بررسي ميزان آگاهي، نگرش و عملكرد كاركنان در زمينه بهداشت، ايمني و محيط زيست در يكي از بيمارستان‌هاي آموزشي دانشگاه علوم پزشكي ايران (1391-1392)

Assessing the healthcare Workers’ Knowledge, Attitude, and Practice toward Health, Safety, and Environment in an Educational Hospital Affiliated by Iran University of Medical Sciences (2012-2013)

زمينه و هدف: سيستم بهداشت، ايمني و محيط ­زيست در بيمارستان به لحاظ اقتصادي، انساني و اخلاقي از اهميت بسياري برخوردار است. جهت پياده ­سازي اين سيستم در بيمارستان دارا­ بودن آگاهي و نگرش مطلوب و به ­دنبال آن عملكرد مناسب كاركنان نسبت به­اين مقوله مهم مي­باشد. اين مطالعه با هدف تعيين­ ميزان آگاهي، نگرش و عملكرد كاركنان در ­زمينه بهداشت، ايمني و محيط­­زيست انجام گرفت. روش بررسي: در اين مطالعه توصيفي مقطعي تعداد 435 نفر پرسنل شاغل در بيمارستان متشكل از پزشكان، پرستاران، كاركنان پاراكلينيك و اداري و پشتيباني به عنوان نمونه انتخاب وپرسشنامه­ اي 60 سؤالي با 20 سؤال در هر يك از حوزه هاي آگاهي، نگرش و عملكرد در زمينه HSE طراحي گرديد و پس از حصول اطمينان از اعتبار آن، در اختيار پرسنل مذكور قرار گرفت. يافته‌ها: نتايج تحقيق نشان داد ارتباط مستقيمي بين ميزان تحصيلات فرد با ميزان نگرش وي وجود دارد (P<0/05 ). ارتباط معناداري ميان سن با آگاهي، نگرش و عملكرد كاركنان وجود نداشت (0/05

Background and Objective: Health, Safety, and Environment (HSE) in hospital settings is of importance due to the economic, Humanity and ethical issues. To stablish this system in hospital, the attitude and knowledge, and eventually the practice of hospital staff toward this issue is important. This study was conducted to assess the knowledge, attitude, ad practice of healthcare workers toward health, safety, and environment. Method: The study had a prospective descriptive cross-sectional design. The study population included 435 physicians, nurses, para-clinic and administrative staff working in a teaching hospital affiliated by the Iran University of Medical Sciences. Knowledge, attitude, and practice of included participants were assessed using a standardized 60-item questionnaire. Findings: The knowledge, attitude, and practice of participants differed between different job categories and between different hospital wards. In overall, higher level of education found to be significantly related to the higher attitude toward the health safety and environment (P<0.05). The knowledge and practice did not show any difference between male and female participants. The age of participants did not found to be related to knowledge, attitude, or practice. High levels of knowledge and attitude was not positively correlated with practice. Period while in the validation period these coefficients were 0.77 and 0.73, respectively. Conclusion: The findings of the study emphasize a suboptimum level of knowledge and practice in the field of health safety, and environment among hospital staff. We suggest using continuing education standards, positive and negative reinforcements, and constant evaluation and monitoring as effective tools for increasing the knowledge and practice of hospital staff in health safety and environment.