Enter your email address
Submit
Write your message
Volume 13, Issue 1 (Iranian Journal of Ergonomics 2025)
Iran J Ergon 2025, 13(1): 18-27 |
Back to browse issues page
Ethics code: IR.AJUMS.REC.1403.081
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Afshari D, Babakhani Farshkar S, Nourollahi-darabad M, Seyedtabib M. Predicting Factors Affecting Adverse Events among Nurses using Multidimensional Modeling. Iran J Ergon 2025; 13 (1) :18-27
URL: http://journal.iehfs.ir/article-1-1071-en.html
URL: http://journal.iehfs.ir/article-1-1071-en.html
1- Department of Occupational Health, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Ergonomics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,shakiba.ohe.babakhani@gmail.com
3- Department of Occupational Health, School of Health, Alborz University of Medical Sciences, Karaj, Iran
4- Department of Biostatistics and Epidemiology, School of Health, Infectious Ophthalmologic Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Ergonomics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,
3- Department of Occupational Health, School of Health, Alborz University of Medical Sciences, Karaj, Iran
4- Department of Biostatistics and Epidemiology, School of Health, Infectious Ophthalmologic Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (1560 Views)
Objectives: Adverse events, defined as errors occurring during nursing care, have become one of the most serious threats to patient safety and quality of care in hospitals. The present study aimed to investigate the role of various factors influencing adverse events among nurses.
Methods: An analytical epidemiological study was conducted on 360 nurses working in public hospitals in Ahvaz. Data were collected using a personal information questionnaire, an environmental factors checklist, the standardized Patient Safety Culture questionnaire, the NEO Personality Inventory, the Copenhagen Psychosocial Questionnaire assessing psychosocial work factors, and a standardized adverse events checklist. Data analysis was performed using the SPSS and SMART PLS software.
Results: The most frequently reported adverse events were complaints from patients or their families, while surgical wound infections were reported less frequently. Additionally, 31 nurses (8.6%) reported more than 20 adverse incidents in the past 12 months. The developed model indicated that environmental noise significantly affects both patient safety culture and adverse events, and psychosocial factors influence patient safety culture; however, patient safety culture alone did not significantly affect the occurrence of adverse events.
Conclusion: Overall, the prevalence of adverse events among the studied nurses was high. Exposure to environmental noise and psychosocial factors substantially impacts patient safety culture. These findings can inform strategies to improve adverse event management and enhance patient safety culture.
Methods: An analytical epidemiological study was conducted on 360 nurses working in public hospitals in Ahvaz. Data were collected using a personal information questionnaire, an environmental factors checklist, the standardized Patient Safety Culture questionnaire, the NEO Personality Inventory, the Copenhagen Psychosocial Questionnaire assessing psychosocial work factors, and a standardized adverse events checklist. Data analysis was performed using the SPSS and SMART PLS software.
Results: The most frequently reported adverse events were complaints from patients or their families, while surgical wound infections were reported less frequently. Additionally, 31 nurses (8.6%) reported more than 20 adverse incidents in the past 12 months. The developed model indicated that environmental noise significantly affects both patient safety culture and adverse events, and psychosocial factors influence patient safety culture; however, patient safety culture alone did not significantly affect the occurrence of adverse events.
Conclusion: Overall, the prevalence of adverse events among the studied nurses was high. Exposure to environmental noise and psychosocial factors substantially impacts patient safety culture. These findings can inform strategies to improve adverse event management and enhance patient safety culture.
Type of Study: Research |
Subject:
Other Cases
Received: 2025/02/4 | Accepted: 2025/05/31 | ePublished: 2025/05/31
Received: 2025/02/4 | Accepted: 2025/05/31 | ePublished: 2025/05/31
References
1. Gharaee H, Jahanian R, Hosseini Karim M, Kakemam E, Bande Elahi K, Tapak L, et al. Relationship between patient safety culture and adverse events in hospital: A case study. J Health Administration. 2020;23(1):13-26. [DOI:10.29252/jha.23.1.13]
2. Wang Y, Eldridge N, Metersky ML, Verzier NR, Meehan TP, Pandolfi MM, et al. National trends in patient safety for four common conditions, 2005-2011. N Engl J Med. 2014;370(4):341-351. [DOI:10.1056/NEJMsa1300991] [PMID]
3. Abadi MBH, Akbari H, Gholami-Fesharaki M, Ghasemi M. The association of nursing workloads, organizational, and individual factors with adverse patient outcome. Iran Red Crescent Med J. 2017;19(4):9. [DOI:10.5812/ircmj.43444]
