جستجوی مقالات مرتبط با کلیدواژه « اتاق عمل » در نشریات گروه « پزشکی »

Clinical education is an essential part of medical science education and the climate in clinical environments is one of the influential factors in the quality of clinical education. Therefore, this study was conducted with the aim of determining the educational climate of the operating rooms from the perspective of residents, operating room, and anesthesiology students of Ardabil University of Medical Sciences in 2023.

In this cross-sectional study, all the residents from different fields, operating room students, and anesthesiology students with at least one semester of operating room experience were studied through the census survey method. Data was collected using the demographic characteristics questionnaire and the educational climate of the operating room questionnaire of Igor et al. (2022). Data were analyzed using SPSS v.26 using centrality indices, dispersion and chi-square tests, t-test, and ANOVA.

The results showed that the majority of students (98.7%) rated the educational climate of the operating rooms as average. The areas of the educational climate in this study were technically average but not optimal. The scores for educational processes and operating room infrastructure were lower than standard values (p<0.05). There were significant differences between educational climate with gender (p=0.003) and age (p=0.001). The perception of the educational climate for anesthesiology students was lower than that of other students (p=0.001).

The results showed that the educational climate of the operating rooms was not favorable from the perspective of students. There was a weakness in the educational process and operating room infrastructure. Educational authorities are recommended to address the existing problems to improve the educational atmosphere of the operating rooms and improve the quality of clinical education.

Waste anesthetic gases (WAGs) are known as one the most important air pollutants in operating rooms. This study was to evaluate occupational exposure to WAGs in the operating room of a hospital in Shiraz, Iran, by measuring the urine concentration of nitrous oxide, isoflurane, and sevoflurane. 

This is a descriptive-analytical study with a cross-sectional design that was conducted on 60 people divided into two groups of 30 including exposed group (operating and recovery rooms staff) and non-exposed or control group (administrative staff). Urine samples were collected at the end of the morning shift (after at least three hours of exposure). Urine samples were analyzed by gas chromatography–mass spectrometry method (Agilent 5977B device, paired with a headspace autosampler.  Data analysis was conducted in SPSS software, version 21. 

Urinary concentrations of nitrous oxide, isoflurane, and sevoflurane were found to be 175.8±77.52 μg/L (ranged 7.98-319.91), 4.95±3.43 μg/L (ranged 0.78-14.9) and 15.0 3±16.06 μg/L (ranged 0.76-46.40).

The operating room personnel of the selected hospital are exposed to high concentration of WAGs (nitrous oxide, isoflurane and sevoflurane).

Introduction</strong>: Clinical education as one of the critical educational stages has a crucial role in the training and education of human resources and professional future. This study was designed and conducted to investigate the factors affecting the quality of clinical education and compare the views of anesthesia and operating room students in this field.
Methods</strong>: In this descriptive cross-sectional study, 126 students were selected by non-random and quota methods. The data collection was carried out by a standardized questionnaire which included two sections: demographic data and the second section which involved: objectives and training program, instructor’ performance, communication between the instructor and the operating room staff, educational environment, monitoring and evaluation of clinical education. Data analysis was performed by using SPSS software version 21, Chi-square, Fisher's exact, independent t-test and Friedman test.</span>
Findings</strong>: From the students' point of view, the average of clinical education was at a medium level and according to the chi-square test, operating room and anesthesia of disciplines showed no significant difference among different dimensions of clinical education quality and its levels (P≥0.05</span>). The results of the Friedman educational environment test were ranked first and the instructors were ranked last but according to Friedman test, the educational environment was in the first grade and the instructors were in the last.
Conclusion</strong>: Considering the effect of clinical education in students’ professional abilities shaping, it is suggested that in addition to reviewing and eliminating the shortcomings and deficiencies of this field by the officials, increasing the scientific and practical competence of the instructor should be considered and besides that accurate formulation and implementation clinical education objectives and programs in accordance with students’ needs should be given priority in educational planning.</span>

Musculoskeletal disorders are among the common problems in most work environments and work ability is considered a factor affecting the performance and productivity of employees. In the present study, the status of these two components and their relationship with each other in the staff working in the operating room were investigated.

