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عضویت

فهرست مطالب ali-asghar farshad

  • Narmin Hassanzadeh-Rangi, Hamed Jalilian, AliAsghar Farshad, Yahya Khosravi*
    Background

     Evidence suggests that train drivers experience a high level of fatigue and mental workload. The present study aimed to assess overall, physical, and mental fatigue levels and their correlations with the mental workload in the metro train operation.

    Study Design: 

    A cross-sectional study.

    Methods

     This study was conducted on all 1194 train drivers in the Tehran Metro. The train drivers completed the Samn-Perelli Fatigue Scale and the Fatigue Assessment Scales at the beginning and end of the shift. In addition, they completed the National Aeronautics and Space Administration Task Load Index in the middle and at the end of the shift. Correlation and regression analyses were performed on the data to test the study hypothesis.

    Results

     Overall, physical, and mental fatigue levels increased significantly at the end of the shift compared to the onset of the shift (P<0.001). The mental workload and related dimensions were significantly increased at the end of the shift compared to the middle of the shift (P<0.001). Mental demand was the most important workload problem among the train drivers. The highest correlation was found between overall workload and time pressure (R=0.68, P<0.001).

    Conclusion

     The mental workload had a significant correlation with work fatigue in the train drivers. Control measures should be focused on the mental workload and related dimensions, especially mental demand and time pressure.

    Keywords: Work fatigue, Mental workload, Train driver, Metro}
  • زهرا شکیبا، علی اصغر فرشاد، ایرج علیمحمدی، نرمین حسن زاده رنگی، یحیی خسروی*
    مقدمه

    مراکز درمانی به عنوان یک سیستم پیچیده فنی-اجتماعی همواره در معرض ریسک حوادث آتش سوزی هستند. این مطالعه با هدف بررسی نظام یافته علل و عوامل موثر در رخداد حوادث آتش سوزی در مراکز درمانی با تمرکز بر حادثه آتش سوزی کلینیک سینا مهر تهران با 19 کشته و 14 مجروح، جهت پیشگیری از حوادث مشابه انجام شده است.

    روش کار

    علل و عوامل موثر در حوادث مراکز درمانی از طریق تحلیل محتوای قوانین و مقررات عمومی و اختصاصی مرتبط با تاسیس و عملیات مراکز درمانی، گزارش های رسمی حادثه، مصاحبه با متخصصان و مرور مطالعات گذشته، استخراج و دسته بندی شدند. از روش های واکاوی حادثه مبتنی بر نظریه سیستم ها شامل AcciMap و STAMP جهت واکاوی همزمان سلسله مراتبی علت ها و بازخوردی کنترل ها استفاده شد. در این مطالعه از روش های بازگشت چند باره یافته ها به منابع گردآوری داده و نظر خبرگان برای اعتبارسنجی و استحکام یافته ها استفاده شد.    

    یافته ها

    بر اساس تحلیل محتوای داده ها، علل و عوامل موثر بر حوادث آتش سوزی مراکز درمانی شناسایی و دسته بندی شدند. صدور مجوز قانونی پایان کار برای ساختمان ناقض مقررات ملی ساختمان، صدور مجوز قانونی موسسه درمانی برای ساختمان با کاربری مسکونی و همچنین عدم کفایت نظارت دستگاه های دولتی و عمومی بر دانشگاه های علوم پزشکی، اداره های کار و سازمان آتش نشانی به عنوان ناظران مستقیم مراکز درمانی، مهم ترین علل ریشه ای و سلسله مراتبی وقوع حوادث آتش سوزی و عدم واکنش اضطراری صحیح در مراکز درمانی است.

    نتیجه گیری

    اصلاح مقررات تاسیس، بهره برداری و فعالیت مراکز درمانی با تاکید بر مقررات ایمنی و همچنین تعدد و کوتاه کردن حلقه های بازخوردی نظیر استعلام نوع مجوز پایان کار ساختمان از شهرداری، اعلام تاسیس مرکز درمانی به سایر دستگاه های ناظر دولتی و عمومی، گزارش موارد ناایمن از طرف ناظران مستقیم به وزارت بهداشت و مراجع قانونی مهم ترین چرخه ها در تاب آوری حوادث آتش سوزی و پیامدهای آن ها در مراکز درمانی است.

    کلید واژگان: آتش سوزی سینا مهر, واکاوی حادثه, AcciMap, STAMP, کلینیک, ایران}
    Zahra Shakiba, AliAsghar Farshad, Iraj Alimohamadi, Narmin Hassanzadeh-Rangi, Yahya Khosravi*
    Introduction

    Medical centers, as complex technical-social systems, are exposed to the risk of fire incidents. This study analyzes the causes and contributing factors of the fire accident at Sina Mehr Clinic to prevent similar accidents, resulting in 19 deaths and 14 injuries.

    Material and Methods

    The causes and contributing factors for accidents in medical centers are found through studies related to laws and regulations, official accident reports, expert reports of regulatory bodies, interviews with experts, and review of past studies, extraction, and categorization. Accident analysis methods included AcciMap and STAMP. Finally, experts’ opinions were used to confirm and strengthen the findings.

    Results

    The most critical root and hierarchical causes of the weakness of medical center management in the field of safety, dangerous conditions, fire accidents, and emergency response are the issuance of a legal building completion permit for a building that violates national building regulations and the issuance of a legal permit for a medical institution for a building with residential use, as well as the insufficiency of supervision by government and public institutions with horizontal relationships with each other and vertical relationships with universities of medical sciences, labor offices, and firefighting organizations, as the direct supervisors of medical centers.

    Conclusion

    The AcciMap and STAMP findings indicate that the priority is to amend the regulations for the establishment, operation, and activity of medical centers with an emphasis on safety regulations, as well as the frequency and shortening of feedback loops such as inquiring about the building completion permit from the municipality, announcing the establishment of a medical center to other governmental and public supervisory authorities, and the reporting of unsafe cases directly by supervisors to the Ministry of Health. Legal authorities are the most crucial cycle in the resilience of fire incidents and their consequences in medical centers.

    Keywords: Sina Mehr fire, Accident analysis, Clinic, Iran}
  • یحیی خسروی، نرمین حسن زاده رنگی*، سامان روشنی، علی اسدی کرم، مهسا الفی، یگانه اختری، علی اصغر فرشاد
    زمینه و هدف

    با توجه به گسترش روز افزون مشکلات اسکلتی عضلانی (MSDs (ضروری است که ریسک فاکتورهای ارگونومی محیط کار با روش های عمومی و اختصاصی مورد بررسی و مقایسه قرار گیرند. مطالعه حاضر با هدف ارزیابی ارگونومی محیط کار اداری با استفاده از دو تکنیک ارزیابی اختصاصی و عمومی در دو دانشگاه علوم پزشکی کشور انجام شد.       

    مواد و روش ها

    شیوع MSDs با استفاده از پرسشنامه استاندارد نوردیک و ارزیابی ارگونومی کارکنان در محیط کار به روش ارزیابی سریع تنش اداری ROSA و ارزیابی سریع کل بدن REBA ارزیابی گردید. آمارهای توصیفی و آزمون های کای اسکور، تی مستقل و رگرسیون لجستیک به منظور توصیف و تحلیل داده ها به کار رفت.

    یافته ها

    اختلاف میانگین امتیاز ROSA و میانگین ارتفاع مانیتور بین دو گروه از کارکنان شاغل در محیط کار اداری که MSDs را طی 12 ماه گذشته تجربه کرده اند و گروهی که تجربه نداشته اند معنادار است. به ازای یک واحد افزایش در امتیاز ROSA و یک سانتی متر ارتفاع مانیتور با درنظرگیری سایر متغیرهای مداخله گر، به ترتیب حدود 45 و 13 درصد شانس بروز MSDs افزایش می یاید.

    نتیجه گیری

    ابزار ROSA نسبت به REBA روش قابل اعتمادتری برای ارزیابی ارگونومی محیط کار اداری است. امتیاز کلی روش ROSA و پارامترهای ایستگاه کار نظیر ارتفاع مانیتور می تواند در مشاغل اداری جهت طراحی مداخله های کاهش دهنده MSDs استفاده شود. مطالعات بیشتری به منظور قابلیت اعتماد ROSA لازم است تا اعتبار مداخلات ارگونومی مبتنی بر این روش افزایش یابد.

    کلید واژگان: محیط کار, ارگونومی فیزیکی, ارزیابی ریسک}
    Yahya Khosravi, Narmin Hassanzadeh-Rangi*, Saman Roshani, Ali Asadikaram, Mahsa Alfi, Yeganeh Akhtari, AliAsghar Farshad
    Background

    Due to the increasing spread of musculoskeletal problems (MSDs), it is necessary to examine and compare the ergonomic risk factors of the workplace with general and specific methods. The present study was conducted to evaluate the ergonomics of the office work environment using two specific and general evaluation techniques in two universities of medical sciences in the country.

    Methods

    The prevalence of MSDs was evaluated using the Nordic standard questionnaire and the ergonomic assessment of employees in the workplace using ROSA's quick assessment of administrative stress and REBA's quick assessment of the whole body. Descriptive statistics and chi-score, independent t-tests, and logistic regression tests were used to describe and analyze the data.

    Results

    The difference in mean ROSA score and mean monitor height between two groups of employees who have experienced MSDs during the last 12 months and the group who have not experienced them is significant. For one unit increase in ROSA score and one centimeter of monitor height, considering other intervening variables, the chance of MSDs increases by 45% and 13%, respectively.

    Conclusion

    The ROSA tool is a more reliable method to evaluate the ergonomics of the office work environment than REBA. The overall score of the ROSA method and workstation parameters such as monitor height can be used in office jobs to design interventions to reduce MSDs. More studies on the reliability of ROSA are needed to increase the validity of ergonomic interventions based on this method.

    Keywords: Working Environments, Physical Ergonomics, Risk Assessments}
  • زهرا شکیبا، علی اصغر فرشاد، ایرج علیمحمدی، نرمین حسن زاده رنگی، یحیی خسروی*
    زمینه و هدف

    اطلاعات کمی در مورد علل و عوامل موثر در رخداد حوادث آتش سوزی در مراکز درمانی نظیر حادثه آتش سوزی کلینیک سینا مهر تهران در 10 تیرماه 1399 (19 کشته و 14 مجروح) وجود دارد. این مطالعه با هدف بررسی علل و عوامل موثر در رخداد حوادث آتش سوزی در مراکز درمانی جهت پیشگیری از حوادث مشابه انجام شده است.

    روش بررسی

    در این مطالعه از مرور مطالعات گذشته، گزارشات رسمی حادثه، قوانین و مقررات و مصاحبه با متخصصان جهت گردآوری اطلاعات استفاده شد. روش تحلیل مضمون با دو رویکرد جزء نگر و کل نگر برای استخراج علل و عوامل موثر انتخاب گردید. مدل های Fish Bone (FB)، Bow Tie (BT) و Swiss Cheese  (SC) در کدگذاری باز و محوری علل و عوامل موثر، استخراج توالی منطقی رویدادها و پیامدهای حوادث آتش سوزی در مراکز درمانی استفاده شدند. در نهایت از نظر صاحبنظران برای استحکام و تایید یافته ها کمک گرفته شد. 

