بررسی اعمال ناایمن پرستاران بخش مراقبتهای ویژه قلبی یکی از بیمارستانهای شهرستان ایذه به روش نمونهبرداری از اعمال ناایمن
فصلنامه علمی پژوهشی بهداشت در عرصه,
دوره 12 شماره 2 (1403),
2 نوامبر 2024
,
صفحه 53-61
https://doi.org/10.22037/jhf.v12i2.44077
چکیده
زمینه و اهداف: شناخت اعمال ناایمن پرستاران نقش چشمگیری در پیشگیری از حوادث دارد. بنابراین، مطالعه حاضر با هدف تعیین نوع اعمال ناایمن، شناسایی عوامل موثر، علل بروز و ارتباط آنها با تعدادي از مشخصات جمعیتشناختی پرستاران شاغل در بخش مراقبتهای ویژه بیماران قلبی –عروقی (CCU) بیمارستان انجام شد.
مواد و روشها: در مطالعه مقطعی از نوع توصیفی- تحلیلی حاضر، اعمال ناایمن پرستاران بخش CCU یک بیمارستان با استفاده از روش نمونهبرداري اعمال ناایمن و تهیه سیاهه وارسی اعمال ناایمن، حوادث ثبت شدهی گذشته در بیمارستان و مرور منابع بررسی شد. درنهایت، درصد اعمال ناایمن و ارتباط آنها با برخی از متغیرهای جمعیتشناختی با آنالیزهای آماری از جمله آزمون کاي دو ارزیابی شد. تمام مراحل این تحقیق با رعایت موازین اخلاقی و پژوهشی انجام شد.
یافتهها: نتایج نشان داد، بین متغیرهای سن، سابقه کار، سطح تحصیلات، پست سازمانی و وضعیت تاهل با اعمال ناایمن ارتباط معنیدار وجود دارد (0/001>P-value). بین نوع استخدام با اعمال ناایمن ارتباط معنیدار وجود ندارد. درصد اعمال ناایمن 24/4 است که کمترین میزان آنها (0/03%) مربوط به ندادن به موقع داروها به بیمار و بیشترین میزان، مربوط به عدم چک مانیتور علائم حیاتی (8/78%) است.
نتیجهگیری: از مهمترین دلایل بروز اعمال ناایمن پرستاران، تمرکز ناکافی، فراموشی و خستگی به علت بارکاری زیاد و کمبود نیروی کار است. به دلیل جبران ناپذیربودن ریسک سلامت و ایمنی بیماران و پرستاران، تامین نیروی کار کافی، برنامه کاری منعطف و ارائه خدمات رفاهی- تفریحی حائز اهمیت است.
- اعمال ناایمن، بار کاری، نمونهبرداری رفتار، خطای پرستاری
ارجاع به مقاله
مراجع
- Lund J, Aarø LE. Accident prevention. Presentation of a model placing emphasis on human, structural and cultural factors. Safety Science 2004; 42(4):271-324.
- Kim K, Reicks M, Sjoberg S. Applying the theory of planned behavior to predict dairy product consumption by older adults. Journal of Nutrition Education and Behavior 2003; 35(6):294-301.
- Zare A, Yazdani Rad S, Dehghani F, Omidi F, Mohammadfam I. Assessment and analysis of studies related human error in Iran: A systematic review. Journal of Health and Safety at Work 2017; 7(3):267-78.
- Geller ES, Perdue SR, French A. Behavior-based safety coaching: 10 guidelines for successful application. Professional Safety 2004; 49(7):42-49.
- Hulbert S. Effects of driver fatigue: In Forbes TW, Human factors in highway traffic safety research (Wiley series in human factors). 1st ed. Europe. Commission of the European Communities. Hoboken: Wiley-Interscience 1972; P:151-160.
- Seo DC. An explicative model of unsafe work behavior. Safety Science 2005; 43(3):187-211.
- Raouf A, Dhillon BS. Safety assessment: A quantitative approach. 1st ed. Florida: Lewis Publishers 1994; P:10-200.
- Castilla Ramos O. Observation of unsafe behavior at work: A methodological analysis. Universitas Psychologica 2012; 11(1):311-21.
- Hofmann DA, Stetzer A. A cross‐level investigation of factors influencing unsafe behaviors and accidents. Personnel Psychology 1996; 49(2):307-39.
- Goldenhar LM, Williams LJ, Swanson NG. Modelling relationships between job stressors and injury and near-miss outcomes for construction labourers. Work & Stress 2003; 17(3):218-40.
- Neal A, Griffin MA. Safety climate and safety at work. In J. Barling & M. R. Frone (Eds.), The psychology of workplace safety. 1st ed. Washington, DC: American Psychological Association 2004; P:15-34.
- Lewis EJ, Baernholdt M, Hamric AB. Nurses' experience of medical errors: An integrative literature review. Journal of Nursing Care Quality 2013; 28(2):153-61.
- Jember A, Hailu M, Messele A, Demeke T, Hassen M. Proportion of medication error reporting and associated factors among nurses: a cross sectional study. BMC Nursing 2018; 17:1-8. Doi: 10.1186/s12912-018-0280-4.
- Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AHS, Dellinger EP, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Quality & Safety 2011; 20(1):102-07.
- Pettker CM, Thung SF, Raab CA, Donohue KP, Copel JA, Lockwood CJ, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. American Journal of Obstetrics and Gynecology 2011; 204(3):216.e1-e6. Doi: 10. 1016/ j. ajog. 2010.11.004.