The current cross-sectional study was conducted in the winter of 2023. In this research, 96 employees working in the operating rooms of government hospitals in Hamadan, Iran were enrolled by census sampling method based on the inclusion criteria. The data were collected through the Nordic standard questionnaire and the work ability index questionnaire. The collected data were analyzed in SPSS software (version 24) at two levels of descriptive (frequency, mean, and standard deviation) and inferential (t-test) statistics.

In this study, 4 (4.2%) of the participants had one musculoskeletal disorder and the remaining 91 personnel (95.8%) had more than one disorder in their musculoskeletal systems. Average work ability index was 42.3±04.91. The results of the independent t-test showed that the work ability index among people with pain in the neck (P=0.003), shoulders (P=0.001), elbows (P=0.038), back (P=0.011), knees (P=0.001), and legs (P=0.002) were less than those without pain in these organs.

Results indicated the need to pay more attention to the implementation of ergonomic work environment and management interventions to reduce the prevalence of musculoskeletal disorders and thereby increase the efficiency and effectiveness of personnel.

The clinical skills of surgical technologists, in the role of scrubs and circulars, play an essential role in the success of surgery; Therefore, this study was conducted to examine the clinical skills of orthopedic surgical technologists in the operating room of selected hospitals of Isfahan University of Medical Sciences.

Methods and Materials:

 This study was conducted as a cross-sectional analysis. 26 surgical technologists working in the orthopedic operating room, who met the inclusion criteria, were selected and included in the study through convenient sampling method. Data collection tool was a researcher-made checklist of clinical skills that included 85 items with a 4-point Likert scale (50 questions related to the circular person and 35 questions related to the scrub person).

The average age and work experience of the participants in this study were 29.38 ± 4.95 and 6.42 ± 5.72, respectively. Most of the participants were female (73.1%), most of them had a bachelor’s degree (92.3%) and they were in the workforce (50%). The average clinical skill scores of operating room technologists in the role of circular (in the range of 0-150) and scrub (in the range of 0-105) were 137.27 ±11.24 and 99.69 ± 5.06, respectively. Moreover, they were at the optimal level. The results showed that th average clinical skill scores are more in women than men; however, the t-test did not show a significant difference between the two groups (P=0.56). There is also a significant negative relationship between age and work experience with circular and scrub skills(P<0.001).

The results of this study showed that the orthopedic surgical technologists of selected hospitals in Isfahan have optimal clinical skills in both circular and scrub roles. In addition, there is a significant correlation between factors such as age, gender, and work history and education level with the clinical skills of the personnel. Therefore, it is suggested to plan and implement specialized training courses by respected hospital officials to improve the clinical skills of orthopedic surgical technologists in both circular and scrub roles and achieve an ideal level of skills.

One of the basic principles in the safety of drug therapy for patients is the correct registration and labeling of anesthetic drugs, which can lead to the reduction of drug errors, the increase of drug and patient safety, the reduction of drug consumption and the environment, and the optimization of hospital costs.

This descriptive-analytical and cross-sectional research was conducted in February 2022 in the operating rooms of Iran University of Medical Sciences hospitals. The participants included 177 Anesthesia experts working in the hospitals’ operating rooms, who were included in the study by census method. The data was collected using the checklist for evaluating anesthetic drug registration and labeling guidelines and analyzed using SPSS software and one-way ANOVA, Fisher, and Pearson correlation coefficient statistical tests. The significance level was considered P value < 0.05.