    یافته ها

    تعداد 174 علت و عوامل موثر از کدگذاری باز و تعداد 17 دسته علل و عوامل موثر از کدگذاری محوری استخراج شد. مدل های FB و SC در دسته بندی استقرایی زیر سیستم های موثر در حوادث کارآمد ارزیابی شدند. BT با رویکردی استقرایی و قیاسی توانست در ارایه اجزای سیستم و روابط منطقی بین آنها، ترسیم توالی زمانی و ارایه پیشنهادات کنترلی کمک کند.

    بحث و نتیجه گیری

    شکست های پنهان مدیریتی و نظارتی گذشته در صدور مجوزهای بهره برداری از ساختمان و فعالیت مراکز درمانی و عدم کفایت نظارت ایمنی و بهداشت حرفه ای، خطر رخداد آتش سوزی در این مراکز را بالا می برد. عوامل مذکور می تواند منجر به شکست های آشکار در کنترل آتش سوزی و واکنش در شرایط اضطراری و نهایتا باعث پیامدهای ناگواری نظیر حادثه آتش سوزی کلینیک سینا مهر تهران می شود. استفاده از مدل های نوین علت یابی حوادث در شناسایی علل و عوامل موثر در رخداد حوادث آتش سوزی و ارایه مداخلات موثر در مراکز درمانی مفید است.

    کلید واژگان: ایمنی, آتش سوزی, علت یابی حادثه, کلینیک پزشکی, ایران}
    Zahra Shakiba, AliAsghar Farshad, Iraj Alimohamadi, Narmin Hassanzadeh-Rangi, Yahya Khosravi*
    Background and aims

    Little is known about the causes and contributing factors of fire accidents in medical centers, like the fire accident in Sina Mehr medical clinic in Tehran on June 30, 2020 (19 killed and 14 injured). This study aims to analyze the causes and contributing factors of fire accidents in medical centers to prevent similar accidents.

    Methods

    We used literature review, official reports, regulations, and interviews with experts for data collection. Partial and holistic thematic analysis approaches were used to extract causes and causal factors. Fish Bone (FB), Bow Tie (BT), and Swiss Cheese Model (SCM) were used in open and axial coding of causes and causal factors, and extracting logical sequences of events and consequences of accidents. To confirm the findings, we used expert opinion.

    Results

    We identified 174 causal factors by open coding and 17 causal factor categories by axial coding. FB and SC were evaluated as efficient in the inductive classification of incident sub-systems. BT was able to help in presenting the system components and the logical relationships between them, drawing the time sequence, and providing control suggestions in an inductive and deductive approach.

    Conclusion

    Latent failures in management and supervision in issuing building and operation licenses and in occupational health and safety take medical centers to the edge of accidents. It leads to active failures in fire control and emergency response. Finally, it causes mishaps, like the fire accident in Sina Mehr medical clinic in Tehran. New accident models are useful for identifying factors that cause fire accidents and providing practical interventions for medical centers.

    Keywords: safety, fire, accident causation, medical center, Iran}
  • Dheepa Rajan *, MohammadHadi Ayazi, Maziar Moradi-Lakeh, Narges Rostamigooran, Maryam Rahbari, Behzad Damari, AliAsghar Farshad, Reza Majdzedeh, Kira Koch

    Health governance challenges can make or break Universal Health Coverage (UHC) reforms. One of the biggest health governance challenges is ensuring meaningful participation and adequately reflecting people’s voice in health policies and implementation. Recognizing this, Iran’s Health Transformation Plan (HTP) lays out the country’s blueprint for UHC with an explicit emphasis on the ‘socialization of health’. ‘Socialization’ is seen as a key means to contribute to HTP objectives, meaning the systematic and targeted engagement of the population, communities, and civil society in health sector activities. Given its specific cultural and historical context, we sought to discern what notions such as ‘civil society’, ‘non-governmental organization’, etc. mean in practice in Iran, with the aim of offering policy options for strengthening and institutionalizing public participation in health within the context of the HTP. For this, we reviewed the literature and analysed primary qualitative data. We found that it may be more useful to understand Iranian civil society through its actions, i.e. defined by its motivation and activities rather than the prevailing international development understanding of civil society as a structure which is completely independent of the state. We highlight the blurry boundaries between the different types of civil society organizations and government institutions and initiatives, as well as high levels of overlaps and fragmentation. Reducing fragmentation as a policy goal could help channel resources more efficiently towards common HTP objectives. The national health assembly model which was first launched in 2017 offers a unique platform for this coordination role, and could be leveraged accordingly.

    Keywords: Universal Health Coverage, Health System Governance, Participatory Governance, Social participation, Health Transformation Plan, Islamic Republic of Iran}
  • Mitra Faghihi, Aliasghar Farshad, Maryam Biglari Abhari, Nammamali Azadi, Morteza Mansourian
    BACKGROUND

    Health‑care workers are exposed to complex types of health and safety hazards. A high percentage of hospital staff in Iran are women, who in addition to heavy and stressful hospital work, also carry the burden of the family roles. It is in these circumstances that creating a supportive environment for women is of particular importance. Accordingly, this study is designed to determine the characteristics of a mental supporting work environment in the workplace from the perspective of female hospital staff.

    MATERIALS AND METHODS

    This study was performed by a qualitative method and content analysis approach. Sampling was purposive and 26 women working in different wards of this hospital were included in the study. In this study, women with maximum diversity in terms of age, work experience, and employment ward were selected. The main method of data collection in this study was a semi‑structured interview. Interview texts were extracted and divided into meaningful units. To validate and confirm the results plus accuracy of the research, the criterion of data validity or data credibility, admissibility, data accuracy, verifiability, reliability, and transferability were used.

    RESULTS

    Through the data analysis, 58 primary concepts with the same features were classified into 10 subcategories. Then, based on common features at a more abstract level, they were converted into four main categories including job stressors, women’s stress management, providing women’s psychological‑job satisfaction, and women’s work‑life balance.

    CONCLUSION

    Creating supportive work environments for women, especially those operating in workplaces such as hospitals, which brings a lot of work pressure and workload for them, can be an important policy for organizations and hospital work environments.

    Keywords: Health promotion, hospital, women’s health, workplace}
  • مسعود رفیعی، علی اصغر فرشاد، رکسانا میرکاظمی، فرشته طاهری، افسانه امیدی مراد، آتنا رفیعی پور*
    مقدمه

    نوبت کاری یک نظام کاری رایج در مشاغل اجتماعی است که می تواند کارگران را در معرض خستگی و تجربه مشکلات بهداشتی قرار دهد. توجه به پیامدهای نوبت کاری به خصوص در مشاغلی مانند راهبری قطارهای درون شهری که نیازمند سطح بالایی از هوشیاری و دقت هستند بسیار مهم است. در مطالعه حاضر به بررسی تاثیر نوبت کاری و افزایش زمان آن بر بروز اثرات بهداشتی و خواب آلودگی در راهبران شرکت بهره برداری راه آهن شهری تهران پرداخته شد.

    روش بررسی

    تعداد 363 نفر از راهبران متروی تهران به شیوه سرشماری انتخاب و به دو گروه روزکار و نوبت کار (9 و 12 ساعته) تقسیم شدند. جمع آوری اطلاعات در مورد اثرات خلقی و اجتماعی، خواب آلودگی و اثرات بهداشتی به ترتیب با استفاده از پرسشنامه پیمایش نوبت کاری، پرسشنامه خواب آلودگی و چک لیست بالینی طب کار انجام شد. نتایج با نرم افزار SPSS نسخه 19 در سطح معنی داری 5% مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    نتایج نشان داد که نوبت کاری در مقایسه با روزکاری می تواند با اثرات منفی بر کیفیت خواب، شرایط زندگی اجتماعی، رضایت شغلی و افزایش در نرخ شکایت از مشکلات بهداشتی همراه باشد. افزایش زمان نوبت کاری از 9 به 12 ساعت با تشدید پیامدهای نوبت کاری همراه بود.

    نتیجه گیری

    فرایند نوبت کاری در راهبران متروی تهران با افزایش در بروز اختلالات بهداشتی و احتمال کاهش هوشیاری در حین انجام کار همراه است که نیازمند اصلاح در برنامه ریزی نظام نوبت کاری و بهبود شرایط کار می باشد. مطالعات بیشتر برای دستیابی به اثرات دقیق تر نوبت کاری و متغیرهای تاثیرگذار بر آن توصیه می شود.

    کلید واژگان: نوبت کاری, ساعت کار, کیفیت زندگی, شرکت راه آهن شهری تهران و حومه}
    Masoud Rafiei, AliAsghar Farshad, Roksana Mirkazemi, Fereshteh Taheri, Afsaneh Omidimorad, Athena Rafieepour*
    Background and aims

    Shift working is a regular work pattern in some occupations that can expose workers to fatigue and health problems. It is very important to pay attention to the consequences of long shift work hours, especially in jobs such as railway driving that require a high level of awareness and precision agility. In the present study, the effect of shift work and its length were surveyed on the occurrence of health effects and sleepiness in the metro drivers of Tehran urban & suburban railway operation.

    Methods

    363 Tehran Metro drivers were selected using census method and divided into day work (8 hours) and shift workers (9 and 12 hours) groups. The information about mood and social effects, sleepiness, and health effects were collected by a Survey of Shift-workers questionnaire, Epworth Sleepiness Scale, and Clinical Occupational Medicine checklist, respectively. The resulting data were analyzed with SPSS (v.19) software at a significance level of 5 % .

    Results

    The results showed that shift work compared to day work was associated with negative effects on sleep quality, social life conditions, job satisfaction, and an increase in the rate of complaints of health problems. Increasing the shift working hours from 9 to 12 hours was associated with intensifying the consequences of shift work.

    Conclusion

    The shift work pattern in Tehran metro drivers is associated with an increase in the incidence of health disorders and a decrease in awareness during work, which requires reform in the planning of the shift work patterns and improvement of working conditions. Further studies are needed to obtain a more accurate picture of shift work effects and variables affecting it.

    Keywords: Shift work, Working Hours, Life Quality, Tehran Urban, Suburban Railway Operation Co}
  • مسعود مطلبی قاین، الهه عزتی، میترا فقیهی، سودابه یارمحمدی، شایسته شیرزادی، زهرا رحیمی خلیفه کندی، خندان شاهنده، محمد مرادی، فرشته طاهری، حسن شهبازی، سمیه کرمی، علی اصغر فرشاد*
    مقدمه

    تغییر ماهیت کار در دنیای امروز باعث شده است تعداد زیادی از افراد در مشاغل بدون تحرک مشغول باشند. در چنین بافتی عدم فعالیت بدنی می تواند منجر به بیماریهای غیر واگیر و افزایش ابتلا و مرگ و میر شود. هدف از این مطالعه، ارایه توصیفی گام به گام طراحی، اجرا و ارزیابی برنامه ارتقاء فعالیت بدنی در محل کار با استفاده از رویکرد نقشه نگاری مداخله ای  بود.

    روش بررسی

    در این مطالعه طراحی مداخله مبتنی بر شواهد و مبتنی بر تیوری، هدایت شده توسط مراحل رویکرد نقشه نگاری مداخله ای، برای ارتقاء فعالیت بدنی در محیط کار توصیف شده است.

