Relationships Between Lifestyle, Quality of Life, Organizational Culture and Job Satisfaction Among Nurses Related to Health Promoting Hospital (HPH) Standards.

Providing quality healthcare services through health promotion activities to patients, hospital-based professionals and the wider community is the goal of the health promoting hospital (HPH). There is, however, no formal structured pathway for "universally" providing health promotion services in hospitals. Accordingly, this study was conducted with the aim of presenting a model designed to promote and increase health-related satisfaction of hospital-professionals in health-promoting hospitals (HPHs) in Iran-as a potential tool to guide international HPH standards. Lifestyle, quality of life, organizational culture, and job satisfaction were measured using standardized questionnaires in specialized hospitals in Hamadan, Iran. A structural equation model (SEM) using partial least squares (PLS) software (version 2) was used to determine the validity and fit of the conceptual framework/model. The study revealed that several factors were identified as strong predictors of job satisfaction and wellbeing, including various dimensions of lifestyle such as spiritual health, physical activity, stress management, and interpersonal communication, dimensions of quality of life including physical and mental aspects, and organizational culture. The values of predictive relevance (Q2) for physical and psychological dimension of life quality, organizational culture, and job satisfaction were estimated to be 0.101, 0.250, and 0.040 and 0.251, respectively. Conclusively, the study found a goodness of fit (GOF) value of 0.415, indicating that the model had a high predictive power and fit well. Based on these results, it is suggested that implementing HPH interventions that focus on the outcomes of this model could lead to increased job satisfaction and wellbeing in hospitals. Additionally, the model could serve as a useful indicator of HPHs.

Evaluation of the Response Rates of Hospitals in the Prevention and Control of COVID-19 in Hamadan Province of Iran.

The COVID-19 pandemic has challenged the capacity of health systems in various countries. This study was designed to evaluate the response rates of hospitals in the prevention and control of COVID-19 in Hamadan province, Iran. In this cross-sectional study, all 20 hospitals in Hamadan province were monitored in February 2020. The instrument used in this study was the WHO checklist, entitled "Infection prevention and control health-care facility response for COVID-19." In each hospital, the hospital infection control officials completed the checklists under the supervision of the hospital managers and were then provided to the project manager. Data analyzed by SPSS 22 software. There were 3482 hospital beds (the average beds of each hospital was 174) in the studied hospitals. Of 15 055 patients admitted to all hospitals, 2196 (14.6%) individuals were COVID-19 patients. The total average score obtained from the checklist was 62.25. Among 7 domains studied, the lowest scores belonged to 2 domains of "infrastructure and equipment" and "patient screening and triage." The scores of domains "IPC programs" and "visitors" were significantly higher in hospitals with ICU beds than other hospitals (P-value = .03 in both domains). A comparison between university-teaching hospitals with other hospitals and those in Hamadan city with other cities revealed no significant differences in any of the domains. The mean response rate (62.25) of hospitals in terms of COVID-19 in Hamadan province indicates their relative readiness to prevent and control the COVID19 pandemic. The shortage of infrastructure and equipment and screening and triage problems of patients were the main challenges of hospitals in managing the COVID-19 pandemic in Hamadan province, Iran.

An introduction to the industrial town's safety management (ITSM) system.

BACKGROUND: In industrial towns, the dangers of each industry also poses a threat to other industries due to the proximity of different industries to each other. So there is a need for a safety management system. OBJECTIVE: This study was conducted to introduce a management system for managing the safety of industrial towns. METHOD: This cross-sectional and qualitative study was conducted in three main phases: (1) Identify the elements of the safety management systems using literature review, (2) screening and determining useful elements using Delphi technique and (3) determining the structure of safety management system. RESULTS: Participation of the industries and their compliance with the standards were considered as the system foundation. The networks of safety information of the industries, accident's database, safety training, contractors, emergency management and management of the changes were placed on the foundation as the system columns. The Industrial Town's Safety Management (ITSM) system as the system roof was placed on the columns. This structure was placed within a two-line framework including the trade secrets and program audit. CONCLUSIONS: The ITSM system consists of a set of factors that can help manage the safety of the industrial towns. This system will increase the safety level of industrial towns by incorporating some safety principles. However, the safety management of an industrial town is very complex and requires a great deal of efforts.

