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Davood Afshari, Shakiba Babakhani Farshkar, Maryam Nourollahi-Darabad, Maryam Seyedtabib,
Volume 13, Issue 1 (Iranian Journal of Ergonomics 2025)
Abstract

Objectives: Adverse events, defined as errors occurring during nursing care, have become one of the most serious threats to patient safety and quality of care in hospitals. The present study aimed to investigate the role of various factors influencing adverse events among nurses.
Methods: An analytical epidemiological study was conducted on 360 nurses working in public hospitals in Ahvaz. Data were collected using a personal information questionnaire, an environmental factors checklist, the standardized Patient Safety Culture questionnaire, the NEO Personality Inventory, the Copenhagen Psychosocial Questionnaire assessing psychosocial work factors, and a standardized adverse events checklist. Data analysis was performed using the SPSS and SMART PLS software.
Results: The most frequently reported adverse events were complaints from patients or their families, while surgical wound infections were reported less frequently. Additionally, 31 nurses (8.6%) reported more than 20 adverse incidents in the past 12 months. The developed model indicated that environmental noise significantly affects both patient safety culture and adverse events, and psychosocial factors influence patient safety culture; however, patient safety culture alone did not significantly affect the occurrence of adverse events.
Conclusion: Overall, the prevalence of adverse events among the studied nurses was high. Exposure to environmental noise and psychosocial factors substantially impacts patient safety culture. These findings can inform strategies to improve adverse event management and enhance patient safety culture.

Shafe Abbasi, Roghaye Lotfi Esfahanjegh, Farideh Babakhani,
Volume 13, Issue 4 (Iranian Journal of Ergonomics-In Press 2026)
Abstract

Background and Objectives: Footwear for foot support is recognized as a product for managing musculoskeletal disorders, and prolonged use of inappropriate shoes can have negative health consequences. Despite the growing use of these shoes in Iran, there is limited evidence regarding the associated clinical and practical challenges. Examining the experiences of vendors can help identify barriers to the supply and use of this product and provide practical data to improve prescription practices, consumer education, and the quality of clinical care.

Methods: This qualitative, ergonomics-focused study examined the challenges and opportunities of using foot-supportive footwear in Iran from the perspective of vendors. Data were collected using a modified Anderson questionnaire, validated by three orthotics and prosthetics specialists, and completed by 10 vendors. Thematic analysis of the data highlighted the needs and challenges related to foot-supportive footwear in the Iranian market.

Results: Athletes, individuals with normal weight, and those with forefoot deformities report the highest satisfaction with foot-supportive footwear, whereas people with conditions such as severe flat feet or back pain without custom insoles face challenges. Additionally, foot scanning and the design of personalized insoles play a crucial role in improving comfort and reducing foot pain.

Conclusion: Foot-supportive footwear, when designed and used ergonomically, can improve the function of foot muscles. However, individuals with back pain, high arches, heel spurs, corns, or various types of blisters should use them with caution, as improper use may exacerbate pain and worsen clinical symptoms.


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