Analyzing Nurses’ Responsibilities in the Neonatal Intensive Care Unit Using SHERPA and SPAR-H Techniques

Abstract

Background: Neonatal intensive care unit (NICU) is a critical unit in terms of nursing care with a high risk of error incidence. Objectives: This research aimed at determining the type of nursing task mistake, the risk level of the nurse's duties, and assessing the probability of human error in the duties of the nurse. Methods: This research was a case study. The location of NICU research was Alavi and Bouali Hospitals in Ardabil University of Medical Sciences in 2018. The study was performed using HTA, SHERPA and SPAR-H methods. Results: Having analyzed the occupational hierarchy, 17 main tasks and 35 subtasks were identified and studied in NICUs. Among 156 error cases, 43.59% were action errors (highest frequency) and 8.97% were selection errors (lowest frequency). The most common errors in terms of the type of task and probability of errors were "air and respiratory ventilation", "thermal and respiratory monitoring", "examination, evaluation and control of the newborn's pain", and "administering drugs". Conclusions: The factors affecting performance such as time, psychological and physical stress, workload, work complexity, mental effort, experience and education, instruction, ergonomics principles, work planning, safety culture, management policy, and organizational support had the greatest impact on the probability of nurse errors.

Moral Distress and Perception of Futile Care among Nurses of Neonatal Care Units

“…However, the researcher has experienced and observed the psychological, physical, and moral effects of providing futile care for neonates admitted to NSCUs with life-threatening conditions and poor prognoses. As regards, maintaining and promoting the health of infants as a vulnerable group is considered important in the health system and they spend their critical development period in NICUs and NSCUs, [ 12 ] there is a need to continuously improve the quality of nursing care as a constant objective in these units. Accordingly, this study was carried out to assess the correlation between the perception of futile care and MD, among nurses of NICUs and NSCUs.…”

The Relationship of General Health Condition with Safety Attitudes and Demographical Specifications in Workers of Car after-Sale Services Workshops Iran 2019

“…In (13) , the effect of job stress on general health and performance of flight safety personnel was examined. Lack of safety control and safety knowledge in workers have increased the rate of debilitating accidents and diseases at workshops (14)(15) . Workers' attitude about safety is affect by several variables; although, the relationship between these variables and safety attitude are not quite clear.…”