The relationship between emotional intelligence, personality traits and safety behaviors in metal industries workers: Confirmatory factor analysis.

BACKGROUND: Human errors cause accidents in the workplace. Screening workers at employment can prevent future accidents from happening. Two important tools that can be helpful in screening are determining the emotional intelligence score and personality traits score of the workers. OBJECTIVE: The purpose of this study was to evaluate the relationship between emotional intelligence, personality traits and safety behaviors in metal industries workers. METHODS: This is a cross-sectional survey. Confirmatory factor analysis was performed to determine the relationship between the components of emotional intelligence, unsafe behaviors, and personality. To collect data for this study, Five-Factor Goldberg questionnaire, Bar-On Emotional questionnaire and Safety behavior questionnaire were used. The collected data were entered into software (SPSS version 22) and refined. RESULTS: The results of this study showed that there was a significant positive correlation between personality traits, emotional intelligence and safe behaviors (p-value = 0.000). The confirmatory factor analysis showed that personality traits influence safe behaviours. Also, studies have shown that emotional intelligence has a positive effect on safe behaviours. The amount indicators of goodness of fit (GFI), Comparative Fit index (CFI), Tucker-Lewis index (TLI) and root mean square error approximation (RMSEA) were 0.944, 0.970, 0.965 and 0.061, respectively. CONCLUSIONS: The results of this study suggest that personality traits and emotional intelligence influence safe behaviours in the workplace. Employers can use these two tools in the employment phase and prevent future human-related accidents.

Investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran.

BACKGROUND: Workplaces are prone to the current outbreak- of COVID-19. Despite the production of the COVID-19 vaccine, due to some challenges in vaccinating all people worldwide, adherence to health protocols is still one of the ways to prevent infection. OBJECTIVE: This study was conducted with the purpose of investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran. METHODS: This was a cross-sectional research conducted on the workplaces affiliated to Ardabil University of Medical Sciences between August and September, 2020. A researcher-designed checklist was completed once in early August and once at the end of September for the workplaces. Accordingly, these workplaces were inspected for any compliance with the COVID-19 prevention protocols by health centers during August and September. In addition, the number of patients with COVID-19 was determined for each one of the workplaces. RESULTS: The results showed that the highest increase was related to screening (57.8%) and the lowest change was related to personal hygiene (1.3%). The rates of increase in performance for small workshops, offices and industries were 35.4%, 33.1%and 12.4%, respectively. Moreover, a linear and inverse relationship was found between the incidence of COVID-19 and the level of observance of the OVID-19 prevention protocols. CONCLUSIONS: Based on the results of this study, the inspection made by legal authorities led to the increased commitment of workplace managers to implement prevention programs, thereby increasing the observation level of these protocols in the workplace and reducing the incidence of COVID-19.

The effect of workload on nurses' quality of life with moderating perceived social support during the COVID-19 pandemic.

BACKGROUND: Due to the COVID-19 pandemic in Iran, the number of patients admitted to hospitals and the workload of nurses has increased. High workload can reduce efficiency and quality of life. In the meantime the percived social support may had a moderating role. OBJECTIVE: The aim of the study was to investigate the effect of workload and perceived social support on quality of life in nurses who work in COVID-19 inpatient wards. METHODS: This was a cross-sectional descriptive-analytic study. 336 nurses who worked in inpatient wards with COVID-19 patients were randomly selected and studied. NASA-TLX Workload Questionnaire, WHO Quality of Life Questionnaire and Multidimensional Social Support Perception Scale were used to data collection. Structural equation modelling in PLS software was used to modelling. RESULTS: The results showed that the average score of workload, perceived social support and quality of life were 80.87±20.17, 56.23±11.46 and 55.87±13.74, respectively. A significant inverse relationship was observed between workload and quality of life (P < 0.05). Also, perceived social support had a moderator effect on relationship between workload and quality of life (P < 0.05). CONCLUSIONS: High workload can upset the balance between work and life that leads to decrease the quality of life. Perceived social support as a moderator can reduce the negative impact of workload on quality of life. In the COVID-19 pandemic where nurses' workload have increased, by increasing the perceived social support can manage the negative effect of workload.