    یافته ها

    مداخله فعالیت بدنی مبتنی بر محیط کار و براساس اهداف فردی وبین فردی،  محیطی و سازمانی انجام شد. بازه زمانی مداخله 3 ماه طول کشید. مداخله شامل استفاده از سالن ورزشی وزارت برای همه کارمندان، مشاوره با متخصصین و مربیان ورزش، افزایش برنامه های اداره ورزش وزارت ،بر گزاری جشنواره فرهنگی برای مشارکت و همکاری کلیه مدیران،کارمندان و خانواده های آنها، مسابقات عکاسی و نقاشی، کمک از رابطین فعالیت بدنی جهت پیگیری و بازخورد و کانال های ارتباطی شامل پوستر، پمفلت، لیبل، موشن گرافیک، استند، بوکلت و فیلم بود.

    نتیجه گیری

    نقشه نگاری مداخله  شفافیت تمام مولفه های مداخله را تضمین می کند و یک رویکرد نظامند، نظریه و شواهد محور که توسعه مداخلات تغییر رفتار کم تحرکی کارمندان را فراهم می کند

    کلید واژگان: فعالیت بدنی, نقشه نگاری مداخله ای, محل کار, کارمندان}
    Masoud Motalebi Ghayen, Elahe Ezati, Mitra Faghihi, Soudabeh Yarmohammadi, Shayesteh Shirzadi, Zahra Rahimi Khalifeh Kandi, Khandan Shahandeh, Mohamad Moradi, Fereshteh Taheri, Hasan Shahbazi, Somayeh Karami, Ali Asghar Farshad*
    Introduction

      The changing nature of work in today's world has caused a large number of people to be engaged in sedentary jobs. In such cases, lack of physical activity can lead to non-communicable diseases and increase morbidity and mortality. The purpose of this study was to provide a step-by-step descriptive design, implementation, and evaluation of a physical activity promotion program in the workplace using an intervention mapping approach.

    Methods and Materials:

     In this study, evidence-based and theory-based intervention design, guided by the steps of an intervention mapping approach, to promote physical activity in the workplace is described.

    Results

    Physical activity intervention was performed based on workplace as well as individual and interpersonal, environmental, and organizational goals. Interventions include using the Ministry's gym for all employees, consulting with sports experts and instructors, increasing the Ministry's sport administration programs, holding a cultural festival for the participation and cooperation of all managers, employees and their families, photography, and painting competitions, and helping physical activity assistants for follow-up and feedback. Communication channels included posters, pamphlets, labels, motion graphics, stands, booklets, and movies.

    Conclusion

    Intervention mapping ensures transparency of all components of the intervention and provides a systematic, theory-based, and evidence-based approach to interventions development in the sedentary behavior changes among employees.

    Keywords: Physical Activity, Intervention Mapping Approach, Workplace, Staff}
  • Masoud Motalebi Gh, Zahra Rahimi Khalifeh Kandi, Sajjad Rostamzadeh, Aliasghar Farshad
    BACKGROUND

    Many accidents in industries occur due to unsafe practices and unsafe conditions. Occupational accidents endanger the health of workers and impose excessive costs on the employers. This study was designed and conducted to evaluate and implement a behavior‑based safety approach in an industrial workplace based on the theory of planned behavior.

    MATERIALS AND METHODS

    The present study was a quasi‑experimental study performed on 90 supervisors of an industrial workplace. Behavior‑based safety interventions were performed based on the components of the theory of planned behavior using nine strategies of health education and health promotion, including skills training, participation, and social support. The data collection tool consisted of a researcher‑made questionnaire that was answered by the supervisors before and 6 months after the intervention. The collected data were evaluated using SPSS 22 software. The significance level was considered 0.05.

    RESULTS

    The results showed that the constructs of subjective norms, attitude, and perceived control of behavior predict the safe behavior of supervisors. After behavior‑based safety interventions, significant changes were observed in subjective norms, intention, attitude, and perceived control of behavior (P < 0.001) compared to before the intervention.

    CONCLUSION

    The results of this study showed the improvement of safe behavior of supervisors in the workplace due to behavioral‑based safety interventions using the theory of planned behavior. Accordingly, this theory can be used as a suitable theoretical framework for designing and implementing interventions to promote safe behaviors of employees in the workplace.

    Keywords: Behavior‑based safety, healthy workplace, planned behavior model}
  • Iman Shaban, Aliasghar Farshad, Rasoul Yarahmadi, Morteza Mansourian, Seyedeh Melika Kharghani Moghadam, Kamaladdin Abedi, Hossein Ebrahimi*
    Background

    Different factors affect the success of standard operational procedures (SOPs). This study was conducted to explore the viewpoints of employees of Tehran Oil Refining Company about factors affecting the usability of SOPs.

    Methods

    This qualitative study was a conventional content analysis research conducted on the oil refining company employers 2020, using  the semi-structured interviews. The data were analyzed by content analysis method using MAXQDA software.

    Results

    The results showed that the employees had a positive perception toward the standard operating procedures and most of them used these procedures to improve work performance and reduce accidents. Also, from the viewpoint of the employees, organizational factors (desirable organizational culture, continuous supervision and evaluation and assurance of accurate implementation of instructions, and continuous personnel training), individual factors (positive perception of the personnel about the organization goals, rules obedience of the personnel, positive experiences of personnel from the implementation of instructions in the past), and environmental factors (environmental dynamics and their related SOP dynamics, desirable but formal relationships of managers and supervisors with personnel as well as optimal and standard work schedule) had a positive effect on the applicability of these procedures.

    Conclusion

    The findings of this study showed that the employees, consider standard operating procedures of organizational, individual, and environmental factors effective in using standard operating instructions. Therefore, to increase the applicability of these procedures, the employees should consider their opinions.

    Keywords: Chemical Industry, Standard Operating Procedures, Qualitative study, Safety}
  • Golnaz Arjmand, Pardis Irandoost, Mojtaba Abbaszadeh, Aliasghar Farshad, Masoud Salehi, Farzad Shidfar*
    Background

    Musculoskeletal disorder (MSD) is one of the important problems concerning the staffschr('39') health and productivity in the workplace. Nutritional status and consumption of some foods are also among the determining factors of MSD. So, this study aimed to evaluate the correlation of diet and consumed food groups with MSD.

    Methods

    This cross-sectional study was conducted on 100 office workers. The participantschr('39') anthropometric parameters and their dietary information were collected using a semi-quantitative food frequency questionnaire. The findings were categorized into nine levels. The total scores were calculated for all the items per food group and per person. Nordic musculoskeletal questionnaire was also administered to evaluate the MSD symptoms in nine parts of body.

    Results

    The score of consumed food groups was compared between individuals “with pain” and “without pain” in nine parts of the body. The scores of fruit intake in individuals “with pain” and “without pain” were 2.94 ± 1.27 vs. 3.29 ± 1.16 and 2.81 ± 1.10 vs. 3.49 ± 1.38 in terms of neck and wrists, respectively. The difference between the two groups were significant (P < 0.05). Furthermore, the participants with pain in the neck consumed significantly lower amounts of cereals and nuts (P = 0.03, 0.04). In the case of the shoulder pain, consuming legumes and nuts in the “without pain” group was higher than the group of participants who had pain (P = 0.01, P = 0.03). Fat intake was higher in the patients who had pain in their hips (P = 0.02).

    Conclusion

    Less pain was reported in the musculoskeletal system by higher consumption of fruits, nuts, and legumes. It seems that plant-based dietary pattern is more effective in musculoskeletal health.

    Keywords: Musculoskeletal disorder, Staff, Food groups, Nordic questionnaire, Food frequency questionnaire}
  • Ali Asghar Farshad, Narges Rostamigooran, Masoud Motalebi Ghaen, Abbas VosooghRoksana Mirkazemi*
    Background

    People's participation in health affairs has been given more importance, recently. Establishment of the first National Health Assembly (NHA) in Iran was to shape dialogue among stakeholders and advocacy for health among all non-health sectors; decentralizing health decision making process, involving community and societies in health policy and planning, identification, appreciation, and development of health policies and measures in all economic, social, and cultural institutions of the country. This report summarized the Iranian context, process, and procedures of the establishment of the first NHA in Iran.

    Presentation of case

    To ensure participation of all people around the country, provincial health assemblies, district health assemblies, and neighborhood health assemblies were formed throughout the country. The main theme selected for the 1st NHA was “Health for All, All for Health”.

    Conclusion

    The final statement mentioned that health is a citizens’ right and all people and organizations are responsible for it; therefore, cultural activities and legal support are needed for the institutionalization of social accountability for health.

    Keywords: Decision Making, Health Policy, Politics, Social Responsibility}
  • Behzad Damari, Narges Rostamigooran*, AliAsghar Farshad
    Background

    For sustainable development and resolve complex public health problems, intersectoral collaboration is a necessity. A Memorandum of Understanding (MOU) is one of the tools used to develop intersectoral interactions. In this study, the challenges in the development and implementation of MOUs and propose strategies to overcome these challenges were studied by collecting the views of some stakeholders from other organizations.

    Methods

    For identifying challenges and solutions to improve the situation, group discussions were conducted with the presence of representatives from four ministries of Agriculture, Roads and Urban Development, Sports and Youth, and Education and the representatives of the Ministry of Health and Medical Education, who were responsible for preparing MOUs. All sessions were transcript and analyzed by using content analysis method.

    Results

    Some challenges were defined according to the development and implementation of MOUs. For better implementation, suggested strategies were: Strengthening the stewardship of intersectoral collaboration, effective and powerful management in monitoring the implementation of MOUs, Determining the appropriate financing path, strengthening individual and organizational capabilities in developing and implementing of MOUs, improving the terms and conditions of the implementing the MOUs.

    Conclusion

    Collaboration with other sectors has now become one of the main issues in health systems. For better achievement, strengthening the stewardship of intersectoral collaboration to effective coordination for drafting MOU, and facilitates and monitors the effective implementation of MOUs by identifying key people in each organization and empowering them is necessary.

    Keywords: Intersectoral Collaboration, Public Health, Sustainable Development}
  • رسول یاراحمدی، فرشته طاهری، علی اصغر فرشاد، بیتا هدایتی، مسعود مطلبی، رکسانا میرکاظمی*
    زمینه و هدف

    گستردگی موضوعات سلامت، ایمنی و محیط زیست ((HSE) و محدودیت منابع، مانع می شود که به کلیه نیازهای پژوهشی پاسخ داده شود. بنابراین تعیین الویت های پژوهشی ضرورت می یابد.  این مطالعه با هدف رتبه بندی اولویتهای پژوهشی در حوزه سلامت، ایمنی و محیط زیست انجام گرفت.

    روش بررسی

    یک مطالعه کیفی بوده و با استفاده از مدل پیشنهادی Council on Health Research for development (COHRED)  در 5 مرحله مشارکت ذی نفعان، تحلیل وضعیت موجود، مشخص کردن عناوین پژوهشی، امتیازدهی بر اساس معیارها و تعیین الویت بر اساس بیشترین توافق انجام گرفت. مشارکت کنندگان در این مطالعه 10 نفر از افراد صاحبنظر و کلیه ذی نفعان بودند.

    یافته ها

    تحلیل وضعیت مطالعات انجام شده در حوزه HSE از سال 2014 تا 2019 در ایران نشان داد بیشتر مطالعات در بخش صنعت انجام گرفته است. بر اساس نظر صاحبنظران، در حوزه سلامت و محیط زیست، بیشترین الویت پژوهشی به مشاغل کشاورزی، شیلات، پرورش دام و در حوزه ایمنی به مشاغل کارگری در حوزه صنایع و معادن، مشاغل کارگری در حوزه ساختمان و رانندگی اختصاص داده شد. مشاغل کارگری در حوزه ساختمان صنایع متوسط و کوچک و در حوزه صنایع و معادن متوسط و کوچک بالاترین الویت را در حوزه های ده گانه پژوهشی سلامت و ایمنی داشتند.  مشاغل کشاورزی، شیلات، پرورش دام و طیور صنایع بزرگ، متوسط و کوچک بالاترین الویت را در بیشتر حوزه های پژوهشی ده گانه در زمینه اثرات زیست محیطی دارا بود.