4. Hurwitz B, Sheikh A. Health care errors and patient safety: Wiley Online Library; 2009. [DOI:10.1002/9781444308150]
5. Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP. The psychometric properties of the'hospital survey on patient safety culture'in Dutch hospitals. BMC Health Serv Res. 2008;8:230. [DOI:10.1186/1472-6963-8-230] [PMID]
6. Kakemam E, Gharaee H, Rajabi MR, Nadernejad M, Khakdel Z, Raeissi P, et al. Nurses' perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran. BMC Nurs. 2021;20(1):60. [DOI:10.1186/s12912-021-00571-w] [PMID]
7. Aminian M, Dianat I, Miri A, Asghari-Jafarabadi M. The Iranian version of the Copenhagen Psychosocial Questionnaire (COPSOQ) for assessment of psychological risk factors at work. Health Promot Perspect. 2016;7(1):7-13. [DOI:10.15171/hpp.2017.03] [PMID]
8. Rahmani R, Ebrazeh A, Zandi F, Rouhi R, Zandi S. Comparison of job satisfaction and job stress among nurses, operating room and anesthesia staff. Iran J Ergon. 2021;8(4):103-114. [DOI:10.30699/jergon.8.4.103]
9. Rahmani R, Sargazi V, Shirzaei Jalali M, Babamiri M. Relationship between COVID-19-caused anxiety and job burnout among hospital staff: A cross-sectional study in the southeast of Iran. J Occup Hygiene Eng. 2021;7(4):61-69. [DOI:10.52547/johe.7.4.61]
10. Rahmani R, Sargazi V, Jalali MS, Farhadian M, Babamiri M. A 2-year longitudinal study of anxiety caused by COVID-19 and job burnout among Iranian healthcare workers. Sci Rep. 2024;14(1):30129. [DOI:10.1038/s41598-024-81534-4] [PMID]
11. Arnetz JE, Arble E, Sudan S, Arnetz BB. Workplace cognitive failure among nurses during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(19):10394. [DOI:10.3390/ijerph181910394] [PMID]
12. Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res. 2010;10:199. [DOI:10.1186/1472-6963-10-199] [PMID]
13. Moghri J, Ghanbarnejad A, Moghri M, Rahimi Forooshani A, Baba Akbari A, Arab M. Validation of Farsi version of hospital survey on patient safety culture questionnaire, using confirmatory factor analysis method. Hosp J. 2012;11(2):19-30.
14. Rammstedt B, John OP. Measuring personality in one minute or less: A 10-item short version of the big five inventory in English and German. J Res Personality. 2007;41(1):203-212. [DOI:10.1016/j.jrp.2006.02.001]
15. Hassanzadeh Rangi N, Allahyari T, Khosravi Y, Zaeri F, Saremi M. Development of an occupational cognitive failure questionnaire (OCFQ): evaluation validity and reliability. Iran Occup Health. 2012;9(1):29-40.
16. Kristensen TS, Hannerz H, Høgh A, Borg V. The copenhagen psychosocial questionnaire-a tool for the assessment and improvement of the psychosocial work environment. Scand J Work, Environ Health. 2005;31(6):438-449. [DOI:10.5271/sjweh.948] [PMID]
17. Kantelhardt P, Müller M, Giese A, Rohde V, Kantelhardt SR. Implementation of a critical incident reporting system in a neurosurgical department. Cent Eur Neurosurg. 2011;72(01):15-21. [DOI:10.1055/s-0029-1243199] [PMID]
18. Kakemam E, Sheikhy-Chaman M. The relationship between patient safety culture and adverse events among nurses in Tehran teaching hospitals in 2019. Avicenna J Nurs Midwifery Care. 2020;28(4):20-31. [DOI:10.30699/ajnmc.28.4.20]
19. Pourshareiati F, Amrollahi M. Patient safety culture from Rahnemon hospital nurses' perspective. Occup Hyg Health Promot Jl. 2017;1(1):52-61.
20. Sharifi S, IZADI TA, Hatamipour K, Sadeghigooghary N, Safabakhsh L. Patient safety culture from Mazandaran clinical nurses'perspective. Iran J Nurs. 2014;27(88):77-87. [DOI:10.29252/ijn.27.88.77]
21. Almasi A, Kalhori RP, Jouybari TA, Goodarzi A, Ahmadi A. Evaluation of patient safety culture in personnel of hospitals in Kermanshah, 2013. J Clin Res Paramed Sci. 2015;4(1): e81582.
22. Peng L, Chen J, Jiang H. The impact of operating room noise levels on stress and work efficiency of the operating room team: A protocol for systematic review and meta-analysis. Medicine. 2022;101(3):e28572. [DOI:10.1097/MD.0000000000028572] [PMID]
23. Rahmani R, Aliabadi M, Golmohammadi R, Babamiri M, Farhadian M. Investigation of job stress among urban bus drivers concerning daily noise and vibration exposure. J Occup Hyg Eng. 2023;10(3):167-178. [DOI:10.32592/joohe.10.3.167]
24. Ruettgers N, Naef AC, Rossier M, Knobel SEJ, Jeitziner M-M, Grosse Holtforth M, et al. Perceived sounds and their reported level of disturbance in intensive care units: A multinational survey among healthcare professionals. PLoS One. 2022;17(12):e0279603. [DOI:10.1371/journal.pone.0279603] [PMID]
25. Saadeh IM, Suifan TS. Job stress and organizational commitment in hospitals: The mediating role of perceived organizational support. Int J Organizational Analysis. 2020;28(1):226-42. [DOI:10.1108/IJOA-11-2018-1597]
26. Akbari Shayeh Y, Vatankhah M, Zargar Y, Teymouri Bakherzi N, Ahmadian A. Clarifying relations of personality traits (neurosis, agreement excitement seeking, habitude psychosis), and styles for confronting addiction among students at Ferdowsi University of Mashhad. Societal Security Studies. 2013;4(33):163-179.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright Policy
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