The average compliance with the guidelines for registration and labeling of anesthetic drugs in all hospitals was 3.559 out of the total score of 16. The average adherence to guidelines in 8 hospitals was significantly different from each other (P < 0.001). Hazrat Ali Asghar Hospital had the highest compliance rate, averaging 10.333 out of 16. Firouzgar and Shahid Akbarabadi hospitals were in the next rank, averaging 10.11 and 6.65, respectively. There was a negative and significant correlation between the level of compliance with the guidelines and the average work experience and age of the experts (P=0/17); However, gender did not significantly correlate with the degree of adherence to the guidelines(P=0/596).

According to the obtained results, compliance with the guidelines for registration and labeling of anesthetic drugs in most hospitals was assessed as weak and at an unfavorable level. Considering the importance of this issue in reducing medication errors and increasing patient safety, it is necessary to use empowerment and retraining courses for Anesthesia experts according to the latest guidelines.

Training and improving the surgical team's awareness of radiation protection is necessary to prevent severe and irreparable damage. Therefore, the purpose of the present study was to compile and psychometrically evaluate (content and face validity) the educational booklet on the principles of radiation protection to promote the knowledge and culture of radiation safety of the operating room staff and prevent injuries.

 The current research is a methodology carried out in Iran University of Medical Sciences in 2022-2023 in three stages: first, the content of the educational booklet was selected based on the needs of the target audience, and the related articles and sources were reviewed. Then, the initial draft of the educational manual was designed and prepared. After that, expert judges in related fields as well as anesthesia and operating room technologists evaluated the formal and content validity of the manual. The content validity index at the item level (I-CVI) and the content validity index at the scale level (S-CVI) equal to or greater than 0.78 and 0.9, respectively, were considered as criteria for validity of the booklet. The binomial test was used to check the reliability of the content validity index of the items so that the significance level was 0.05 and the expected agreement ratio was 0.8. Data were analyzed using SPSS 26 software.

In this research, 22 experts in related fields and 22 anesthesia and operating room technologists with an average work experience of 13.8±4.3 years and 15.6±6.3 years participated, respectively. After sending and receiving the draft version of the booklet along with its evaluation scale, the specialists and experts participating in the study were given the minimum values of I-CVI and S-CVI values for the desired scale items to check the face validity and content of the booklet. According to experts, it was equal to 0.9 and 0.97, respectively. The minimum observed agreement ratio of the binomial test was 0.9, which was more than the expected agreement ratio (0.8). The values of I-CVI, S-CVI, and agreement ratio between anesthesia and operating room technologists were all equal to 1.

The present educational booklet has an acceptable form and content validity based on the research findings. Therefore, it can be used as a simple tool to promote radiation safety culture and prevent radiation damage in operating rooms.

Operating room is a stressful workplace. Therefore, the present study aimed to examine the structural model of the relationship between psychological well-being and critical thinking with strategies to deal with stressful situations in operating room personnel, considering the mediating role of family process and content. The present research is a descriptive and correlational study. The statistical population included all operating room personnel in Mashhad, Iran as of 2023 winter; 200 operating room personnel were selected as the study sample. To measure the variables, the Family Process and Content Questionnaires, Psychological Well-Being Scale, Critical Thinking Questionnaire and Index Questionnaire for Dealing with Stressful Situations were adminsitered. Data analysis was done using structural equation modeling with Amos22 and SPSS 22 software. The results of the structural equation model showed that the family process played a mediating role in the relationship between critical thinking and problem-oriented and avoidance-oriented strategies. Also, family content played a mediating role in the relationship between critical thinking and avoidance coping strategy (p <0.05). Finally, the results showed that the content of the family and the family process did not play a mediating role in the relationship between psychological well-being and strategies for coping with stressful situations (p >0.05). According to the results obtained from the research, it is suggested to use family therapy workshops for operating room personnel.

Operating room students are very similar in terms of  learning abilities and talents, but there is a significant difference in their academic progress during the academic year, which can reflect the difference in their academic motivation. Considering the importance of the motivation for progress, the learning-learning process, the planning and implementation of educational programs, the present study aims to "investigate the relationship of academic motivation with the expectations and outcomes of undergraduate students operating room operative in Khuzestan province ".