    نتیجه گیری

    بیشتر مطالعات انجام شده در حوزه HSE در بخش صنعت انجام گرفته و ضروری است بر اساس الویت های تعیین شده در این مطالعه ، پژوهش ها گسترش یابد.

    کلید واژگان: سلامت, ایمنی و محیط زیست(HSE), مشاغل, ایران, الویت پژوهش}
    Rasool Yaar Ahmadi, Fereshteh Taheri, Ali Asghar Farshad, Bita Hedayati, Masoud Motalebi Gh, Roksana Mirkazemi*
    Background  and aims

    The diversity of health, safety and environmental issues (HSE) and limitations of the resources hinders response to all the research needs in the field of HSE. HSE promotion and policy making require research based on the real needs and problems of the society. Although, the budget allocated to the research is limited, this budget is not optimally utilized in present situation of Iran. Therefore, setting research priority in HSE is important to direct the flow of resources to the real needs of the society. This study aims to define research priorities in the field of HSE with the use of experts’ and other stakeholders’ opinions.

    Methods

    The qualitative research method was used in this study.  The proposed model of Council on Health Research for Development (COHRED) was applied in five stages including stakeholder analysis, situation analysis, identifying research topics, scoring research priority using defined criteria and prioritizing researches based on maximum agreement. The first stage was stakeholder analysis, the centers, institutions, organizations and universities related to HSE field were identified through review of literature, investigating Iranian scientific journals and by asking the experts. Also, the contact information of 70 experts, professionals, and stakeholders who were members of health centers, institutions or universities in the field of HSE were collected.In the second stage, an extensive search was done on the literature and published scientific articles from 2014 to 2019 in google scholar. The articles were selected through investigating the title and abstract of the articles and then studying deeper into the texts. Also, the official websites of Ministry of Health and Medical Education, Ministry of Cooperatives, Labor and Social Welfare, Ministry of Industry, Mine and Commerce were examined.The third stage was to identify the research topics and occupational areas, which was done by using the classification of International Labor Organization and also through brain storming of the experts.The fourth stage was scoring the priority of researches in each occupational area and research topic based on criteria such as necessity of research, appropriateness of the research to the target population, feasibility of researches based on the available resources and the research outcome. Scoring was done in a panel discussion based on a Likert scale of 1 to 9 by experts; one represented the lowest and represented the highest priorities.The fifth step was to prioritize the researches based on mean score given by the experts.

    Results

    Situation analysis of studies in the field of HSE from 2014 to 2019 in Iran showed that most studies have been conducted in industries. According to experts, in the field of health and environment, the highest research priority was given to agriculture, fisheries, and livestock, and the highest priority to safety was given to workers in industry and mines, construction and driving. Also, workers in medium and small scale constructions and workers in small and medium industries and mines had the highest priority in the ten research areas in health and safety. Agriculture, fisheries, husbandry and poultry had the highest priority in most of the ten research areas in environment. Among the three HSE domains, in the managerial and sales jobs, the research priority was given to occupational health research. Priority research in health care, industries and mines and construction, service, armed forces and driving related jobs were given to safety related researches. In agriculture, fisheries and husbandry, the priority of research was given to environmental issues and then to occupational health.In the area of occupational health, the highest priority in managerial occupations was given to the researches that assess impact of different program. In sales jobs, the highest priority was given to the research area of developing new interventions or solutions. In large scale industries and mines, the highest priority was given to the researches that are related to developing interventions or solutions, but in medium and small industries and mines, the highest priority was given to the researches that assess the impact of a program or intervention. In the field of medium and small-scale construction workers, the highest priority was given to the research area of  qualitative or quantitative situation analysis and assessing the causes of a problem. In the service occupations, the highest priority was given to the research area of qualitative or quantitative situation analysis. In the military occupations, the highest priority was assigned to the research area of developing new interventions or solutions. In large scale agriculture, fisheries, husbandry and poultry industries, the highest priority was given to the research area of determining the trends of a situation or problem. In agriculture, fisheries, husbandry and poultry industries of medium and small industries, the highest priority was assigned to the field of evaluation of the impact of programs. In the driving jobs, higher priority was given to the research area of developing new interventions or solutions.In the area of occupational safety research, the highest priority in managerial occupations was given to the research domain of cost effectiveness or cost benefit analysis. In the health care occupations, the highest priority was given to Evaluation of the interventions. In sales jobs, the highest priority was given to the research area of developing new interventions or solutions. In the field of large-scale mining and industrial workers, the highest priority was given to research in developing new interventions or solutions. In the field of medium and small-scale industrial and mining workers, the highest priority was given to evaluation of the interventions. In the field of large industrial construction, the highest priority was given to determining the trends of a situation or problems and developing new interventions or solutions. In the service occupations, the highest priority was given to the research area of developing new interventions or solutions. In the military occupations, the highest priority was devoted to the research of developing new interventions or solutions and evaluation of the interventions. In agriculture, fisheries, poultry, and small and medium-sized industries, the highest priority was given to evaluation of the impact of programs. In the driving jobs, the highest priority was given to the research area of developing new interventions or solutions.In the area of environmental research, the highest priority in managerial occupations was given to determining the trends of a situation or problems and developing plans or strategies. In the health care jobs, the highest priority was given to the evaluation of the interventions. In sales jobs, the highest priority was given to the qualitative or quantitative situation analysis. The highest priority was given to developing new interventions or solutions for workers in large-scale industries and mines. For workers in the field of medium and small industries and mines, the highest priority was given to developing plans or strategies. The highest priority was given to developing plans or strategies for workers in the field of medium and small scale construction. In service jobs, the highest priority was given to qualitative or quantitative situation analysis. In military jobs, the highest priority was given to determining the trends of a situation or problems and evaluation of the interventions. In agriculture, fisheries, husbandry and poultry industries, the highest priority was given to qualitative or quantitative situation analysis and determining the trends of a situation of problems. In agriculture, fisheries, poultry, and small and medium-sized industries, the highest priority was given to evaluation of the interventions and evaluation of the impact of programs. In the driving jobs, the highest priority was given to the determining the trends of a situation or problem. 

    Conclusion

    Most studies in the field of HSE have been conducted in industry. It is required to expand the HSE research based on the priorities set out in this study.

    Keywords: health, safety, environment (HSE), occupations, Iran, research ranking}
  • بهزاد دماری*، ابراهیم صادقی فر، علی اصغر فرشاد، حسن محمدصادقیان، حسین المدنی، عباس وثوق مقدم، فرشته طاهری
    چکیده زمینه و هدف

    کارگران نیروی مولد جامعه بوده و تامین سلامت آن ها ضروری است. هدف این مطالعه بررسی وضعیت سلامت نیروی کار در جامعه کار و تولید ایران و ارایه مدلی برای بهبود آن است. 

    روش بررسی

    این مطالعه توصیفی و از نوع سیاست پژوهی است. گردآوری داده ها از طریق مرور اسناد و منابع و بحث گروهی متمرکز انجام شده است. پس از تحلیل مستندات و ترکیب یافته ها توسط تیم پژوهش، نتایج در دو بخش اصلی شناخت وضعیت موجود و جهت گیری های آینده جمع بندی شده است. 

    یافته ها

    به دلیل عدم وجود داده های نقطه ای در سال های گذشته نمی توان روند صعودی یا نزولی شاخص های سلامت کارگران را قضاوت کرد اما در کل جامعه وضعیت عوامل خطر بیماری های غیرواگیر، اختلالات روانی و آسیب های اجتماعی روند افزایشی داشته است که این موضوع احتمالا در مورد جمعیت کارگری نیز صادق است. مداخلات قبلی در حوزه سلامت کارگران متعدد بوده ولی در قالب برنامه ملی نظام مند نیست. گزارش پایش دوره ای برنامه ها  و ارزشیابی از مداخلات موجود به طور رسمی در دسترس نیست. اسناد بالادستی ارتقای سلامت کارگران را حمایت می کند. نیاز به ارتقاء و تمرکز در هر چهار حوزه تدوین، پایش و ارزشیابی برنامه ملی سلامت کارگران، ساختار و استانداردهای تدارک خدمات سلامت، بهبود رفتاری کارگران و کارفرمایان و تامین پایدار منابع (مالی، اطلاعات و نیروی انسانی) وجود دارد.   

    نتیجه گیری

    برنامه تدوین شده با نظرخواهی نهایی از کانون عالی کارفرمایان، کانون عالی کارگران و واحدهای تابعه وزارت تعاون کار و رفاه اجتماعی، وزارت بهداشت درمان و آموزش پزشکی و وزارت صنعت معدن تجارت در شورای هماهنگی خدمات بهداشتی بیمه شدگان تصویب شده و برای پایداری بیشتر برنامه به تصویب شورای عالی سلامت و امنیت  غذایی کشور برسد.

    کلید واژگان: سلامت کارگران, برنامه ملی, محیط کار, ارتقای سلامت}
    Behzad Damari*, Ebrahim Sadeghifar, Aliasghar Farshad, Hasan Mohamadsadeghian, Hosein Almadani, Abbas Vosoogh Moghadam, Fereshteh Taheri
    Background and aims

    Workers are the productive force of the society and their health is essential. Safety and health at workplace are of great importance in terms of economic development as workers spend more than a third of their lives at work. The role of international organizations such as the World Health Organization and the International Labor Organization in dealing with workerschr('39') issues, including their health care needs, emphasizes the multifaceted nature of the field. The International Labor Organization has requirements such as ergonomic and occupational risk factors to protect work forces from physical and mental illness and injury from workplace hazards and accidents. These standards have a great impact on the laws and regulations of governments .One of these standards is the Occupational Health Services Contract, which cover musculoskeletal injuries, violence, stress, biological, chemical and physical hazards. This, plays an important role in the prevention, diagnosis, treatment and care of workers as well as the fight against discrimination.In Iran, the primary health care system has established a national model by providing health services, and the Ministry of Healthchr('39')s Environmental and Occupational Health Center is responsible for monitoring and implementing occupational health programs and projects in the country.The purpose of the study was to evaluate the health status of workforce in Iranian labor and production society and to present a model for its improvement. 

    Methods

    This is a descriptive and policy research study. Data collection was conducted through a review of documents and resources and focus group discussions. In the firt phase, a diverse list of scientific documents and resources by searching Iranian and international databases including Iranmedex, Magiran, Medlib, Web of Science, Cochrane and Pubmed were identified and reviewed. The various keyword combinations such as health of workers, workforest health, human resource health, Iran, index, indicator, Intervention, plan, program and Policy both in Persian and English were searched. In addition, unpublished documents were received from relevant experts.The purpose of this phase was to determine the evaluation indicators and the health status of workers, the type and impact of interventions in the workplaces in recent years, as well as the recommended interventions for workerschr('39') health.A summary of the items obtained from the first phase, entitled "Recognition of the current situation in the framework of indicators, past interventions and challenges of the workerschr('39') health promotion system" was analyzed by the project team and then discussed in a focus group of stakeholders to determine the orientations.In order to apply the ideas and opinions of stakeholders related to this issue, Mendeleevchr('39')s Intrest-Power analysis method was used. . First, the main stakeholders were listed, then the list was placed in the matrix of interest and power, and the items with high interest and high power were selected as the steering committee.After analyzing the documentation and combining the findings, the results were summarized in two main parts: recognizing the current situation and the future orientations.

