Mohadeseh Motamed- Jahromi; Kourosh Azizi; Mohammad Hossein Kaveh
Abstract
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Akram Sadat Jafari Roodbandi; Alireza Choobineh; Vafa Feyzi; Zohre Foroozanfar; Nazanin Hosseini
Abstract
Background: Physical fitness and optimum functional movement are essential for efficient performance of job tasks without fatigue and injury. This study aimed to investigate the relationship between Functional Movement Screening (FMS) test score and prevalence of Musculoskeletal symptoms (MSSs) in emergency ...
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Background: Physical fitness and optimum functional movement are essential for efficient performance of job tasks without fatigue and injury. This study aimed to investigate the relationship between Functional Movement Screening (FMS) test score and prevalence of Musculoskeletal symptoms (MSSs) in emergency nurses and Emergency Medical Services (EMS) staff. The present study also sought to determine optimum cut-off point of FMS test score in health personnel.Methods: This cross-sectional study was conducted on 134 male and female emergency nurses and EMS technicians. After watching a video tutorial and undergoing practical training of how to do the FMS test, the participants carried out the test while wearing comfortable clothes. In addition to the demographic data questionnaire, Nordic musculoskeletal questionnaire was also completed for each participant. The data were analyzed using the SPSS software, version 18 at the significance level of 0.05.Results: Totally, 49.3% (n=66) of the participants were female. The subjects’ mean age and work experience were 35.3±8.7 and 11.4±7.7 years, respectively. Cut-off point of 17 was determined with the highest sensitivity (0.71) and specificity (0.71) based on ROC curve. The highest prevalence of MSSs was observed in the knees (n=44, 32.8%) and lower back (n=31, 23.1%). Multiple linear regression modeling also showed that age, sex, and the prevalence of MSSs were significantly associated with the FMS test score.Conclusion: FMS test seems to be an appropriate screening tool in pre-employment and periodic medical tests for jobs requiring physical fitness and optimum functional movements.
Mohebat Vali; Alireza Mirahmadizadeh; Zahra Maleki; Sima Afrashteh; Arefe Abedinzade; Farzaneh Kasraei; Haleh Ghaem
Abstract
Background: Coronavirus is among the pathogens that primarily target the respiratory system. Given the importance of Health Care Workers (HCWs) in the fight against COVID-19, their infection with the virus and death can cause irreparable damage to public health. The present systematic review and meta-analysis ...
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Background: Coronavirus is among the pathogens that primarily target the respiratory system. Given the importance of Health Care Workers (HCWs) in the fight against COVID-19, their infection with the virus and death can cause irreparable damage to public health. The present systematic review and meta-analysis aimed to investigate the physical and psychological implications of COVID-19 among HCWs. Methods: In this systematic review and meta-analysis, some well-known databases were searched for the studies published before 26 June 2020 using the following search strategy: “Novel coronavirus pneumonia”, “Nurses”, “Physicians”, “Medical Staff, Hospital”, “Health Personnel”, and “Community Health Workers”. Finally, 101 out of the 2234 primary screened articles were assessed. Results: Of the total studies included, 54 were related to Physical problems, and 47 were related to Psychosocial Stress. Skin damage (54.48%), Nasal bridge (58.79%), and Dryness tightness (58.57%) were the most common Physical Problems, and Insomnia (32.03%) and Distress (29.34%) were the most common psychosocial problems among HCWs. Conclusion: Training and awareness of the treatment staff about the unwanted side effects of these diseases should be considered in educational programs in different countries because patient care depends on their availability.
Aliasghar Masihi Nezhad; Amena Barikani; Maryam Javadi
Abstract
Background: Probiotics are non-pathogen microorganisms that confer a health benefit on the gut system. The Health personnel are responsible for treating the patients, which is a sensitive role; therefore, their knowledge, attitude, and consumption of probiotics are important. Methods: A cross-sectional ...