This descriptive cross-sectional study was carried out with the participation of 225 students of operating rooms of universities in different cities of Khuzestan province and using stratified sampling method. Then the demographic information form, the academic motivation questionnaire and the students' outcomes-expectations questionnaire were completed by the students. Data were analyzed using descriptive and analytical statistics.

The results showed that 83.6% of the students had a very good motivation, 15.6% had moderate motivation and 9.9% had moderate motivation. Percentage was poorly motivated. The mean and standard deviation of academic motivation score in all students were 135.62 ± 25.15, respectively. Finally, the relationship between all the sub-scales of academic motivation and the outcome of the outcome between Khuzestan operating room students in all academic years is significant.

Considering the significant relationship between academic motivation and expectation-outcome among students in operating room of Khuzestan province in general, motivational factors affect academic achievement. Obviously, educational systems should increase their efforts to promote students' academic motivation, education, and related components - inclusive, learner, environment and educational facilities.

One of the most important measures to reduce errors in operating rooms is to identify the causes of errors and their risk factors. The present study was conducted with the aim of determining the factors affecting the occurrence of errors and the barriers to reporting them from the perspective of surgical technology and anesthesia students at Alborz University of Medical Sciences, 2022.

This is a cross-sectional descriptive study in which all verified undergraduate surgical technology and anesthesia students were enrolled by census method. Data collection tools included demographic data and factors affecting the occurrence of errors, and barriers to error reporting questionnaires. Collected data were analyzed using SPSS software version 26, descriptive, and analytical statistics with a significant level of 0.05.

270 undergraduate surgical technology and anesthesia students took a part in this study. Findings indicate that the mean of the factors affecting the occurrence of errors was 2.62±0.74, and for the factors affecting error reporting it was 2.90±0.92. The highest mean score related to the field of environmental factors (2.82±0.85) among the factors affecting the occurrence of errors; and the scope of the reporting process (3.04±1.01) was one of the barriers to reporting errors.

The results of this study showed providing standard clinical training fields can have a significant impact on reducing the occurrence of errors. On the other hand, reforming the error reporting process and encouraging students to report errors should also be a priority for the management of educational and therapeutic centers.

Communication skills are considered as the most important feature required for health care workers and provide the basis for the development of professional ethics. Since working in the operating room requires team effort and establishing communication between team members, the importance of communication skills in operating room nurses is more visible. Therefore, in the present study was performed, with the aim of determining the effect of virtual training on the principles of professional ethics on communication skills of operating room staff of Ayatollah Kashani and Hajar hospitals of Shahrekord University of Medical Sciences.

A quasi-experimental study with a single-group plan before and after in 2020 was performed on 35 operating room staff of Kashani and Hajar teaching hospitals in Shahrekord who were selected by random sampling. Demographic information questionnaire and Queen Dam communication skills questionnaire were used to collect the data. Data analysis was performed by SPSS software using independent t test, Analysis of variance, paired t-test and ANOVA statistics.

Paired t-test showed that the mean of communication skills after the intervention was significantly different from before (P<0.001). The mean of communication skills before the intervention was 65.85±24.52 and after the intervention was 139.77±5.70. No significant relationship was reported between communication skills and age, service history and number of working hours (P>.0.05). Also, there was no significant difference in the average of communication skills according to the variables of gender, marital status, field of study and degree (P>0.05).

The present study showed that professional ethics training was able to improve the communication skills of employees. Therefore, it seems necessary to compile virtual professional ethics training for health care providers and other groups providing health services who do not have enough time to participate in face-to-face classes. According to the results obtained, managers of health systems are recommended to use strategies such as holding workshops on the principles of professional ethics to develop communication skills in their employees.

The study of workload was initially focused on physical workload, but today, with the change in job characteristics, studies are mainly focused on mental workload. This study has investigated the level of mental workload, fatigue, and possible influential factors in operating room personnel.

