ABSTRACT
@#Introduction: Maternity wards are of the highly sensitive wards in hospital. Errors in midwifery tasks can lead to life threatening risks for the mother and infant and higher medical costs. The present study is an attempt to qualitatively and quantitatively assess human errors in midwife staff using preventive human error analysis and engineering approach. Methods: The study was carried out as a case study in the maternity ward of Shoushtar Women Hospital. The participants were selected through convenient sampling and seven midwifery experts took part in the study. The work process in maternity ward was categorized into four categories of admittance, pre-labor, labor, and post-labor and the tasks and sub-tasks were determined based on hierarchical task analysis (HTA). Afterwards, human errors were quantified using EA technique and then, using PHEA technique a description of error in each tasks and error control solutions were provided. Results: The results clarified that the highest risks of human errors were in the tasks like cervix check, serum therapy, infant’s body check, preparing delivery equipment, and wearing personal protective equipment. Conclusion: Since, midwifery tasks are rule base and regulations and they are performed at a higher level of awareness and cognition, preventing errors entails continuous presence of a midwife next to patient’s bed along with an assistant midwife and codification of an infant examination checklist. Programming empowerment education including safety education to midwives is also recommended.
ABSTRACT
Self- care includes all activities related to health care, prevention and treatment of disease by themselves people and greatly affect by their self-efficacy. Doing it requires adopt behaviors that are influenced by knowledge, perceptions and beliefs of the people towards self care. The purpose of this study was to determine the attitude and practice towards self-care in women referred to health centers in Dezful. In this descriptive-analytic study, 550 women aged 18-55 years old participated. They were selected through random-quota sampling. The research data were collected using demographic characteristics, attitude and practice towards self-care. The validity and reliability of the questionnaire were provided by content and face validity and internal consistency. The mean [S.D] age of participants was 28.06[8.89] years. The mean [S.D] scores of attitude and practice towards self-care in women were 15.78[2.33] and 15.78[2.66], respectively. The majority of women [61.4% and 71.1%] had attitude and practice scores more than total mean. Correlation test showed that there is a significant relationship between the mean of attitude score towards self-care and age [r=0.14], marriage duration [r=0.12] and number of children [r=0.11] [p<0.05]. The findings indicated that although most people were interested in self-care activities, but they did not have appropriate practice towards Self-care