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Background: Probiotics are non-pathogen microorganisms that confer a health benefit on the gut system. The Health personnel are responsible for treating the patients, which is a sensitive role; therefore, their knowledge, attitude, and consumption of probiotics are important. Methods: A cross-sectional study was planned to evaluate personnel. Random sampling was conducted to select 136 persons as study samples from 275 personnel willing to participate in the study. Data collected using a self-made questionnaire consisted of demographic data, awareness, attitude, and behavioral items. Descriptive, correlation, and regression statistics were performed using SPSS ver. 22. Results: Total awareness score of personnel about probiotics was medium. No significant associations were found between total awareness score and gender, education, and field of education (P>0.050) except for age (P=0.008) and acquaintance (P=0.003). The younger group and experienced participants were more aware of probiotics than others. Most of the personnel had positive attitudes about probiotics. The study showed no correlation between attitude and variables, including genus (P=0.150), education (P=0.507), field of study (P=0.756), and acquaintance of personnel (P=0.259). The personnel’s overall behavior score did not correlate with genus (P=0.841), age (P=0.955), education level (P=o.527), field of study (P=0.955), and acquaintance (P=0.832). Logistic regression indicated that total awareness predicts personnel’s behavior. Conclusion: Shiraz health centers Personnel had no considerable awareness about probiotics. Personnel’s attitudes toward probiotics were positive, but lack of knowledge, high price, and limited access to probiotic products resulted in low consumption.
Rita Rezaee; Sahar Zare; Fatemeh Niknam; Ali Akbari; Mohammad Shirdeli; Farshad Falahati; Saeed Aghajani
Abstract
Background: A variety of clinical and administrative employees form a complicated communication network which makes various conflicts and contradictions possible in hospitals. This highlights the significant impact of internal communication in directing healthcare centers as one of the manager’s ...
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Background: A variety of clinical and administrative employees form a complicated communication network which makes various conflicts and contradictions possible in hospitals. This highlights the significant impact of internal communication in directing healthcare centers as one of the manager’s duties. Although improving hospital management is key to improvement of the healthcare delivery, few studies have been conducted to address internal communication as one of the main management tasks in hospitals. The current study aimed to determine the contributing factors influencing internal communication based on hospital managers and healthcare personnel’s points of view. Methods: A qualitative study utilizing a content analysis approach was performed. A purposive sampling method was recruited and twenty hospital managers and healthcare staff in Shiraz University of Medical Sciences participated in the study. Semi-structured interviews with open-ended questions were conducted. Data were analyzed using thematic analysis by MAXQDA version 10. Results: Eight managers and twelve healthcare staff including eleven male and nine female subjects participated in the study. Three main themes were discerned: namely “personal factors”, “technical factors”, and “organizational and structural factors”. The participants placed the most emphasis on leadership and new technologies as the influential subthemes. Conclusion: Many factors can affect internal communication, some of which depend mostly on managers to be applied effectively in the hospitals and some on healthcare staff. The identified factors help the managers and staff to recognize how their internal communication can be impressed by these factors and how they can create effective internal communications.
Hamed Delam; Fatemeh Zare
Abstract
Coronavirus (COVID-19) was first developed in Wuhan, China in December 2019 and spread rapidly around the world (1, 2). In late January 2020, the disease was recognized as the sixth international public health emergency (3). The infection is transmitted from person to person through respiratory secretions ...