Exploring the views of medical staff in transforming a hospital into a health promoting hospital in Iran: a qualitative research.

Objectives: One of the current concerns of hospitals is how to become a health promoting hospital (HPH). This qualitative research aimed at exploring the views of members of the medical staff in two Iran hospitals about the defined standards to transform the hospitals into a health promoting one.Methods: The research reported in this paper was a content analysis qualitative study. The license numbered (IR.UMSHA.REC.1395.388) was obtained from the ethics committee of Hamadan Medical Science University. Sampling was carried out through the snowballing method. Also, 55 interviews were conducted with the members of the medical staff. To collect data, the semi-structured interview guide was used based on the standards of HPHs. The framework analysis method was used to analyze the data qualitatively.Results: From three central questions on the basis of the main study question, nine themes were earned. Policies governing the hospitals were in the direction of converting them to health promoting organizations including the creation of a health promoting work environment, empowering personnel and health promoting corporate culture. Also, suggestions to create a HPH included improving management, paying attention to patients and their satisfaction, as well as increasing effective interpersonal relationships in the hospital.Conclusion: The findings showed that it can be a key strategy in this field to use staff's solutions for the existing problems and their opinions on the challenges against establishing the standards for HPHs. People usually accept more comfortable and easy changes in decision-making and implementing processes of which they are involved.

Health promoting hospitals in Iran: A review of the current status, challenges, and future prospects.

Background: Health promoting hospitals (HPHs), in addition to their routine diagnosis and treatment services, concentrate on health enhancement and disease prevention. This study was conducted to systematically review studies conducted in the field of health promoting hospitals (HPH) in Iran to achieve HPH standards. Methods: Electronic search was conducted from October to February 2016 in Persian and English databases. Search was done IranMedex, SID, ISI Web of Knowledge, ScienceDirect, PubMed, and Google Scholar with the following keywords: Health promotion hospital (s), health promoting hospital (s), health promotion hospitals, HPH, and Iran. Based on inclusion and exclusion criteria and the aim of the study, 10 studies were selected to be reviewed. Results: The results showed that HPH standards in studied hospitals were very poor in overall standard and that the standard of management policy had the lowest mean. Studies conducted in the order modeling HPH in Iran showed that factors of patient empowerment and society had the greatest impact and needs assessment had the lowest impact. The results of interventional studies were reviewed in this study and it was found that implementing standards of HPH and educational interventions increase the standard of HPH. Conclusion: The review of the HPH studied indicated that the most important challenge in achieving the standards of health promotion hospitals is Iran's hospital policy, which is more treatment-oriented.

Investigation of health promotion status in specialized hospitals associated with Hamadan University of Medical Sciences: health-promoting hospitals.

OBJECTIVES: The prophecy of health promoting hospitals (HPH) is bringing about a change and transition from treatment-oriented to health-oriented attitudes. In Iran, hospitals usually play the traditional roles. The present study was aimed at the evaluation of the health promotion status in specialized hospitals associated with Hamadan University of Medical Sciences (HUMS). METHODS: This applied study was conducted in two Hamadan specialized hospitals in the Hamadan city. The health promotion status was evaluated using a self-assessment checklist designed by the World Health Organization's HPH. The evaluation was done in five standards including management policy, patient assessment, patient information and intervention, promotion of a healthy workplace and continuity and cooperation. RESULTS: The results showed that both the hospitals studied had a poor status in terms of promoting a healthy workplace (average = 31.24%) and management policy standards (average = 35.29%) in comparison with the other relevant standards: patient assessment (53.12%), patient information and intervention (62.5%), continuity and cooperation (65.78%)). The results of the standards and sub-standards status displayed better performance in the cardiovascular hospital (53.67%) compared to the women and parturition hospital (42.64%). CONCLUSION: The findings indicated that HPH standards are very low in the studied hospitals. The reason behind this wide gap might be due to the fact that hospitals in Iran are more treatment-oriented and patient-oriented and they do not play an active part in health promoting. It was found that management policy and promoting healthy workplace standards had the worst status and must be improved.