sajjad Bahariniya ◽  
Mahdieh Khaleghi moori ◽  
Farrokh Laqa Servat

Introduction: Job stress is considered as an integral part of work environments that always affects people's job aspects and can reduce the performance and productivity of employees in organizations. The aim of this study was to investigate the relationship between job stress and job performance in staff of Yazd University of Medical Sciences. Methods: The study method was cross-sectional-analytical. Staff were considered a statistical population. The sample size was estimated at 282 people. The study used two standard questionnaires, Philip L. Rice's (1992) job stress and Patterson's job performance. Data analysis was performed by SPSS software. Results: 242 employees participated in this study. 42.1% of the respondents were men and 57.9% were women. The Deputy for Management and Resource Development (22.7%) and the Deputy for Social Development (5.4%) had the highest and lowest number of participants, respectively. Job stress was achieved in high-level staff and low-level job performance. Also, the relationship between job stress and job performance was found to have a significant inverse relationship (R = -0.318). Conclusion: In order to increase employee job performance and reduce stressors, senior university administrators need to improve the work environment by improving communication and interpersonal relationships. Applying proper human resource management and social and motivational support, improving facilities and planning to provide appropriate physical conditions in the workplace can also play an important role.


2019 ◽  
Vol 9 (1) ◽  
pp. 51-55
Author(s):  
Sigit Sumarsana ◽  
Mushidah Mushidah ◽  
Cahyo Suraji

Kesehatan kerja merupakan aplikasi kesehatan masyarakat didalams uatu tempat (perusahaan, pabrik, kantor dan sebagainya). Kelelahan akibat kerja sering kali diartikan sebagai proses menurunnya effisiensi dan berkurangnya kekuatan atau ketahanan fisik tubuh. Seperti halnya pada tenaga kerja bagian pemberi pakan ayam pullet 2 di PT Rehobat Limbangan sebagian besar yang mengalami kelelahan ditandai dengan merasa haus, merasa kantuk, dan menurunnya stamina. Tujuan penelitian ini untuk mengetahui hubungan antara beban kerja dengan keleleahan kerja pada tenaga kerja bagian pemberian pakan ayam pullet 2 di PT Rehobat Limbangan. Jenis penelitian ini observasikuantitaif dengan menggunakanmetode cross sectional. Populasi dalam penelitian ini berjumlah 44 rsponden dengan teknik pengambilan sampel yaitu total sampling. Alat ukur berupa observasi beban kerja dan kuesioner kelelahan kerja analisa data menggunakan uji kendall’s tau_b. Hasil penelitian menunjukkan bahwa mayoritas pekerja yang mempunyai beban kerja sangat berat sebanyak 14 responden (31,8%), mayoritas pekerja yang mempunyai kelelahan kerja berat sebanyak 23 responden (52,3%). Ada hubungan antara beban kerja dengan kelelahan kerja pada tenaga kerja bagian pemberi pakan ayam pullet 2 di PT Rehobat Limbangan di tunjukkan dengan uji kendall’s tau_b dengan p value = 0.000. Diharapkan tenaga kerja mampu menggunakan waktu istirahat dengan baik agar menghindari kelelahan fisik.   Kata Kunci : Benan kerja, kelelahan kerja, tenaga kerja   RELATIONSHIP BETWEEN WORK LOADS AND LOSS OF WORK ON LABOR PARTS OF PULLET CHICKEN FEEDERS 2   ABSTRACT Occupational health is a public health application in a place (company, factory, office and so on). Occupational fatigue is often interpreted as a process of decreased efficiency and reduced physical strength or endurance. As with the workforce of pullet 2 chicken feeder in PT Rehobat Limbangan, the majority of those who experience fatigue are characterized by feeling thirsty, feeling sleepy, and decreasing stamina. The purpose of this study was to determine the relationship between workload and workload on pullet 2 chicken feed labor in PT Rehobat Limbangan. This type of research is observational observation using the cross sectional method. The population in this study amounted to 44 respondents with sampling techniques namely total sampling. Measuring instruments in the form of workload observations and data analysis work fatigue questionnaires using the kendall's tau_b test. The results showed that the majority of workers who had very heavy workloads were 14 respondents (31.8%), the majority of workers who had heavy work fatigue were 23 respondents (52.3%). There is a relationship between workload and work fatigue on the workforce of pullet 2 chicken feeder part in PT Rehobat Limbangan indicated by kendall's tau_b test with p value = 0.000. It is expected that the workforce is able to use rest periods well so as to avoid physical fatigue.  Keywords: Right of work, work fatigue, labor


Author(s):  
Ali Miri ◽  
Mostafa Norouzzadeh ◽  
Fatemeh Mozafari ◽  
Elham Rajabipour ◽  
Najmeh Souri-Naseri ◽  
...  

affect different aspects of human life. Today because of changing in lifestyle and unhealthy dietary patterns, there is augment in the incidence of obesity, chronic disease and mental disorders like depression. In this study, we have investigated the prevalence of depression and dietary patterns in the students of Zabol University of Medical Sciences. Methods: A descriptive cross-sectional study carried out on 313 students of Zabol city using simple random sampling in 2019. Results: The prevalence of depression in studied students was 58%. Two major dietary patterns were identified: the healthy dietary pattern and the unhealthy dietary pattern. After adjusting confusing variables, individuals who gained higher scores in unhealthy dietary pattern, had higher probability (OR = 2.19, 95%CI: 1.10 to 4.36, p value = 0.02) of depression, however healthy dietary patterns showed no significant association with the risk of depression. Conclusion: Findings indicate a higher prevalence of depression and positive relationship between unhealthy dietary patterns with the risk of depression in studied students.


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