IntroductionFrequent nursing errors are considered as factors that affect the quality of healthcare of patients. Capable nurses who are compatible with work conditions are more focused on their tasks, and this reduces their errors and cognitive failures. Therefore, this study was conducted with the aim of investigating the relationship between work ability index (WAI) and cognitive failures (CFs) as well as some factors that affect them in nurses working in the ICU, CCU, and emergency wards.MethodsThis descriptive-analytical and cross-sectional study was conducted with 750 nurses at educational hospitals affiliated with the Tehran University of Medical Sciences in 2015. A questionnaire of work ability index and cognitive failures was used to collect data. The data were analyzed using SPSS 20 and the Pearson and Spearman correlation coefficients, chi-squared, ANOVA, and the Kruskal-Wallis tests.ResultsUsing the Pearson correlation test, the results of this study showed that there is a significant, inverse relationship between WAI, personal prognosis of work ability, and mental resources with CFs along with all its subscales in nurses (p < 0.05). In addition, there was an inverse and significant relationship between the total score of CFs and the estimated work impairment due to diseases (p < 0.05). There was a significant positive correlation of CFs with age and experience, while WAI was inversely related to age, work experience, and body mass index (BMI) (p < 0.05). WAI and CFs were related significantly to working units (p < 0.05).ConclusionConsidering the results obtained in this study, WAI and the cognitive status of nurses were lower than the specified limit. It is suggested that the work ability of nurses be improved and that their CFs be reduced through various measures, including pre-employment examinations, proper management of work-shift conditions, and using engineering and administrative strategies to ensure the safety of hospitalized patients.
Background: Anxiety disorders are among the most common types of psychological disorders in the world. Anxiety is an inseparable part of every person's life and it seems that it is experienced more severely by university students. The present study aimed to investigate the prevalence of anxiety and its related factors among environmental and occupational health students. Materials and Methods: In this descriptive cross-sectional study in 2015, the participants were selected through census-based sampling; all the Bachelor students (continuous and discontinuous) of environmental and occupational health (141 respondents) from Qazvin University of Medical Sciences, Iran, participated in this research. Data were collected using a demographic questionnaire and Spielberger State-Trait Anxiety Inventory measuring respondents' level of anxiety. The collected data were analyzed by independent samples t-test, analysis of variance, and Pearson correlation in SPSS software. Results: The prevalence rates of state and trait anxiety in the sample were 29.1% and 20.6%, respectively. Furthermore, 29.1% of students of environmental health and 57.9% of students of occupational health suffered from moderate to high levels of anxiety. The greatest prevalence of trait anxiety among students of environmental and occupational health was recorded for below moderate anxiety with indices of 72.8% and 84.2%, respectively. On the other hand, no significant relationship was observed between students' year of study (ranging from the first to the fourth year) and state/trait anxiety. However, the results of Pearson correlation showed that there was a significant negative relationship between students' grade point average and trait anxiety. Conclusions: Anxiety among university students of environmental and occupational health range from moderate to high. Some measures should be taken to reduce this level of anxiety.
Background and Objective: The advancement of technology reduced the physical presence of workers in workplace. However, in many work places, man is still the most important and critical element. A human error due to unsafe acts in most of occupational environments can lead to a disaster. Materials and Methods: This qualitative case study was conducted to identify and evaluate human error in the entire mining tasks in 2016. In the first section of this study, all the tasks were studied using Hierarchical Task Analysis (HTA) method and then related possible errors were assessed using a technique for human error analysis (ATHEANA). Results: According to the results of HTA, there were nine major mining tasks and explosion was the main scenario. According to ATHEANA, the possibility of human error for each of basic events was calculated as 0.001. Because there were 13 base events and the occurrence probability of each of them was estimated at 0.001, finally, the total possibility of human error in mining operations was calculated as 0.013. Conclusion: The results of this study showed that explosion in a mine had five sub-tasks that sparked of cigarette wrappers, hand grasping, and inappropriate size and material, respectively, with the probability of defect of 0.004 and 0.003 were the most prevalent errors. Therefore, it is recommended to managers and authorities to take necessary measures to protect the health of them and reduce the risk of human error and environmental conditions.
The Wet Bulb Globe Temperature (WBGT) is still widely applied as a preliminary tool for evaluating heat stress. This index faces some limitations not considered yet. This systematic review was conducted aiming at highlighting some limitations for the development of the WBGT index. The present study was organized using more extensive databases, including PubMed, Google Scholar, Scientific Information Databases (SID), Elsevier, Web of Science, Scopus, Irandoc, Magiran, and Iran Medex. The used search terms were WBGT index, Heat stress, Thermal Stress, Heat strain, Wet Bulb Globe Temperature, Hot Condition, Occupational Health, and Occupational Exposure indices. In this study, 69 articles from the years 1950 to December 2021 were assessed. The WBGT index, despite having some advantages, suffers limitations that should be considered for a more accurate estimate of thermal stress. This study was pointed to the new limitations, including the value of WBGT is not clear for persons whose working in a seated posture. The additional problem with the use of this index was that it was used for adapted people who have consumed enough water and salt, while neither water nor salt is always readily available in most hot working environments. Therefore, using this index will cause an error. Also, in heterogeneous environments, if the heat source is near the head or legs, a coefficient will not be applied to these regions. The results of the study demonstrated that, because of the limitations of the WBGT index, it is recommended that this index be used along with other indicators and physiological parameters to assess heat stress until more extensive studies would be conducted in an attempt to improve and remove its limitations.
The present study aimed to determine the role of job components and individual parameters on the raised blood pressure among male workers of textile industry who were exposed to continuous high noise level. Information of all eligible subjects including demographic and individual characteristics, medical history and job characteristics were obtained by direct interview and referring to the medical records. All blood pressure measurements were done using mercury sphygmomanometer in the morning before work. The 8-hours equivalent A-weighted sound pressure level, the level of blood cholesterol and triglyceride, and noise annoyance was determined for each worker. As the result of weighted regression in path analysis (direct effect), only the work shift did not have a significant effect on blood pressure among the studied variables. It can be seen that variables including the level of triglyceride, cholesterol, and noise exposure have the most direct effects on blood pressure. The results of total effects showed that variables, including using the hearing protection device, age, work experience and visibility of sound source, did not have a significant effect on blood pressure. The results of this study indicate that occupational noise exposure alone and combined with other job components and individual parameters is associated with raised blood pressure. However, noise exposure was probably a stronger stressor for increased blood pressure.
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