    Results

    Due to the lack of point data in previous years, it is not possible to judge the ascending or descending trend of workerschr('39') health indicators; but, in general population, the status of risk factors for noncommunicable diseases, mental disorders and social injuries has been increased and is probably true for the labor population. Although, numerous interventions have been previously conducted in the workerschr('39') health area, they are not systematic and not included in a national program framework. The periodic monitoring report of the program and evaluation of the existing interventions are formally unavailable. Upstream documents supports every aspect of promoting workerchr('39')s health. There is a need to improve and focus on all four areas of formulating, monitoring and evaluating the National Worker Health Plan, the structure and standards of health service provision, improving behaviors of workers and employers, and providing sustainable resources (financial, information and human resources). The optimal point for the health of workers is that the Ministry of Cooperatives, Labour, and Social Welfare reduce the prevalence of work-related accidents and diseases for 15 years by attracting international sites and the participation of the working community and employers.To achieve this vision, at least three strategic goals must be considered; Including improving the score of health behaviors of workers in the production community by 30%, improving the score of suitable environment to reduce risk and increase protective factors (depending on the type of residence) by 30% and also improving the benefit of screening services, intervention And follow up to 50%

    Conclusion

    The findings of this study show that despite the numerous national trustees and the packaging of various health, social and safety services, as well as the support of upstream documents, the health of workers has not improved considerably and there are various gaps in the operational levels. There is a need to improve and focus on the development, monitoring and evaluation of the National Workerschr('39') Health Plan, the structure and standards of health service provision, improving the behavior of workers and employers and the provision of sustainable resources (finance, information and workforce).The program should be approved by Insured Health Services Coordination Council after final opinion of the Employers Association, the Labors Association and the subsidiary units of the Ministry of cooperation, Labor and Social Welfare, the Ministry of Health and Medical Education and the Ministry of industry, mine and Trade in the. The plan is to be approved by the Supreme council for Health and Food Security for further sustainability.

    Keywords: Workers' Health, National Program, Workplace, Health Promotion}
  • رسول یاراحمدی، فرشته طاهری، علی اصغر فرشاد، بیتا هدایتی، مسعود مطلبی، رکسانا میرکاظمی*
    زمینه و هدف

    گستردگی موضوعات سلامت، ایمنی و محیط زیست ((HSE) و محدودیت منابع، مانع می شود که به کلیه نیازهای پژوهشی پاسخ داده شود. بنابراین تعیین الویت های پژوهشی ضرورت می یابد.  این مطالعه با هدف رتبه بندی اولویتهای پژوهشی در حوزه سلامت، ایمنی و محیط زیست انجام گرفت.

    روش بررسی

    یک مطالعه کیفی بوده و با استفاده از مدل پیشنهادی Council on Health Research for development (COHRED)  در 5 مرحله مشارکت ذی نفعان، تحلیل وضعیت موجود، مشخص کردن عناوین پژوهشی، امتیازدهی بر اساس معیارها و تعیین الویت بر اساس بیشترین توافق انجام گرفت. مشارکت کنندگان در این مطالعه 10 نفر از افراد صاحبنظر و کلیه ذی نفعان بودند.

    یافته ها:

     تحلیل وضعیت مطالعات انجام شده در حوزه HSE از سال 2014 تا 2019 در ایران نشان داد بیشتر مطالعات در بخش صنعت انجام گرفته است. بر اساس نظر صاحبنظران، در حوزه سلامت و محیط زیست، بیشترین الویت پژوهشی به مشاغل کشاورزی، شیلات، پرورش دام و در حوزه ایمنی به مشاغل کارگری در حوزه صنایع و معادن، مشاغل کارگری در حوزه ساختمان و رانندگی اختصاص داده شد. مشاغل کارگری در حوزه ساختمان صنایع متوسط و کوچک و در حوزه صنایع و معادن متوسط و کوچک بالاترین الویت را در حوزه های ده گانه پژوهشی سلامت و ایمنی داشتند.  مشاغل کشاورزی، شیلات، پرورش دام و طیور صنایع بزرگ، متوسط و کوچک بالاترین الویت را در بیشتر حوزه های پژوهشی ده گانه در زمینه اثرات زیست محیطی دارا بود.

    نتیجه گیری:

     بیشتر مطالعات انجام شده در حوزه HSE در بخش صنعت انجام گرفته و ضروری است بر اساس الویت های تعیین شده در این مطالعه ، پژوهش ها گسترش یابد.

    کلید واژگان: سلامت, ایمنی و محیط زیست(HSE), مشاغل, ایران, الویت پژوهش}
    Rasool Yaar Ahmadi, Fereshteh Taheri, Ali Asghar Farshad, Bita Hedayati, Masoud Motalebi Gh, Roksana Mirkazemi*
    Background and aims

    The diversity of health, safety and environmental issues (HSE) and limitations of the resources hinders response to all the research needs in the field of HSE. HSE promotion and policy making require research based on the real needs and problems of the society. Although, the budget allocated to the research is limited, this budget is not optimally utilized in present situation of Iran. Therefore, setting research priority in HSE is important to direct the flow of resources to the real needs of the society. This study aims to define research priorities in the field of HSE with the use of experts’ and other stakeholders’ opinions.

    Methods

    The qualitative research method was used in this study.  The proposed model of Council on Health Research for Development (COHRED) was applied in five stages including stakeholder analysis, situation analysis, identifying research topics, scoring research priority using defined criteria and prioritizing researches based on maximum agreement. The first stage was stakeholder analysis, the centers, institutions, organizations and universities related to HSE field were identified through review of literature, investigating Iranian scientific journals and by asking the experts. Also, the contact information of 70 experts, professionals, and stakeholders who were members of health centers, institutions or universities in the field of HSE were collected.In the second stage, an extensive search was done on the literature and published scientific articles from 2014 to 2019 in google scholar. The articles were selected through investigating the title and abstract of the articles and then studying deeper into the texts. Also, the official websites of Ministry of Health and Medical Education, Ministry of Cooperatives, Labor and Social Welfare, Ministry of Industry, Mine and Commerce were examined.The third stage was to identify the research topics and occupational areas, which was done by using the classification of International Labor Organization and also through brain storming of the experts.The fourth stage was scoring the priority of researches in each occupational area and research topic based on criteria such as necessity of research, appropriateness of the research to the target population, feasibility of researches based on the available resources and the research outcome. Scoring was done in a panel discussion based on a Likert scale of 1 to 9 by experts; one represented the lowest and represented the highest priorities.The fifth step was to prioritize the researches based on mean score given by the experts.

    Results

    Situation analysis of studies in the field of HSE from 2014 to 2019 in Iran showed that most studies have been conducted in industries. According to experts, in the field of health and environment, the highest research priority was given to agriculture, fisheries, and livestock, and the highest priority to safety was given to workers in industry and mines, construction and driving. Also, workers in medium and small scale constructions and workers in small and medium industries and mines had the highest priority in the ten research areas in health and safety. Agriculture, fisheries, husbandry and poultry had the highest priority in most of the ten research areas in environment. Among the three HSE domains, in the managerial and sales jobs, the research priority was given to occupational health research. Priority research in health care, industries and mines and construction, service, armed forces and driving related jobs were given to safety related researches. In agriculture, fisheries and husbandry, the priority of research was given to environmental issues and then to occupational health.In the area of occupational health, the highest priority in managerial occupations was given to the researches that assess impact of different program. In sales jobs, the highest priority was given to the research area of developing new interventions or solutions. In large scale industries and mines, the highest priority was given to the researches that are related to developing interventions or solutions, but in medium and small industries and mines, the highest priority was given to the researches that assess the impact of a program or intervention. In the field of medium and small-scale construction workers, the highest priority was given to the research area of  qualitative or quantitative situation analysis and assessing the causes of a problem. In the service occupations, the highest priority was given to the research area of qualitative or quantitative situation analysis. In the military occupations, the highest priority was assigned to the research area of developing new interventions or solutions. In large scale agriculture, fisheries, husbandry and poultry industries, the highest priority was given to the research area of determining the trends of a situation or problem. In agriculture, fisheries, husbandry and poultry industries of medium and small industries, the highest priority was assigned to the field of evaluation of the impact of programs. In the driving jobs, higher priority was given to the research area of developing new interventions or solutions.In the area of occupational safety research, the highest priority in managerial occupations was given to the research domain of cost effectiveness or cost benefit analysis. In the health care occupations, the highest priority was given to Evaluation of the interventions. In sales jobs, the highest priority was given to the research area of developing new interventions or solutions. In the field of large-scale mining and industrial workers, the highest priority was given to research in developing new interventions or solutions. In the field of medium and small-scale industrial and mining workers, the highest priority was given to evaluation of the interventions. In the field of large industrial construction, the highest priority was given to determining the trends of a situation or problems and developing new interventions or solutions. In the service occupations, the highest priority was given to the research area of developing new interventions or solutions. In the military occupations, the highest priority was devoted to the research of developing new interventions or solutions and evaluation of the interventions. In agriculture, fisheries, poultry, and small and medium-sized industries, the highest priority was given to evaluation of the impact of programs. In the driving jobs, the highest priority was given to the research area of developing new interventions or solutions.In the area of environmental research, the highest priority in managerial occupations was given to determining the trends of a situation or problems and developing plans or strategies. In the health care jobs, the highest priority was given to the evaluation of the interventions. In sales jobs, the highest priority was given to the qualitative or quantitative situation analysis. The highest priority was given to developing new interventions or solutions for workers in large-scale industries and mines. For workers in the field of medium and small industries and mines, the highest priority was given to developing plans or strategies. The highest priority was given to developing plans or strategies for workers in the field of medium and small scale construction. In service jobs, the highest priority was given to qualitative or quantitative situation analysis. In military jobs, the highest priority was given to determining the trends of a situation or problems and evaluation of the interventions. In agriculture, fisheries, husbandry and poultry industries, the highest priority was given to qualitative or quantitative situation analysis and determining the trends of a situation of problems. In agriculture, fisheries, poultry, and small and medium-sized industries, the highest priority was given to evaluation of the interventions and evaluation of the impact of programs. In the driving jobs, the highest priority was given to the determining the trends of a situation or problem. 

    Conclusion

    Most studies in the field of HSE have been conducted in industry. It is required to expand the HSE research based on the priorities set out in this study.

