a b s t r a c tThe important concepts of safety climate and occupational burnout have been widely addressed by healthcare professionals. However, few researchers conducted comprehensive and detailed studies to investigate the relationship between safety climate and burnout, especially in healthcare organizations. The purpose of the study is therefore to investigate and establish a relationship between safety climate and occupational burnout. In addition, the relationship between job and socio-demographic characteristics (JSDC) with both safety climate and burnout is examined. In the present study a cross-sectional design was conducted using questionnaires to measure safety climate, occupational burnout and JSDC of nurses while descriptive, inferential statistics, path analysis and structural equation modeling (SEM) were applied to test the relationships between the three parameters. The findings show a significant relationship between safety climate and unit type, job satisfaction, job interest, and stress. Likewise, there is a strong relationship between the lack of personal accomplishment and job satisfaction, job interest and stress. Also, safety climate has a strong correlation with both the frequency and the severity of occupational burnout dimensions. The results of the SEM also support a negative correlation between occupational burnout and safety climate, where a decrease in the latter is associated with an increase in the former.
BackgroundVisitation is one of the most critical needs of patients in intensive care units (ICUs). Clinicians should enable a more flexible visitation policy to prevent the adverse effects of a restricted approach.Aim and objectivesThis study aimed at investigating the relationship between increasing visitation time and patients' physiological parameters in intensive units. Additionally, nurses' beliefs and attitudes towards visiting is examined in this research.DesignParallel randomized clinical trial.MethodsThis study was conducted in four general medical ICUs in Iran. In total, 60 patients and 57 nurses participated in this study. The patients' physiological parameters were measured at particular times in both groups. Moreover, the nurses responded to the questionnaire on beliefs and attitudes towards visitation in intensive units before and after the intervention.ResultsAmong all the physiological parameters, systolic and diastolic blood pressure and heart rate had a significant decrease within the normal range 10 and 30 minutes after visiting in the intervention group (P < .05), and nurses' beliefs and attitudes score were at the middle of the survey scoring range (0‐120). However, no significant difference was found between nurses' belief and attitude score and intervention in any groups (P > .05).ConclusionThe findings indicate that increasing visitation times can lead to a positive effect on the stability and balance of patients' physiological parameters.Relevance to clinical practiceA more flexible visiting policy can provide a therapeutic environment where not only patients' physiological disorders are minimised as much as possible but also a higher level of patients' health and satisfaction are reached.
The ANFIS algorithm was proposed for modeling and predicting of PSC for healthcare organizations. The results confirm the capability of the proposed model to predict patient safety grades in healthcare settings.
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