Objective: To assess verbal communication patterns which could contribute to poor performance among surgical team members in an operating room. Background: There exist certain challenges in communication in health care settings. Poor communication can have negative effects on the performance of a surgical team and patient safety. A communication pattern may be associated with poor performance when the process of sending and receiving information is interrupted or the content of conversation is not useful. Method: This cross-sectional field study was conducted with 54 surgical teams working in two Iranian hospitals during 2015. Two observers recorded all verbal communications in an operating room. An in-depth assessment of various annotated transcripts by an expert panel was used to assess verbal communication patterns in the operating room. Results: Verbal communication patterns which could contribute to poor performance were observed in 63% of the surgeries, categorized as communication failures (17 events), protests (23 events), and irrelevant conversations (164 events). The anesthesiologists and the circulating nurses had the most concerning communication patterns. The failure of devices and poor planning were important factors that contributed to concerning patterns. Conclusion: Concerning patterns of verbal communication are not rare in operating rooms. Analyzing the annotated transcripts of surgeries can conduce to identifying all these patterns, and their causes. Concerning communication patterns can be reduced in the operating room by providing interventions, properly planning for surgeries, and fixing defective devices. Application: The method used in this study can be followed to assess communication problems in operating rooms and to find solutions.

No abstract

‫بـ‬ )9( 52/5 ‫و‬ )13/25( 76/91 ‫ـب‬ ‫ترتیـ‬ ‫ـه‬ ‫بـ‬ ‫ـغلی‬ ‫شـ‬ ‫ـرد‬ ‫عملکـ‬ ‫عملکــرد‬ ‫و‬ ‫تحصیــات‬ ‫ســطح‬ ‫بــا‬ ‫کاری‬ ‫زندگــی‬ ‫کیفیــت‬ .)p-value = 0/001( ‫شــد‬ ‫یافــت‬ ‫دار‬ ‫معنــی‬ ‫رابطــه‬ .)p-value > 0/05Abstract Introduction: Healthcare centers are one of the main organizations, which play an important role in maintaining people's health by providing healthcare services. Therefore, paying attention to the quality of work life (QWL) and job performance in healthcare workers is very important. The aim of this study was to assess the quality of work life and its relationship with job performance in health care workers. Methods: This cross sectional study was conducted on 136 healthcare workers of healthcare centers in Islam Abad West city. Data collection tools were 3 questionnaires: demographic, QWL, and job performance questionnaires. To analyze the data, descriptive statistics, independent sample t-test, one-way ANOVA and Pearson correlation coefficient were used. Results: The mean (SD) age of the healthcare workers was 36.42 (8) years. Most of the practitioners in this study were females and married. The mean (SD) scores of QWL and job performance were 76.91 (13.25) and 52.5 (9), respectively. There was a significant relationship between QWL and job performance (P > 0.001). Furthermore, the relationships between QWL and the educational level as well as between job performance and sex and the educational level were significant (P > 0.05). Conclusions:According the results of this study, the healthcare workers' QWL was lower than the average level and job performance was higher than the average level. So, increasing salary, encouraging the employees to continue their educations, and providing retraining courses that are related to their job can be useful to improve the current situation.

No abstract

No abstract