    Keywords: health, safety, environment (HSE), occupations, Iran, research ranking}
  • رسول یاراحمدی، حامد مریدی*، علی اصغر فرشاد، فرشته طاهری
    زمینه و هدف

    امروزه با رشد ابعاد مختلف توسعه پایدار، توجه مدیران در سطح سازمانی و دولتی به مولفه های توسعه پایدار بیش از پیش شده است. محور توسعه پایدار انسان سالم و مولد است. عوامل متعددی در دستیابی به توسعه پایدار نقش دارند که از آن جمله می توان عوامل انسانی، اقتصادی، اجتماعی، صنعتی، فرهنگی و همچنین بهداشت، ایمنی، محیط زیست و انرژی (HSEE) را نام برد. در این راستا، وجود تعدادی از شاخص های فرایندی در پیشبرد برنامه و اهداف سازمانی در سطح خرد و کلان از نقش حایز اهمیتی برخوردار است. با توجه به این که ارزیابی و پایش مستمر تمامی شاخص ها کار عملی و امکانپذیر نمی باشد، تدوین یکسری اصول عملکرد به منظور تسهیل فرایندهای تصمیم سازی مدیریتی و پایش بهبود مستمر سیستم ها از اهم موضوعات در مدیریت کارآیی سیستم می باشد. نظر به این که انتخاب صحیح اصول نقش مهمی در پایداری سیستم مدیریتی یکپارچه ایفا می کند، توجه به مولفه های کلیدی مطرح در این انتخاب حایز اهمیت است. تحقیق حاضر با هدف اولویت بندی شاخص های فرایندی در سیستم مدیریت یکپارچه HSEE وزارت صنعت، معدن و تجارت انجام شده است.

    روش بررسی

    جامعه آماری این پژوهش افراد متخصص و صاحب نظر با گرایش بهداشت حرفه ای، ایمنی، محیط زیست، انرژی و کارشناسان HSEE با سابقه کار در زمینه بهداشت، ایمنی، محیط زیست و انرژی می باشند. دراین مطالعه برای دست یابی به شاخص های فرایندی ایمنی، بهداشت، محیط زیست و انرژی ابتدا با بهره گیری از مجموعه شاخص های ارایه شده در تحقیقات و مقالات علمی و معتبر ، سازمان محیط زیست ایران،HSE وزارت نفت،HSEE  وزارت صنعت، معدن و تجارت، سازمان های معدنی و صنعتی در کشور از جمله ایدرو، ایمیدرو و منابع دیگر فهرستی از شاخص های محیط زیستی، ایمنی، بهداشت و انرژی تهیه و مورد ارزیابی قرار گرفت. در تحقیق حاضر معیار انتخاب شاخص ها SMART بودن آن ها می باشد که به عنوان پنج معیار اصلی اثر گذار به روش AHP وزن  دهی شده اند. معیارها وزن دهی شده جهت اولویت بندی اصول هشت گانه مدیریت  HSEE شامل خط مشی، بهبود مستمر، اجراء، بازنگری، پایش واندازه گیری سیستم، تعهد و رهبری، طرح ریزی و اقدام اصلاحی با استفاده از تکنیک تاپسیس فازی مورد استفاده قرار گرفت.

    یافته ها

    نتایج مطالعه نشان می دهد که شاخص راهبردی اجرا با ضریب نزدیکی 937/0 به عنوان اولویت اول انتخاب شد. بهبود مستمر با ضریب نزدیکی 133/0و اقدامات اصلاحی با ضریب نزدیکی108/ از اولویت های ضعیف تر شاخص های هشت گانه HSEE انتخاب شدند.

    نتیجه گیری

    انتخاب صحیح شاخص ها به منظور تسهیل فرایندهای تصمیم سازی مدیریتی، قابلیت پایش بهینه این شاخص ها با حداکثر کارآیی و حداقل هزینه با استفاده از مدل های تصمیم گیری چند معیاره امکان پذیر است. بر اساس نتایج به دست آمده، رتبه بندی و اولویت بندی شاخص های فرایندی HSEEبه منظور تسهیل فرایندهای تصمیم سازی مدیریتی و پایش بهبود مستمر سیستم ها در جهت حفاظت از افراد، اموال و کاهش حوادث و آلودگی ها جهت رسیدن به توسعه پایدار قابل استفاده است.

    کلید واژگان: اولویت بندی, HSEE, توسعه پایدار, تاپسیس فازی, شاخص, وزن دهی, AHP}
    Rasoul Yarahmadi, Hamed Moridi*, Ali Asghar Farshad, Fereshteh Taheri
    Aim and Background

    Today, with the growth of different dimensions of sustainable development, managers at the organizational and governmental levels have become more and more interested in the components of sustainable development. A healthy and productive human being is at the core of sustainable development. Many factors are contributing to sustainable development, including human, economic, social, industrial, cultural, as well as health, safety, environmental and energy (HSEE) factors. In this regard, the existence of several processing indicators is important in promoting the program and organizational goals at the micro and macro levels. Since continuous evaluation and monitoring of all indicators is not feasible, developing a set of principles to facilitate managerial decision-making processes and monitoring continuous improvement of systems is an important issue in system performance management. Due to the vital role of correct selection of principles in the sustainability of the integrated management system, it is important to consider the key components involved in this choice. The present study aimed to prioritize the HSEE processing indexes in the integrated management system (HSEE IMS) of the Ministry of Industry, Mining and Trade.

    Methodology

    The statistical population of this study is professionals and experts with occupational health, safety, environment, and energy orientation and work experience. In this study, to obtain process, safety, health, environmental and energy processing indicators, firstly, a list of environmental, safety, health, and energy indicators was prepared and evaluated, by using a set of indicators presented in scientific and credible research and articles, the Iranian Environmental Agency, HSE Ministry of Oil, HSEE Ministry of Industry, Mine and Trade, including mining and industrial organizations, including Industrial Development and Renovation Organization of Iran (IDERO), Iranian Mines and Mining Industries Development and Renovation Organization (IMIDRO) and other sources. In the present study, being SMART is the main selection criterion for indices, which are weighted as the five main affecting criteria by the AHP method. Weighted criteria were used to prioritize the eight principles of HSEE management including policy, continuous improvement, do, check, monitoring, and measurement of the system, commitment and leadership, planning and corrective action using the fuzzy TOPSIS technique.

    Results

    The results show that the executive strategic index with a closeness coefficient of 0.937 was selected as the first priority. Continuous improvement and corrective action with the coefficient of closeness of 0.133 and 0.108 were selected from the weaker priorities of the Eight HSEE indices, respectively.

    Conclusion

    Appropriate selection of indicators to facilitate managerial decision-making processes, optimal monitoring of these indicators with maximum efficiency and minimum cost is possible by using multi-criteria decision-making models. Based on the results, sustainable development can be achievable by ranking and prioritizing the HSEE processing indicators to facilitate managerial decision-making processes and monitor continuous improvement of systems to protect individuals, property and reduce accidents and pollution.Keywords: Prioritization, HSEE, Sustainable Development, Fuzzy TOPSIS, Index, Weighting, AHP.IntroductionPreventing health, safety, the environment, and energy injuries and accidents by taking into account the health, safety of employees, customers, contractors and others requires a unified management system structure. This system tries to create a healthy, pleasant and joyful environment free from accident, damage and waste by integration and synergy of human resources and facilities. The present study aims to key and prioritize strategic principles in the HSEE integrated management system of the Ministry of Industry, Mine and Trade to evaluate the performance based on specific processes in subsidiary industrial-productive units.MethodologyIn this study, to obtain safety, health, environmental, and energy processing indexes, firstly, a list of environmental, safety, health, and energy indicators was prepared and evaluated, by using a set of indicators presented in scientific and credible research and articles, the Iranian Environmental Agency, HSE Ministry of Oil, HSEE Ministry of Industry, Mine and Trade, including mining and industrial organizations, including Industrial Development and Renovation Organization of Iran (IDERO), Iranian Mines and Mining Industries Development and Renovation Organization (IMIDRO) and other sources. Then, the SMART metrics including specificity, measurability, achievability, realism and being timely have weighted as five effective criteria by the AHP. After keying the HSEE strategic indicators of the Ministry of Industry, Mining and Trade, including: policy, continuous improvement, do, check, system monitoring, commitment and leadership, planning and corrective action were selected. Initial questionnaire was prepared based on the fuzzy TOPSIS method and key indicators and research criteria. Then, the reliability (internal consistency) and validity of the questionnaire were assessed and finalized. After completing the questionnaires and receiving the information, the expertschr('39') answers in the form of verbal statements were transformed into triangular fuzzy numbers with the capability of analysis. In the present study, to obtain effective indicators for identification and evaluation of key indicators, the five SMART criteria were weighted based on the AHP method. After weighting the research criteria using the AHP method, this ratio is used for weighting the key indexes by the fuzzy TOPSIS method to rank and prioritize.ResultsThe results show that the face validity and content validity of the questionnaire were determined by FVR = 78.08% and CVR = 88%, respectively which have acceptable validity based on Lawshe’s model. The reliability of the research questionnaire was estimated by the appropriate Cronbachchr('39')s alpha equivalent in 0.935, illustrating the intrinsic homogeneity of the evaluated indices. Regarding weighting results, research criteria, weighting criteria and indices are presented in Tables 1-2. Table1. Final weight of criteria by the AHP method Realism Achievability Timely Specificity Measurability Criterion 0.300 0.203 0.135 0.231 0.341 Final Weight   Table 2. Closeness coefficient and rank of HSEE processing indicators of Ministry of Industry, Mine and Trade Ranking CCi Criterion Commitment and Leadership 0.491 3 Policy 0.403 4 Planning 0.226 5 Do 0.937 1 Monitoring 0.699 2 Check 0.193 6 Corrective Action 0.108 8 Continuous Improvment 0.133 7  ConclusionAppropriate selection of indicators to facilitate managerial decision-making processes, optimal monitoring of these indicators with maximum efficiency and minimum cost is possible using multi-criteria decision-making models. This study aimed to weight, key and prioritize HSEE process indicators for the first time in Iran at the level of the largest executive-economic system. According to the results of the study, due to the high speed and efficiency of HSEE units in subsidiary organizations, do index (CCi = 0.937) was first priority and continuous improvement (CCi = 0.133) and corrective actions (CCi = 0.108) were found as the weakest priorities of the HSEE eight indicators because of weaknesses in the regular and systematic follow-up of regulatory units or lack of appropriate tools to evaluate these indicators. The results of this study showed an interesting convergence between the weight and prioritization of SMART criteria of strategic indicators of Ministry of Industry, Mine and Trade. This conclusion can help managers select key performance indicators based on SMART criteria and help them choose sustainability indicators that prevent wasting time and cost.

