Hospitals and clinical centers are concerned about patient safety. Safety climate is a perceived value of safety in an organization that could improve the safety of workers and patients. The present research was conducted to study the safety climate of patients in the hospitals and rehabilitation centers affiliated to the University of Social Welfare and Rehabilitation Sciences. Methods: This descriptive-analytical study was conducted on 300 nurses and nurse's aides (healthcare staff) who were selected by stratified sampling method, from two hospitals and three clinics, in 2017. Data collection tools included Patient Safety Climate Scale presented by Kudo and a demographic data questionnaire. The obtained data were analyzed by SPSS using descriptive statics like frequencies and percentages. Furthermore, Mann-Whitney U test and Kruskal-Wallis test were used to analyze the obtained data and compare the mean scores, respectively. Results: The Mean±SD age and work experience of study participants were 36.7±6.79 and 9.46±5.8 years, respectively. The patient safety climate sub-factors were significantly different between males and females (P<0.05) except for reporting aspect (P>0.05). Patient safety climate was only different in nursing condition (P=0.013) among studied healthcare centers. Also, only fatigue reduction was different among various studied wards (P=0.035), where intensive care unit had the lowest score (2.12±2.0). Discussion: Overall, the poor condition of patient safety climate was found in the studied rehabilitation centers. Therefore, it is recommended to improve nurses' attitudes with the assistance of hospital managers, to enhance patient safety.

Objective Paying more attention to human factors is undoubtedly one of the most important organizational principles. Job Satisfaction is one of the most important issues related to human resources in organizations and job dissatisfaction can decrease the productivity of the employees. In this regard, their occupational health is regarded as the science of workforce health in any organization. The purpose of this study was to investigate the status of Occupational Health Management and job satisfaction and the relationship between these two factors in the staff of rehabilitation centers in Tehran. Materials & Methods This descriptive correlation study was conducted on 1403 employees of 28 rehabilitation centers in Tehran during the second half of 2017. Sampling was done through the census. Research data were collected using a questionnaire consisting of two researcher-made questionnaires of occupational safety and health status and standard job satisfaction questionnaire. At first, the instrument used to assess occupational safety and health status for rehabilitation centers was developed and then, with the opinion of academic experts, the validity of the instrument was confirmed using the formal credibility and content validity index and the necessary corrections were made. In addition, 5-10 staff working in rehabilitation centers were asked about the content, clarity, and simplicity of the questionnaire terms. Content Validity Index (CVI) and Content Validity Coefficient (CVC) were 0.68, 0.83, 0.69, and 0.83, respectively, for Occupational Health Management and job satisfaction. Instrument reliability was also assessed using the Cronbach's alpha coefficient, which was 0.872. Finally, after verifying the validity and reliability of the instrument, a questionnaire was used to collect the research data. Shapiro-Wilk, Wilcoxon, and Spearman correlation tests were used to analyze the findings. Data analysis using Version 22.0. Armonk; NY: IBM Corp; SPSS V. 20. Results The participants in this study included 657(46.8%) male and 746(53.2%) women. The results showed that the average score of Occupational Health Management variables and its sub-scales was

Objective: Work-related musculoskeletal disorders are one of the major causes of lost working time, increased costs, human injuries and burnout. The International Labor Organization estimates that about 160 million work-related illnesses occur worldwide each year, where the highest prevalent illnesses are musculoskeletal disorders. Several studies have been conducted In Iran to investigate the prevalence of these disorders, each providing different statistics. Therefore, considering the importance of these disorders, it is necessary to obtain accurate results with high statistical power and validate them. The aim of this study was to investigate the prevalence of work-related musculoskeletal disorders in Iran in order to obtain more accurate results by conducting a meta-analysis. Materials & Methods: For this meta-analysis, searching was conducted in SID, MagIran, IranMedex, Google Scholar, Scopus, Web of Science, and PubMed databases using the keyword “work-related musculoskeletal disorders“ in both Persian and English on studies conducted during 2001-2016 in various cities of Iran. Inclusion criteria were: investigating the prevalence of musculoskeletal disorders in a period of one year, being a cross-sectional or descriptive-analytical study, publication in Persian or English, availability of full-texts, assessment using standard methods (e.g. Nordic Musculoskeletal Questionnaire) and considering the prevalence of musculoskeletal disorders throughout the body (upper and lower extremities). The heterogeneity of the articles was evaluated using the I2 statistics and the data were analyzed in STATA software using meta-analysis and random-effects model. Results: In this study, 45 papers on work-related musculoskeletal disorders were studied. The overall sample size of these studies was 9813, with a mean number of 218 for each study. Most of studies were descriptive-analytical and cross-sectional. In all of them, the prevalence of musculoskeletal disorders in different parts of the body had been investigated. According to their results, the most prevalent work-related musculoskeletal disorder in lower extremity was low back pain (0.49%) and in upper extremity, it was neck pain (39.3%). The prevalence of musculoskeletal disorders in other parts of the body were 39.32% in the neck, 36.9% in shoulders, 36.8% in the back, 34% in the wrist, 26.9% in legs, 20.5% in thighs and hips, and 16.2% in elbows.