- Shirali GA, Afravi M, Nezamoldini ZS. Comparison between safety attitudes of CCU nurses in the educational and non educational hospitals of Ahvaz. Iran Occupational Health 2016; 12(6):89-97 (In Persian).
- Hashemi Nejad N, Mohammad Fam I, Jafari Nodoshan R, Dortaj Rabori E, Kakaei H, Kakaei H. Assessment of unsafe behavior types by safety behavior sampling method in oil refinery workers in 2009 and suggestions for control. Occupational Medicine Quarterly Journal 2012; 4(1):25-33 (In Persian).
- Mohammad Fam I. Application of safety signs in controling unsafe acts rate. Iranian Journal of Military Medicine 2010; 12(1):39-44 (In Persian).
- Nouri J, Azadeh A, Mohammad Fam IM. The evaluation of safety behaviors in a gas treatment company in Iran. Journal of Loss Prevention in the Process Industries 2008; 21(3):319-25.
- Soori H, Mortazavi M, Shahesmaeil A, Mohseni H, Zangiabadi M, Ainy E. Determination of workers’ risky behaviours associated with safety and health in a car manufacturing company in 2011. Journal of Arak University of Medical Sciences 2013; 16(3):52-.61 (In Persian).
- Bieder C. A situated science an exploration through the lens of safety management systems. Safety Science 2021; 135:105063. Doi: 10. 1016/ j. ssci.2020.105063.
- Tarzimoghadam S, Zakerian SA. Ergonomics in healthcare system-human factors models: A review. Journal of Health and Safety at Work 2016; 5(4):87-98 (In Persian).
- Bakr MM, Atalla HR.. Medication errors, causes, and reporting behaviors as perceived by nurses. Journal of Pharmaceutical and Biomedical Sciences 2012; 19(17):1-7.
- Mahmoudi S, Fam IM, Afsartala B, Alimohammadzadeh S. Evaluation of relationship between the rate of unsafe behaviors and personality trait case study: Construction project in a car manufacturing company. Journal of Health and Safety at Work 2014; 3(4):51-58 (In Persian).
- Mohammad Fam I, Kianfar A, Mahmoudi Sh. Evaluation of Relationship between job stress and unsafe acts with occupational accident rates in a vehicle manufacturing in Iran. International Journal of Occupational Hygiene 2010; 2(2):85-90.
- Adl J, Dehghan N, Abbaszadeh M. The survey of unsafe acts as the risk factors of accidents in using taxis for intercity travelling in Tehran. Journal of Safety Promotion and Injury Prevention 2014; 2(1):39-46 (In Persian).
- Garavand Z, Kakaei H, Mirzaie F, Jamshidzadeh K, Zeydimofrad M, Gravand Y, et al. Identifying unsafe behaviors with safety behavior sampling method among workers of Ilam gas refinery in 2013. Ilam-University of Medical Sciences 2017; 25(4):99-107 (In Persian).
- Javadzadeh S, Tabarsi b, Moeini F. Investigating the frequency and causes of nursing errors from the perspectives of emergency department nurses. Iranian Journal of Nursing Research 2022; 17(5):38-45 (In Persian).
- Mohammad Fam I, Zamanparvar A. Investigating unsafe practices among the workers of Gadazan foundry in Hamedan in 2000. Avicenna Journal of Clinical Medicine 2002; 9(1):51-56 (In Persian).
- Kakaei H, Hashemi Nejad N, Mohammad fam I, Shokouhi M, Ahmadi M, Kakaei H, et al. Reasons of occupational accidents in Kermanshah petroleum refinery: A retrospective study 1984-2009. Journal of Ilam University of Medical Sciences 2012; 20(2):44-52 (In Persian).
- Unsar S, Sut N. General assessment of the occupational accidents that occurred in Turkey between the years 2000 and 2005. Safety Science 2009; 47(5):614-19.
- Jeong BY. Comparisons of variables between fatal and nonfatal accidents in manufacturing industry. International Journal of Industrial Ergonomics 1999; 23(5-6):565-72.
- Zużewicz K, Konarska M. The effect of age and time of a 24-hour period on accidents at work in operators. International Congress Series 2005; 1280:333-38. Doi: 10.1016/j.ics.2005.02.083.
- Kirschenbaum A, Oigenblick L, Goldberg AI. Well being, work environment and work accidents. Social Science & Medicine 2000; 50(5):631-39.
- Nasab HS, Ghofranipour F, Kazemnejad A, Khavanin A, Tavakoli R. Evaluation of knowledge, attitude and behavior of workers towards occupational health and safety. Iranian Journal of Public Health 2009; 38(2):125-29.
- Salehi sahlabadi A, Riazat A, Sury Sh, Saffarinia N, Damerchi Z, Pouyakian M. Investigating the causes of nursing errors and its reduction countermeasures in recent studies: A review. Iranian Journal of Ergonomics 2020; 8(1):74-88 (In Persian).
- Saki K, Khezri Azar J, Mohebbi I. Nursing errors and its relationship with fatigue among nurses of the emergency ward. Nursing and Midwifery Journal 2016; 13(10):835-42 (In Persian).
- Vahednasiri A, Eini S. The causes of nursing errors and effective factors in non-reporting of errors from the perspective of nurses in the hospitals affiliated to maragheh university of medical sciences. Nursing and Midwifery Journal 2021; 19(9):716-24 (In Persian).
- Ansari M, Sharifi S, Peikari HR, Etebarian Khorasgani A. Investigation of different types of nursing errors based on their lived and working experiences in health centers; A qualitative study. Quarterly Journal of Nersing Management 2020; 9(4):11-19 (In Persian).
- چکیده مشاهده شده: 164 بار