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Coronavirus (COVID-19) was first developed in Wuhan, China in December 2019 and spread rapidly around the world (1, 2). In late January 2020, the disease was recognized as the sixth international public health emergency (3). The infection is transmitted from person to person through respiratory secretions and contact with surfaces or people (4). In general, infectious diseases constantly threaten human health; especially if they are new, because they are always a potential challenge for the healthcare system around the world (5). Health personnel, like other infectious diseases, are at the forefront of the fight against coronavirus. A high percentage of these personnel work night shifts with high workload (6). Work-related stress, lack of sleep, and shift work in health care personnel cause sleep disorders and poor sleep quality (7). Sleep is a specific behavior and each person is aware of its importance and its appropriate duration, and is rotated by waking up. Also, one of the most important parameters in assessing the quality of life and health status of each person is the quality of sleep (8). Sleep is a key factor in a person's physical health and related disorders including poor sleep quality, difficulty sleeping at night, waking up early, circadian rhythm disorders, parasomnia, sleep-related movement disorders, and sleep-related respiratory disorders (9). Sleep disorders are physical and mental conditions that cause adverse effects due to poor sleep quality (10). Sleep disorders have many negative effects on people's lives and lead to physical complications such as increased risk of obesity, diabetes, high blood pressure, increased heart rate, heart attack, and stroke (11). Therefore, during the COVID-19 epidemic and with the increase of work pressure in health care workers, there is a possibility of increasing sleep disorders and consequently increasing physical diseases. Healthcare personnel are the most important group in dealing with the COVID-19 epidemic; therefore, increasing the number of medical staff and reducing the number of work shifts can relieve fatigue and maintain energy levels in them and reduce physical complications in them.
Among the treatment methods for insomnia, we can mention medication; however, because sedatives have side effects such as drowsiness and decreased accuracy, they are not recommended for people such as nurses who always need full alertness during their shift; instead, non-pharmacological therapies such as relaxation techniques can be used. Because relaxation is a relative state of relief from the mental and physical effects of stress which can improve the sleep quality by regulating the hypothalamus and reducing sympathetic and parasympathetic functions (12). The progressive muscle relaxation technique introduced and used by Jacobsen is an easy, cost-effective method without the need for special equipment; it is one of the best complementary therapies to reduce the effects of mental illness such as anxiety because people in this method, by contracting and relaxing a specific muscle, cause relaxation in different target muscles and increase concentration and pleasant emotions (13). In order to improve working conditions, it is also suggested that the chronobiological characteristics of individuals should be considered when planning work shifts and classifying individuals accordingly. This type of chronotype classification is a simple method and takes into account issues such as individual circadian differences, sleep habits and performance on a particular day, and ultimately helps to plan work shifts based on these chronobiological characteristics (14). Another suggestion that can be made in this regard is physical activity because physical activity promotes physical and mental health with the biological and biochemical changes that follow. As a result, they improve the quality of sleep. In addition, physical activity, if repeated frequently, reduces the risk of physical illnesses such as cardiovascular disease, cancer, diabetes, and hypertension by boosting the immune response in the body (15).
Mohammad-Rafi Bazrafshan; Hamed Delam; Maasumeh Elahi; Sahar Akbarpoor; Zohreh Faramarzian
Abstract
Background: The mental health of healthcare workers has been a concern during the outbreak of 2019 novel Coronavirus Disease (Covid-19). Therefore, the present study was designed to evaluate the anxiety of the healthcare workers during Covid-19 epidemic and to discover the factors affecting it.
Methods:The ...
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Background: The mental health of healthcare workers has been a concern during the outbreak of 2019 novel Coronavirus Disease (Covid-19). Therefore, the present study was designed to evaluate the anxiety of the healthcare workers during Covid-19 epidemic and to discover the factors affecting it.
Methods:The present study was a cross-sectional descriptive-analytical study. In this study, the anxiety of 124 nurses, operating room staff, midwives and anesthetists working in different wards of Imam Reza Hospital in Lar in 2020 was assessed using the Corona Anxiety Scale Questionnaire.
Results: The results showed that most of the samples were female, married, with a bachelor's degree and an average age of 33 years. 53 (42.8%) participants had mild anxiety and 34 (27.4%) had severe anxiety. Comparison of anxiety levels based on demographic variables of participants in the study showed that there was no significant relationship between anxiety levels with gender, marital status, education level, and field of study (P> 0.05).
Conclusion:According to the results of the study and the worsening of the COVID-19 epidemic, there is a need to strengthen the awareness and address the issues related to mental health of healthcare workers.