This descriptive-analytical and cross-sectional study investigated the factors affecting mental workload and fatigue in operating room personnel of hospitals. The data was collected with demographic, CIS20R, and NASA-TLX questionnaires. Statistical analysis was performed with Pearson correlation tests, one-way analysis of variance, and independent t-test.

This study's maximum and minimum total mental workload were 100 and 41.2, respectively, with an average of 74.3. Among the demographic characteristics, the level of education had a significant correlation with the total mental workload. Also, some sub-scales of mental workload had a significant relationship with some demographic characteristics. This study's maximum and minimum total fatigue was 97 and 28, respectively, with an average of 58.4. Among the different dimensions of mental workload, performance and the degree of frustration had a significant relationship with total fatigue.

The results of this study showed that the mental workload in operating room personnel is high and different dimensions of mental workload and fatigue have a significant relationship with each other. Also, some demographic characteristics affect mental workload. Therefore, mental workload and fatigue are related to each other, and by reducing the mental workload in the operating room personnel, fatigue can be controlled to some extent.

Hospital operating rooms during pandemics, new guidelines are needed to perform surgeries safely and effectively.

In this systematic meta-analysis study, articles published in the first half of 2020 were reviewed. In order to obtain related scientific documents, electronic search in Persian and English using the keywords Covid-19, operating room, surgery, epidemic in the databases of SID, Magiran, IranMedex, PubMed, Science Direct, Web of Sciences and Google scholar and extracting 144 articles Based on the purpose and relevance of the study results, the remaining 10 studies were reviewed.

Based on the results of the studies, personnel training, patient transfer management, management of Covid-19 dedicated operating room, infection control measures, reduction of surgeries to emergency cases, establishing a team and comprehensive approach to the case are the most important key areas studied. They were in the operating room.

A review of previous studies suggests that a well-codified and accurate plan for performing non-delayed and emergency surgical procedures in Covid-19 positive patients is mandatory. Hospitals should develop their internal protocols and provide adequate staff training involved in surgery and care for patients with Covid-19.

Health workers are at the forefront in the diagnosis, treatment, and care ofpatients with COVID-19, which can increase the psychological burden, stress, and anxiety of staff. Thepurpose of this study was to determine job stress and related factors of the operating room staff duringthe COVID-19 pandemic.

This descriptive study was performed on the operating room staff of hospitals inGuilan province in 2021. The variables evaluated in this study included the relationship between age,gender, marital status, level of education, the field of study, employment status, and anxiety. In order tocollect data in this study, the standard SPIO job stress questionnaire was used and the data were analyzedusing an independent t-test.

In this study, 120 people in the age range of 47-23 with a mean age of 31.47±8.79 years participated.Men had less stress than women and married people showed more stress. In terms of job status,officially employed people had the least stress and people who served in the military had the moststress. In terms of field of study, anesthesiologists showed the highest stress level, and the operatingroom had the lowest score. In terms of education level, those with a master’s degree had the highestscore, and those with an associate degree showed the lowest score.

The results of this study showed that with age, job stress also increases and in terms of gender,women had more stress. In terms of marriage, married people showed more stress, which could bedue to having a family and the stress of the family being infected with the virus. In terms of job status,officially employed people showed less stress, in terms of field of study, people with a degree in anesthesiahad more stress, and in terms of education, people with a higher degree showed more stress.

Patient safety is one of the global concerns, as adverse events have many irreparable consequences. Among the challenges in improving patient safety is the preparation of medical students. Operating room as one of the main units of the hospital which covers the most important stage of patient's treatment is important to observe patient safety. Therefore, this study was conducted to determine the effect of virtual patient safety education on attitude and clinical practice of operating room technology students of Iran University of Medical Sciences.

The present study was a quasi-experimental study. 48 students of operating room technology were present in 1398. Students' attitude and clinical performance scores before and after training were measured using adaptation questionnaire and researcher-made checklist and data was analyzed by SPSS 16 software using paired t-test.