    Keywords: Prioritization, HSEE, Sustainable Development, Fuzzy Topsis, AHP}
  • Sahram Vosoughi*, Sajjad Rostamzadeh, Mohammad Hossein Chalak, Ali Asghar Farshad, Masoud Jahanpanah

    Falling from height known as one of the most important factors that leads to fatal accidents in the construction industry.The purpose of this study was to investigate,identify the effective factors in the occurrence of falling from heightaccidents in the construction projects,determine the causal relationships between organizational,individual andenvironmental factors.In this research,the surveyed population was the workers of five construction projects of a gas refinery in south ofIran from 2011 to 2015. Using the Integrated Management System (IMS) information,factors,sub-factors affectingthe occurrence of falling from height accidents in the construction projects were determined. Then,a semi-comparativequestionnaire based on the DEMATEL technique was designed,distributed among 10 experts at two differentperiods. Based on the expert's opinions,the identified factors,sub-factors were classified into three main factorsand fourteen sub-factors,respectively. Then,the causal relationships between each the effective factor were identified,using DEMATEL technique.The results of DEMATEL technique revealed that the individual factors were considered to be the most importantcriteria,as it has acquired the maximum (𝐷 + 𝑅) value,i.e.,36.689 whereas,organizational factors had scored theleast,i.e.,35.180. Accordingly,organizational factors,their sub-factors had a substantial effect on the falling fromheight accidents,were considered as causal variables (D-R>0),while,the indices of individual,environmentalfactors were the effect variables (D-R<0). So that,mutual understanding was an organizational sub-factor that had thehighest impact on the occurrence of falling from height,has been identified as a causal variable.Generally,it is necessary to consider specific plans such as stress management,safety culture programs in orderto reduce unsafe conditions in the construction projects

    Keywords: Falling from Height, DEMATEL Technique, Construction Projects}
  • Ehsan Asivandzadeh, ALI ASGHAR FARSHAD*, ZEYNAB JAMALIZADEH, IRAJALIMOHAMMADI, JAMILEH ABOLGHASEMI

    The present study explored whether emotional intelligence and social cognitive variables were related to risky driving behavior (speed and lane deviations). Driving behavior is considered a key predictive factor in road traffic accidents. The sample comprised 75 adults aged between 20- 30 years (M = 26.80, SD = 3.175) with a valid driver’s license. The emotional intelligence was assessed by the self-report Bar-on Emotional Quotient Inventory (EQ-i) and driving behavior was measured using a driving simulator. Different driving behaviors, including speed and lane deviations, were recorded. The objective data obtained from the simulator were compared with the scores obtained from the EQ. The spearman correlations revealed that age, driving experience, and accident cases were related to the driving behavior. There was a significant negative relationship between the average speed on roads with all of the emotional intelligence subscales, except for assertiveness (r=.448), whose correlation was found to be positive. The lane deviation score showed a significant negative relationship with the subscales of emotional intelligence except for assertiveness (r=.873). In order to facilitate safer behaviors in traffic and reduce the number of accidents, it is recommended to develop programs for changing the attitude of those road users who are more likely to engage in risky behavior and encouraging safe and responsible drivers.

    Keywords: Emotional Intelligence, Social Cognitive Variables, Driving Behavior}
  • Ehsan Asivandzadeh, Ali Asghar Farshad *, Zeynab Jamalizadeh, Iraj Alimohammadi, Jamileh Abolghasemi

    Traffic violations and aggression are often regarded as social phenomena with important social and economic consequences. The present study investigated the potential contribution of demographic variables, driving anger and aggression on predicting aggressive driving behavior. The sample population consisted of 168 male drivers with an age range of 19–30 years old and the average driving experience of 9 years. All participants filled out the self-reported scales that assess driving anger, aggression dimension, and driving behaviors. Based on the participants' responses to the trait-anger dimensions in Spielberger State-Trait Anxiety Inventory, they were re-categorized in three driving anger categories of high-trait-anger, medium-trait-anger, and low-trait-anger. All of the participants had a driving certificate. The main results of this research indicate that: (1) for almost all variables, the effect of anger was significant; (2) anger situation had a contribution in the prediction of lapse, errors, and violations; (3) demographic variables, driving anger, and aggression were all involved in predicting driving behavior in a complementary manner; and (4) aggression was the best predictor of violations. Future research is recommended to continue to investigate the effect of various environmental, social, psychological, and personality factors on risky driving behaviors in order to identify treatment and prevention strategies for this societal concern.

    Keywords: Driving Anger, Aggression, Driving Behavior}
  • Mohammad Khandan, Alireza Koohpaei, Ali Asghar Farshad, Amir Hamta, Fatmeh Danesh, Shahram Vosoughi*
    Background & Aims of the Study
    The implementation of safety principles in work environments can directly benefit both employees and the organization by reducing the mental and physical strain, reducing the risk of work-related injuries, and performance improvement. Thus, with the consideration and implementation of safety principles, and the creation of a positive safety climate, organizations can improve their performance and the welfare and safety of their employees. The purpose of this study was to design and provide a domestic questionnaire of safety climate assessment at universities of Health Ministry in 2018-19.
    Materials and Methods
    This descriptive-analytical study was carried out with the participation of health and safety specialists, methodologists and personnel of the universities of medical sciences. Universities and people were selected randomly. The validity of the questionnaire was measured by CVI and CVR analysis and then the structural validity was studied by factor analysis using R ،MPLUS and SmartPLS softwares. Also, to test the reliability of the questionnaire, test-retest test and Cronbach's alpha coefficient used. The analytic methods T and Mann–Whitney were used in SPSS V20 software to measure predictive value.
    Results
    By forming a group, the Focus Group methodology was used and reached to 37 questions. The test-retest showed a correlation of 0.96 with a one-week interval. Then, data from 265 people were analyzed for exploratory factor analysis. Two questions were deleted. Therefore, a final questionnaire includes 35 questions with five-point Likert scale responses, was obtained. The output of this analysis identified seven subscales for the questionnaire. The reliability of the questionnaire was tested with Cronbach's alpha and was 0.909. The analysis of predictive validity of difference in safety climate and its components between two groups of with and without experience of occupational accident indicated that commitment and performance of management in the field of safety, and environment and conditions of work was significant (P<0.05).
    Conclusion
    The findings indicated that the questionnaire was acceptable. Since human resources are the main and vital part of organizations, recognizing the status of the organization from their viewpoint is important to them. In the area of safety, it is also necessary to have an instrument for assessing its available atmosphere. This instrument can help managers to plan for the future. It is worth noting that other factors and places can also be investigated in future studies.
    Keywords: safety, safety climate, university, Iran}
  • شهرام وثوقی، محمدحسین چالاک*، سجاد رستم زاده، فرشته طاهری، علی اصغر فرشاد، مسعود مطلبی قاین
    زمینه و هدف

    کارگران صنایع ساخت وساز به دلیل ماهیت پویای فعالیت ها و تغییرات لحظه ای شرایط کار در مقایسه با سایر صنایع در معرض خطرات بیشتری قرار دارند. سقوط از ارتفاع در پروژه های ساخت و ساز به عنوان یکی از مهمترین عوامل مرگ و میر کارگران در صنایع ساختمانی است و بخش مهمی از برنامه های ایمنی پروژه های ساختمانی را تشکیل می دهد. هدف از این مطالعه بررسی و شناسایی عوامل موثر بر حوادث سقوط از ارتفاع و تعیین روابط علی و معلولی میان عوامل موردنظر در پروژه های ساختمانی با استفاده از تکنیک دیمتل فازی بود.

    روش بررسی

    در این تحقیق توصیفی-پیمایشی، از اطلاعات موجود در سیستم مدیریت یکپارچه پروژه های عمرانی منتخب و نتایج مطالعات قبلی استفاده شد. جامعه آماری در این مطالعه کارگران 5 پروژه ساختمانی در حال احداث بودند. در ابتدا براساس بررسی متون علمی عوامل و زیرعوامل موثر بر بروز حوادث کار در ارتفاع در پروژه های عمرانی تعیین گردید. آنگاه از تکنیک دیمتل فازی به عنوان یک رویکرد برای شناسایی روابط علت و معلولی میان عوامل استفاده گردید. این تکنیک یکی از روش های تصمیم گیری بر اساس مقایسات زوجی مبتنی بر قضاوت خبرگان می باشد. این روش براساس این فرض می باشد که یک سیستم شامل مجموع ای از معیارها است و مقایسه زوجی روابط میان این معیارها میتواند به وسیله معادلات ریاضی مدلسازی شوند. براساس این تکنیک ماتریس مقایسات زوجی عوامل و زیرعوامل تشکیل و به 10 نفر از متخصصین ایمنی و بهداشت ارسال گردید. سپس دیدگاه متخصصین با استفاده از روش میانگین فازی تجمیع و روابط علی-معلولی بر اساس آن تعیین گردید.

    یافته ها

    نتایج حاصل از این تحقیق نشان داد که عوامل سازمانی و فردی در میان دیگر عوامل اصلی تاثیرگذار بر حوادث سقوط از ارتفاع به عنوان عوامل علی هستند؛ به عبارت دقیق تر این موضوع حاکی از تاثیرگذاری بالای عوامل سازمانی و فردی بر دیگر عوامل موثر بود. همچنین، در میان زیرعوامل مختلف تعهد مدیرت، فرهنگ ایمنی، نظارت و بازرسی، اندازه سازمان/پروژه، تحصیلات و ارتفاع سکوی کار بیشترین تاثیرگذاری را در بروز حوادث سقوط از ارتفاع داشته و به عنوان متغیرهای علی در نظر گرفته شدند.

    نتیجه گیری

    سقوط از ارتفاع به عنوان یکی از مهمترین حوادث منجر به فوت و صدمات جسمانی در پروژه های ساختمانی محسوب می شود. یافته های این مطالعه نشان داد که توجه بیشتر به عوامل سازمانی و ابعاد آن به عنوان علل پنهان و اثر گذار جهت پیشگیری از حوادث سقوط از ارتفاع ضروری است، زیرا سازمان مهمترین نقش را در طراحی فرآیندهای کاری، طرح ریزی و اجرای سیستم مدیریت ایمنی، نشان دادن تعهد به ایمنی و جلب مشارکت کارکنان، انتخاب بهترین افراد با توجه به الزامات ایمنی و بهداشت پروژه را دارد. نتایج حاصل از مطالعه نشان داد که لازم است به تعهد مدیریت و ایجاد آگاهی در نیروی کار از طریق آموزش در پروژه های ساخت و ساز توجه بیشتری شود. از اینرو، توجه بیشتر به عامل سازمانی و زیرعوامل آن در صنعت ساخت و ساز جهت پیشگیری از حوادث سقوط از ارتفاع ضروری است.

    کلید واژگان: سقوط از ارتفاع, تکنیک دیمتل فازی, پروژه های ساختمانی, کارگران}
    Shahram Vosoughi, Mohammad Hossein Chalak*, Sajjad Rostamzadeh, Fereshteh Taheri, Ali Asghar Farshad, Masoud Motallebi Ghayen
    Background and aims

    All construction projects carry some levels of risk. The construction projects involve numerous uncertainties, multiple intricacies, varies techniques, and divergent environments. So that, workers in the construction industry are at greater risk because of the dynamic nature of the activities and momentous changes in working conditions in comparison with other industries. The construction projects involve many factors, interdependencies, and correlations, which makes determination of exact cause and effect very difficult. Therefore, these factors play a significant role in decision making and may affect performance of a project.
    The construction process frequently requires workers to work at height. The risks associated with working at height are often increased by adding accessibility and mobility restrictions. Falling from height is one of the most important causes of workers' fatality in the construction industries and constitutes a paramount part of the safety plans in the construction projects. Identifying the effective factors and sub-factors in the occurrence of this accident will be helpful in setting priorities for preventing and providing solutions in reducing their severity. The purpose of this study was to investigate and identify the factors and sub-factors affecting falling from height accidents and to determine the cause and effect relationships among them in the construction projects, using the fuzzy-DEMATEL technique.