BackgroundHealthcare-associated infections (HAIs) are acquired by patients while receiving care. The highest incidence of HAIs has been documented in admissions to intensive care units. Adherence to evidence-based practices is the most important step for preventing HAIs.ObjectivesTo determine the rate of adherence to evidence-based post-insertion recommended care practices after admission into the intensive care unit for the following devices: central line catheter, indwelling urinary catheter, and mechanical ventilator.Patients and MethodsA structured observational cross-sectional research design was used. Data were collected using a checklist and a self-report questionnaire. The minimum sample size required for this study was 276 post-insertion care episodes, and 332 episodes were observed. The ANOVA test was used to identify any significant differences among the mean scores of the three devices.ResultsOverall observed adherence rates were 18.3%, 59.1%, and 43.1% for central line catheters, indwelling urinary catheter, and mechanical ventilator, respectively. Of the observed episodes of device care, only in 9.4% of the episodes was regular oral care performed for patients on mechanical ventilators and only in 19.3% of the episodes were indwelling urinary catheters properly secure after insertion. More so, in none (0.0%) of the episodes was the central line catheter hub disinfected before being accessed.ConclusionsEvidence-based post-insertion recommended care practices were not consistently and uniformly implemented in the intensive care units. Establishment of a program for the surveillance of adherence to recommended guidelines is required for improving compliance by health professionals and the quality of preventive care.

Objectives To investigate the effect of 12 weeks of neck stabilization, core stabilization, and combined stabilization exercises on pain and disability among elderly people in Tehran City, Iran. Methods & Materials This study was a 12 weeks open-label clinical trial. A total of 18 elderly patients with chronic neck pain were randomly assigned into three groups: neck stabilization training (6 people), core stabilization training (6 people), and combined stabilization training (6 people). The severity of neck pain and disability before the beginning of the training, 8 weeks after training and one week after the completion of the exercises were measured using the Visual Analog Scale (VAS), Neck Disability Index (NDI) and Neck Pain and Disability Scale (NPDI). To investigate the effect of time, repeated measure analysis of variance was used to analyze the data in SPSS version 21. Results The Mean±SD scores of pain before and after neck stabilization treatment were respectively 6.08±0.58, 4.83±0.52 for VAS and 49.17±2.86 and 39.17±2.79 for NDI; and 56.4±2.11 and 50.0±1.64 for NPDI; those differences between pairs were significant. The Mean±SD scores of pain before and after core stabilization treatment were respectively, 6.00±0.55, 4.92±0.20 for VAS; 49.67±1.86 and 39.17 ±1.94 for NDI; and 56.01±2.44, and 48.92±1.16 for NPDI; those differences between pairs were significant. Also, the Mean±SD scores of pain before and after combined stabilization treatment were respectively, 6.00±0.45, 4.00±0.32 for VAS; 49.83±2.23 and 37.17±2.86 for NDI; and 55.25±0.28 and 47.51±1.44 for NPDI; those differences between pairs were significant (P<0.05). Among the underlying variables, gender was the only significant factor in pain relief in the elderly (F=6.21, P=0.02), while other variables were not significant (P>0.05). Conclusion The findings of this study showed that 12 sessions of neck, core, and combined stabilization training in the neck region could improve the tolerance and pain of the elderly with nonspecific chronic neck pain.