Before intervention, mean and standard deviation of attitude and performance scores were 56.55 ± 11.10 and 54.89 ± 24.01 which reached to 71.09 ± 9.92 and 78.70 ± 10.53. Paired t-test results showed that there was a significant difference between attitude score and performance before and after the intervention (p <0.001).

The results of this study help hospital managers to improve the attitude and performance of operating room staff, to maintain patient safety and to institutionalize a safe atmosphere and to improve the quality of service delivery and reduce adverse events.

The curriculum of Operating Room Master of Science in Iran is novel, so it requires constant evaluation as well as quality assurance and promotion. The present study aimed to comparing the curricula of Master of Science in Operating Room in Iran and Master of Perioperative Nursing in selected Australian universities.

Necessary data was collected through an extensive search in Websites of universities of Melbourne, Adelaide and Latrobe and correspondence with them, English and Persian databases between 2000 -2020. The four-step model of George Beredy was used to assessment the curriculum.

The most important characteristics of the Australian postgraduate Curricula were lack of entrance exams, full-time and part-time education, at least two years of nursing work experience in operating rooms as a licensed practical nurse. The number of courses was more with flexibility in choosing courses. While in Iran Taking the Iranian University Entrance Exam, non-consideration of operating room work experience, and not entering the orientation or specialization in the graduate encyclopedia, Full-time education were features of the senior operating room curriculum.

Comparing Iranian and Australian educational systems revealed a significant difference in programs and Curricula offered in both countries. In order to eliminate the shortcomings and promote the field in Iran, it is recommended to the planning officials, to pay attention to the clinical work experience, to use the capacity of the selective-specialized unit and the dissertation in order to become specialized, different research methods and to offer some special courses in virtual form.

The goal of medical science, which is progressing on a daily basis, is not only to avoid diseases but also to increase the quality of life of people (1). Quality of life is an important indicator of health beyond physical health and includes the feeling of healthiness, some degree of satisfaction and the general sense of self-worth (2), namely a mental state of well-being that can be influenced by culture, value system and the stressful environment (3). According to WHO definition, the quality of life is people's understanding of their position in life in terms of culture, value system in which they live, their goals, expectations, standards and priorities (4), which is affected in different ways by social, economic, environmental and individual factors (5). In fact, economic, psychological, social and environmental factors (6), as well as age, health status, occupation (7), gender, culture, education along with general behavioral, job and adaptation elements can influence the quality of life (8). Failure to pay attention to quality of life can lead to disappointment, reduction in social, cultural, economic, and health activities, loss of work motivation, decreased job performance, occupational burnout and early retirement (8, 9). On the other hand, paying attention to quality of life increases efficiency and reduces psychological pressures (10). Quality of life is one of the most important aspects of human health, and improving the health of employees may reduce medical costs, disability and absenteeism, improve job satisfaction and increase productivity (9, 11(.The operating room is a closed environment associated with risks and anomalies, which can be considered a unit with environmental factors of stress causing dissatisfaction with personal responsibilities and professional work of surgical technologists, which may lead to physical and mental disorders adversely affecting a person's health and quality of life (13). Because we need employees who enjoy their high quality of life in order to provide satisfactory health care (14), the physical, mental health and emotional management of staff should not be neglected (15). In the operating room, the common goal of the surgical team is to provide effective, systematic and safe care, and failure of each member to perform their role can have a serious impact on the success of the entire team, and on the other hand, the success of an individual as a member of the team creates personal satisfaction in him/her (16) because surgical technologists are responsible for maintaining safety and comfort for patients in the operating room (17). Any negligence on the part of technologists may endanger the life of patients. According to the search for sources on this issue in Iran and abroad, it was observed that there were limited studies on quality of life of surgical technologists. Therefore, the researcher decided to conduct the present study with the aim of determining the quality of life and its related factors among surgical technologists of the medical training hospitals affiliated with Iran University of Medical Sciences.                                                                                        

