Background: Nurses are the largest group of health care providers to the injured people and promoting their preparedness is among the basic principles of health management in incidents and disasters. This study was conducted to investigate the effect of the implementation of the national program for hospital preparedness on the readiness of nurses under simulated conditions of incidents and disasters. Materials and Methods:This quasi-experimental study with pretest-posttest design was conducted on the head nurses of Madaen Hospital in Tehran who were selected by total count sampling method. To collect data, demographic and disaster preparedness and response questionnaires were used, which consisted of three parts: knowledge, attitude, and performance. The intervention program was conducted in the form of a 2-day workshop of disaster management along with toptable exercise. Then preparedness of nurses were measured before and one month after the intervention. Data analysis was done with SPSS 18 and descriptive and inferential statistical tests were performed. Significant level was considered at less than 0.05.Results: There were no significant differences between the two groups of intervention and control with regard to the average scores of knowledge (P = 0.55), attitude (P = 0.633), and performance (P = 0.836) before the intervention. After the intervention, the average scores of knowledge (P = 0.007), attitude (P = 0.0001), and performance (P = 0.0001) in the intervention group were significantly higher than those of the control group. The results also showed that after the intervention, the average test scores of knowledge (P = 0.009), attitude (P = 0.0001), and performance (P = 0.0001) in the intervention group increased significantly compared to their pretest scores, while the average scores of knowledge (P = 0.170), attitude (P = 0.200), and performance (P = 0.341) for the pretest and posttest of the control group did not differ significantly. Conclusion:The results of this study showed that education of national hospital preparedness program under simulated conditions of incidents and disasters increased knowledge, attitude, and performance (preparation) of nurses in response to the incidents and disasters.
Background: Hospitals are highly vulnerable to fire because of the presence of vulnerable people (patients, medical staff, and visitors), expensive equipment, and the ignorance and low-risk perception of occupants. Injuries caused by fire can result in life and financial losses and can disrupt the performance of a hospital. Fire risk assessment is an effective way to assess vulnerability, capacity, and capability. This study aims to evaluate the risk of fire and identify the effective factors and their contribution to a hospital. Materials and Methods: This cross-sectional study was conducted using the Fire Risk Assessment Method for Engineering (FRAME) in the equipment room of a hospital in Qazvin, Iran. The fire risk was first calculated by using the related formulas in Excel software. Then, the influential factors and their contribution to the overall risk were determined to perform corrective measures for reducing the risk. Results: The numerical value of risk for the building and its contents, occupants, and activities were 2.075, 3.315, and 2.481, respectively (>1), indicating its unacceptable level. Factors affecting the potential risk level for the building and its content and occupants were fire load, venting, and access. Regarding the acceptable risk level, the activation factor was identified as an influential factor in all domains. The highest contribution in the potential risk level for the building and its content and occupants was related to the fire load factor (1.6). In the acceptable risk level, the highest contribution was related to the activation factor (0.4). Conclusion: The FRAME method can also identify effective factors and their contribution to the overall fire risk of medical centers such as hospitals to help develop plans and special measures to reduce the risk.
The study knowledge and awareness of farmer about application and usage of sulphur as a micro-nutrient was undertaken to measure the farmers knowledge about sulphur application and usage as well as their awareness about the effect of sulphur on growth, yield and quantity. The study was carried out in Talala taluka of Gir Somath district at Gujarat comprising of 150 farmers. For selection of sample, multistage random sampling technique was used. Knowledge index, standard deviation and mean analysis were used for the study purpose. It was found that majority of the farmer had medium level of knowledge about application and usage of sulphur and were aware about the effect of sulphur on growth but less about the effect on yield and quality.
Background and Objectives: Educational environments are the most effective factors for physical growth, mental development, and learning of students. The purpose of this study was to investigate the environmental health status of schools in Saleh Abad district -Mehran city-using national indicators in 2017. Materials and Methods:This descriptive cross-sectional study was conducted in 2017. Sampling was done by census method and collection tool was a checklist for assessing the health status of the school environment.The information was gathered by interviewing and direct observation. Excel software was used to describe the statistics and drawing the figures. Results:The overall health status of individual, building, safety, and equipment in the schools were 46.4%, 61.1%, 39.6%, and 79.3%, respectively, in accordance with the environmental health regulation. Conclusion:The status of the doors, windows, and the floor of the schools courtyard was not in accordance with the regulations, which requires more attention from authorities and actions to improve the situation.
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