    Methods

    In order to carry out this descriptive-analytical study, information of the Occupational Health and Safety (OHS) department of five construction projects have been used. The statistical society of the present study was the workers of five construction projects of a gas refinery in the south of Iran, which 4000 people, on average, were involved in these projects from 2011 to 2015. After reviewing the scientific literature, project reports, and guidelines, factors and sub-factors affecting the occurrence of falling from height accidents in the construction projects were determined based on the experts opinions. Snowball method was used to identify experts and determine the statistical society. Fuzzy-DEMATEL technique, as one of the methods of decision making based on paired comparisons, was used to identify the cause and effect relationships among factors and sub-factors. Based on this technique, the pairwise comparison matrices of the factors and sub-factors were formed and sent to 10 health and safety experts. Next, the views of experts were aggregated via the mean fuzzy method, and then the cause and effect relationships were determined based on them. The step-by-step process of the research is as follows: 
    Step 1: Identifying research factors and sub-factors
    All of the reported events were investigated between 2011 and 2015 and 74 out of 377 occupational accidents were considered as falling from height accidents. Considering the information of OHS department and literature review of effective factors in the occurrence of construction accidents, 70 factors and sub-factors were identified as effective factors in falling from height accidents. According to the objectives of the study and status of the projects, the identified factors and sub-factors divided to 3 main factors (organizational, individual, and environmental factors) and 14 sub-factors (management commitment, safety culture, mutual understanding, supervision/inspection, and size organization/project as an organizational factors; education, training hours, personal protective equipment (PPE), age/experience, and psychological/occupational stresses as an individual factors; thermal stress, interference, level smoothness, work platform height as an environmental factors).
    Step 2: Data analysis and use of DEMATEL technique
    In this research, Fuzzy-DEMATEL technique was used to construct a sequence of extracted data. This technique is one of the decision making methods based on pair comparisons with the benefit of expert’s judgment. The concept of this approach is based on the assumption that a system consists of a set of criteria and the pairwise comparisons of relationships between these criteria can be modeled by mathematical equations. DEMATEL technique is an approach to identify the cause and effect relationships among multiple factors in order to properly understand the problem. In general, it is very difficult to determine the opinion of experts with precise numerical values, especially in terms of uncertainty since the results of the decision depend heavily on unclear and subjective arbitrary judgments. These uncertainty conditions have led to the introduction of a fuzzy logic in the metamaterial technique. Therefore, in the Fuzzy-DEMATEL technique, fuzzy language is used which facilitates decision making in uncertainty conditions [37]. All calculations were performed in Excel (version 2013). The steps to implement this technique have been presented step-by-step based on the study of Li et al.
    I) Calculation the direct relation matrix:After gathering the experts' view, a fuzzy direct relationship matrix ( ) was formed and the fuzzy mean method was used to aggregate the views of experts. Assuming that n experts have expressed their idea about the relationship between the indices and each component of the fuzzy direct matrix is displayed by then by can be calculated from Eq. (1) as follows: 

    II) Normalizing the direct relation matrix:To normalize the values of the direct contact matrix, of each row must be calculated. Then, the fuzzy normal matrix ( ) can be calculated from Eq. (2) by dividing each component of by the maximum attained :
    III) Calculation of the total-relation matrix
    To calculate the total-relation matrix, the fuzzy normalized matrix is divided to three definite matrices as follows:
    Then, the identify matrix is formed and the following operations are performed:
    Then, the fuzzy total-relation matrix is computed by using Eq. (4).

    Results

    The results of this research showed that among the main factors, organizational and individual factors were known as causal factors, which indicates importance of these factors and their impact on other effective factors in falling from height accidents. On the other hand, among various sub-factors, the management commitment, safety culture, monitoring and inspection, organization/project size, education, and work platform height had the highest effects on the falling from height accidents and were considered as causal variables. In the present study, management commitment, as one of the organizational sub-factors, had the highest impact and was considered as a causal variable.
    According to the findings of this study, it can be concluded that four organizational sub-factors of mutual understanding, management commitment, safety culture and organization/project size, one individual sub-factor of education, and work platform height as an environmental sub-factor had the significant impact and were among the causal variables, while the rest of sub-factors were the effect variables. Also, the monitoring/inspection sub-factor has the highest interaction with and impact on other sub-factors.

    Conclusion

    Falling from height is considered as one of the most important accidents, leading to death and physical injuries in construction projects. The findings of this study showed that a greater attention to organizational factors and their dimensions (as hidden and effective causes to prevent falling from height incidents) is necessary since an organization plays an important role in the design of work processes, design and implementation of safety management systems, commitment to safety and employee participation, and choosing the best people according to the requirements for the health and safety programs of the projects. The results of this study also showed that it is necessary to pay more attention to the management commitment and awareness of the workforce by training them in the construction projects. Hence, a greater attention to organizational factors and their sub-factors in the construction industry is essential for preventing falling from height incidents. Therefore, more attention to the organizational factor and its sub-factors in the construction industry is required to prevent falling from height accidents.
    Keywords: Falling from height, Fuzzy-DEMATEL technique, Construction projects, Workers.

    Keywords: Falling from height, Fuzzy-DEMATEL technique, Construction projects, Workers}
  • Shahram Vosoughi*, Sajjad Rostamzadeh, Ali Asghar Farshad, Fereshteh Taheri, Hashem Vahabzadeh, Monshi
    Exposure to Whole Body Vibration (WBV) is one of the most important risk factors for musculoskeletal disorders (MSDs), which drivers are likely to report non-specific health complaints. The purpose of this study was to investigate the association between whole body vibrations with musculoskeletal disorders among intercity mini-buses drivers.
    80 intercity mini-bus drivers were participated in this study. The values of the frequency-weighted Root Mean Square (RMS), Vibration Dose Values (VDV) and Crest Factor (CF) was measured using the SVAN-958 and the SV39A/L accelerometer, in accordance with ISO 2631-1. ANOVA, Post-hoc analysis, and correlation tests were used to analyze the obtained data using SPSS 23.
    This study show that the overall equivalent acceleration 𝐴𝑒𝑞(𝑇) difference in various studied models of minibuses was significant (P<0.01), so that the mini-buses model 2011 have the lowest acceleration (0.88 m/s2), whereas the 2009 model have the highest value (0.96 m/s2). POST hoc analysis and Bonferroni method show that there was a significant difference between three models of the mini-buses (P<0.01-F=4.90). Also, there was a significant correlation between pain in different areas of the body with values of exposure daily vibration, expressed in terms of 8-h, respectively (P<0.001).
    There was sufficient evidence to prove the relationships of whole body vibration with MSDs. In addition, the lifetime of minibuses production is introduced as one of the effective factors in transmitting vibration to drivers.

    Keywords: Upper Extremity, Musculoskeletal Disorders, Mini-Bus, Overall Equivalent Acceleration, Vibration Dose Value, Crest Factor}
  • Ali Asghar Farshad, Roksana Mirkazemi*, Ali Falahati, Seyed Hosein Tabatabaei, Fereshteh Taheri, Shidrokh Ghaemi Mood
    Background

    Health needs assessment (HNA) is essential for allocation of limited resources to the most prioritized problems. HNA in work places has gained increasing importance. Kaveh industrial city is the largest and oldest industrial city in Iran, with a wide range of different industries, making it an exemplary industrial city in Iran. This study was done to conduct health needs assessment of workers in Kaveh industrial city. 

    Methods

    In this study, intensive HNA approach and qualitative method were used. In-depth interviews and Focus Group Discussions (FGDs) were conducted to collect information related to health risk factors, and Delphi method was used to prioritize these risk factors. A total of 74 key informants participated in this study, which constituted more than 80% of the total related experts of Kaveh industrial city.

    Results

    The main identified health challenge was inefficiency of the existing Health, Safety and Environment (HSE) control and monitoring system. The most important physical health risk factors were smoking and obesity and the most prioritized psychosocial risk factors were stress and lack of appropriate management and organizational culture. Ergonomic issues and noise pollution were the prioritized work environmental factors and inappropriate placement of pollutant industries in the industrial city was the most prioritized bioenvironmental risk factor. Unsafe road to industrial zone and poor safety devices used by workers were the most prioritized occupational injuries risk factors.

    Conclusion

    Addressing the identified health needs of workers in Kaveh industrial city is of high importance. Also, redefining the HSE control and monitoring system should be prioritized.

    Keywords: Health needs assessment, Health promotion, Workers health, Industrial city}
  • علی اصغر فرشاد، رکسانا میرکاظمی*، فرشته طاهری، شیدرخ قائمی مود، بیتا هدایتی، یوسف فقیه نیا ترشیزی
    زمینه و هدف
    علم سنجی بروندادهای علمی را ارزیابی می کند. مجله سلامت کار ایران به انتشارتولیدات علمی در حوزه ارتقاء سلامت شغلی می پردازد. این مطالعه با توجه به اهمیت سلامت شاغلین ، به علم سنجی مجله سلامت کار ایران به عنوان یکی از منابع مهم ارائه تولیدات علمی در این زمینه می پردازد.
    روش بررسی
    مطالعه با روش تحلیل استنادی ، محتوایی و نمونه گیری به روش سرشماری انجام شد. کلیه مقالات منتشر شده در این مجله ، بین سالهای 1392-1395 بررسی شد. تحلیل محتوایی با مقایسه محتوای مقالات با الویت های پژوهشی در حوزه سلامت در ایران انجام گردید. شاخص های تعداد نویسندگان، وابستگی سازمانی نویسندگان، نوع مقالات ، نویسنده و مراکزی که بیشترین تعداد مقالات را داشته اند، بررسی گردید. تحلیل داده ها با نرم افزار SPSS ورژن 19 انجام گرفت.
    یافته ها
    متوسط زمان دریافت تا پذیرش مقاله در طی این سال ها، از 304 روز به 56 روز رسید. بیشترین مقالات چاپ شده، پژوهشی بوده و فراوان ترین موضوعات، ارگونومی و پس از آن ایمنی بود. بیشترین مقالات توسط مردان و گروه نویسندگان ارائه شده است. ضریب تاثیر این مجله در سایت Scopus از سال 2012 تا 2016 از 03/0 به 18/0 افزایش یافته است.
    نتیجه گیری
    کارایی مجله سلامت کار ایران، در بررسی مقالات دریافتی طی این سال ها افزایش یافته است. الویت موضوعات چاپ شده در مجله با الویت های پژوهشی در بهداشت کار در ایران تطابق دارد. این مجله در این سال ها در بین سازمان های مختلف کشور، شناخته تر شده است.
    کلید واژگان: علم سنجی, مجله سلامت کار ایران, انتشارات علمی}
    Ali Asghar Farshad, Roksana Mirkazemi*, Fereshteh Taheri, Shidrokh Ghaemi Mod, Bita Hedayati, Yoosef Faghihnia Torshizi
    Background and Purpose
    Scientometrics assesses scientific outputs. Iran Occupational Health Journal is dedicated to providing scientific evidence for improving occupational health. Based on the importance of occupational health, this study aimed to do Scientometrics analysis of Iran Occupational Health Journal as one of the important sources of scientific production in this field.
    Methodology
    The study was conducted using citation and content analysis and census method as sampling method. All published articles between 1392 and 1395 were reviewed. Content analysis was performed by comparing the content of the articles with the research priorities in field of health in Iran. The indexes such as the number of authors, the author's organizational affiliation, the type of articles, the author and the centers that had the highest number of articles were reviewed. Data analysis was done by SPSS software version 19.
    Findings
    During these years, the average receipt time to accept articles ranged from 304 days to 56 days. Most published articles were research articles, and the most abundant subjects were ergonomics and then safety. Most articles are provided by men and group authors. The impact factor of this magazine in Scopus has increased from 0.03 to 0.18 from 2012 to 2016, t.
    Conclusion
    The efficiency of Iran Occupational Health Journal has increased in reviewing the received articles over the years. The priorities of published subjects in the journal are in agreement with the research priorities for occupational health in Iran. Over the years, the magazine has become known among different organizations in the country.
    Keywords: Scientometrics, Iran Occupational Health Journal, Scientific Publication}
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