In this cross-sectional study that was conducted in hospitals affiliated with Iran University of Medical Sciences hospitals, 125 surgical technologists were recruited. Inclusion criterion was holding an associate or bachelor degree in surgical technology. The cluster sampling method was used, in which each of the centers was considered a separate cluster. According to the number of staff in the center, the personnel IDs of individuals were written on small sheets of paper. Then, the IDs were randomly selected by a person outside the study, the number was matched with that in the staff list, the desired person was chosen and sampling completed. A total of 150 questionnaires was distributed among surgical technologists in hospitals. The data were collected using demographic information questionnaire (age, gender, marital status, work experience, type of shift work, level of education, income, night shift hours per month and employment status) as well as 26-item WHOQOL-BREF. After obtaining permission from Research Vice-Chancellor (ethics code IR.IUMS.REC 1395.9411101009), OR was visited to collect data. The research goal was explained to all the research units, and there was no compulsion to participate in the study. In all stages of the research, the utmost confidentiality was observed for personal information, and anonymous questionnaires were completed as self-reports by the research units themselves in presence of the researcher. The normal distribution of data was confirmed by Kolmogorov-Smirnov test in SPSS-22. The results of descriptive analysis for qualitative variables were reported using frequency (percentage). The values of variables related to different dimensions of quality of life in each level of the studied variables were reported using mean±SD. To examine the relationship between different dimensions of quality of life with the studied variables, independent t-test was used for two-level qualitative variables, and one-way ANOVA was employed for qualitative variables with more than two levels. Bonferroni's post hoc test was used for pairwise comparisons. To investigate the effect of each variable on different dimensions of quality of life by controlling the effect of other variables, we used linear regression analysis, so that the significant variables entered at 0.2 level in univariate analysis. P<0.05 was considered the significance level in the rest of tests.

The participants of this research were 125 surgical technologists. More than half of the research units (52%) were <30 years, 40.8% were 30-40 years and the rest >49 years. The majority of research units (79.2%) were women and the rest were men. The mean and standard deviation of the quality of life was 63.10 ± 18.57; quality-of-life score in dimension of physical health was 54.77 ± 18.87, social health 54.60 ± 18.07, mental health 54.40±14.19, and environmental health 48.27±12.25, which shows that the lowest quality of life score of research units was related to the environmental dimension. By controlling the effect of each of the dependent variables, the variables of marital status and time of night shift had a significant effect on the level of physical health, so that after controlling the effect of night shift variable, the physical health score of married people was on average 13.23 units higher than single people [B=13.23, SE=2.96, P=<0.001, 95%CI= (7.36, 19.09)]. Also, after controlling the effect of the variable of marital status, physical health score of people who had >36 hours of night shift per month was on average 8.73 points lower than those who had <12 hours of night shift per month [B=- 8.73, SE=4.01, P=0.031, 95% CI= (-16.66, -0.790)].

The quality of life of surgical technologists was at an average level, and it was lower than other dimensions in the environmental dimension. Married people had a higher quality of physical health than unmarried people, and physical health was lower in those who had >36 hours of night shift per month relative to people with <12 hours of night shift per month.

Operating room staff provide specialized care to the patients. Their compliance with the COVID-19 infection prevention and control guidelines can reduce the risk of contracting the disease. The present study aims to assess the compliance of operating room staff with the COVID-19 infection prevention and control guidelines in Iran.

This is a descriptive analytical study with a cross-sectional design that was conducted on 876 operating room staff in 10 cities of Iran in 2021. Sampling was done using a multi-stage cluster method. In the first stage, 10 cities (clusters) were selected. Then, three hospitals accepting patients with COVID-19 in each city were selected by simple random sampling method (using lottery method). The data collection tools were a demographic form and a researcher-made questionnaire assessing the compliance with the COVID-19 infection prevention and control guidelines in the operating rooms, which were completed online by the participants. The collected data were analyzed in SPSS software, version 26 using descriptive (Mean±sd) and inferential (chi-square test) statistics.

The Mean±sd age of the participants was 28.5±5.4 years. The majority of them were female (82.3%) and single (52.6%). The mean score of compliance was 42.29±7.11; 6.5% had low compliance, 59.4% had moderate compliance, and 34.1% had high compliance with the guidelines. The highest level of compliance was in the dimension of personal protective equipment instructions and the lowest level was in the dimension of surgical type instructions. There was a significant correlation between participation in training courses and the level of compliance with the guidelines (P=0.002).

The compliance of the Iranian operating room staff with the COVID-19 infection prevention and control guidelines is at a moderate level. To increase their compliance, it is recommended that hospital managers provide standard protective equipment and hold training courses for improving their knowledge of guidelines.

Productivity is recognized as an essential factor in the growth of the organization. Identifying factors that can boost productivity is consistent with the primary objectives of any organization. The purpose of this study was to determine the relationship between the productivity of operating room specialists and their job satisfaction in educational and therapeutic hospitals affiliated with the Maragheh University of Medical Sciences.

Methods and Materials: 

A descriptive and analytic study was conducted on 58 operating room technologists employed by the Maragheh educational hospital in 2022. This study has been performed through census sampling method. Data were collected through three demographic profile questionnaires, the Minnesota Job Satisfaction Standard Questionnaire (MS), and the Hersey and Goldsmith Productivity Standard Questionnaire. The data were analyzed using descriptive and inferential methods including Pearson’s test. SPSS software version 26 was used to analyze the gathered data. P-values below 0.05 were considered statistically significant.

The average age of the participants was 33.01±7.04 in the study. Most of them were women (82.8%), and they had bachelor degree in operating room (50%). The level of job satisfaction was average and the level of productivity was low. The mean and standard deviation for productivity and job satisfaction were 71.55±15.25 and 71.77±13.54, respectively. There is a statistically significant and direct relationship between job satisfaction and the productivity of the operating room staff of Maragheh Medical University Hospitals (P<0.001, R=0.680).

The importance of productivity to the success of the organization should be considered by the administration. Considering the relationship between high productivity and employee job satisfaction, particularly among operating room technologists, managers can place greater emphasis on motivating personnel to increase their job satisfaction in order to achieve high productivity in the operating room which is the heart of the hospital.

Surgical smoke (SS), is caused by the use of high temperature devices such as electrocautery, laser and ultrasonic scalpel, which are used for cutting and coagulation of tissue during surgery, is considered as a serious threat to the health of operating room (OR) personnel. Various studies have identified the workplace safety climate as one of the main causes of the occurrence or prevention of occupational hazards. This study was conducted with the aim of Perceived Safety Climate (PSC) in ORs and its relationship with the awareness of the OR staff about the SS hazards.

This cross-sectional study was conducted from April 2021 to July 2022 in the ORs of 26 public hospitals affiliated to Tabriz University of Medical Sciences. In this research, 396 surgical and anesthesia technologists were included in the study by stratified random sampling. Data were collected using a demographic questionnaire, PSC questionnaire and awareness about the hazards of SS questionnaire and analyzed using SPSS software

The knowledge of the OR staff regarding the hazards of surgical smoke was evaluated at a moderate level with a mean and standard deviation of 9.82±4.32 (range 0 to 21). The average knowledge score of surgical technologists (11.1±4.56) regarding the hazards of surgical smoke was significantly higher than the average score of anesthesia technologists (8.75±4.1)(P=0.02). The PSC in the OR was evaluated at moderate level with a mean and standard deviation of 62.15±11.1 (range 19 to 95). The results of linear regression analysis showed that the effect of PSC in increasing the awareness of OR staff about the hazards of SS was significant (P=0.001). By increasing one score to the total score of the PSC, the awareness score increases by 0.201.

The safety climate of the OR can predict the awareness of the hazards of SS among OR staff. It is recommended to adopt strategies such as educating personnel about the hazards of SS and how to prevent it, creating a suitable supportive environment for personnel, and providing suitable protective facilities to prevent OR staff from being exposed to SS.