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Introduction: Surgeons are one of the most significant jobs in the health care system that plays an important role in the patients' health promotion and their treatment. In the current study, the effect of mental workload on the work performance of surgeons was tested by considering the mediating effect of fatigue on this relationship. Method: This study was done analytically on 165 surgeons working in the operating rooms of hospitals in Iran. To determine of mental workload, the SURG-TLX method was used. The job performance was measured using the short version of the job performance questionnaire provided by the World Health Organization (WHO-HPQ), and accordingly relative presenteeism, relative absenteeism and job performance variables were calculated. The Swedish Occupational Fatigue Inventory (SOFI) questionnaire was used to determine occupational fatigue. A conceptual model was built to determine the direct and indirect relationship between mental workload and job performance, and the mediating effect of occupational fatigue on the relationship between mental workload and job performance was tested using structural equation modeling (SEM). Results: Out of 165 distributed questionnaires, 140 questionnaires were completed and delivered to the researchers (85% response rate). The mean ± standard deviations of mental workload, fatigue, and work performance were 16.57 ± 5.83, 6.32 ± 2.86, and 0.65 ± 0.28, respectively. The results of model fit indexes revealed that all indexes are within the acceptable range. Regarding this model, the direct effect of mental workload on job performance was not significant (ß = -0.21; p = 0.072). A significant positive relationship was observed between mental workload and fatigue (ß = 0.36; p < 0.001). The direct effect of fatigue on job performance was also the opposite and statistically significant (ß = -0.39; p < 0.001). Finally, results indicated that the effect of mental workload on work performance mediated by occupational fatigue. Conclusion: Surgeons suffer a high level of mental workload during their work, and this factor can have a negative effect on surgeons' job performance. The effect of mental workload on job performance in surgeons can be detected, directly and indirectly, through the mediating effect of occupational fatigue. Improving the mental and physical conditions of the work environment can reduce occupational fatigue and improve surgeons' job performance.
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BACKGROUND: Musculoskeletal disorders (MSDs) are known as one of the main problems affecting the health of industrial workers and can lead to lost working days, functional disability of workers and wasting the financial resources of an organization. Therefore, the present study aimed to evaluating the effect of ergonomic interventions on reducing MSDs and improving working posture in the in a foundry industry workers. METHODS: A field multicomponent cross-interventional study was conducted on workers working in a foundry industry. In this study, 117 male workers were divided into 4 groups, including a control group, a group with specialized ergonomics training, a group with workstation intervention, and a group simultaneously undergoing training and workstation intervention. All 4 groups were evaluated during a period of baseline, 6 and 12-months follow- up. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and direct observations of working postures by using the Quick Exposure Check (QEC) method were used. RESULTS: The results showed that the implemented interventions in the shoulder/arm, back and stress level were effective and the difference in the final score was significant among different groups (P-value > 0.05). In addition, the interventions led to a significant decrease in the QEC scores and musculoskeletal symptom scores in the neck, shoulder, lower back, knee, and lower leg regions among different groups (P-value > 0.05). CONCLUSION: The results showed that workstation modification and training and workstation intervention simultaneously had a greater effect on MSDs and improving working posture compared to training alone.
Asunto(s)
Enfermedades Musculoesqueléticas , Enfermedades Profesionales , Humanos , Masculino , Enfermedades Profesionales/etiología , Enfermedades Profesionales/prevención & control , Enfermedades Musculoesqueléticas/prevención & control , Ergonomía/métodos , Cuello , PosturaRESUMEN
Heavy metals have several adverse effects on the workers' bodies due to their accumulation in the vital organs. Besides that, the current study aimed to assess the health risk of exposure to metal fumes for furnace operators working in a foundry industry based on the three different methods. The current sectional descriptive-analytical research conducted on a foundry industry in Isfahan (Iran) in 2022. Three common methods currently available, including the Semi-Quantitative Risk Assessment Method (SQRCA) and two methods provided based on the US-EPA provided technique, were used in this study. At first, the extent of people's exposure to metal fumes of Fe, Ni, Cr, and Mn was measured. Then, the chemical risk assessment of exposure to these metals' fumes was done using the three methods, and their results were compared. The SPSS Ver.25 has been used for data analysis and comparison in the current study. Results indicated that the furnace operator's exposure to all four metals was above the allowed limit of occupational exposure. The chemical risk assessment results also showed that in the first method (US-EPA-based), the risk of exposure for all workers was acceptable, while in the second method (SQCRA), the risk level of a majority of workers was medium, and in the third method (US-EPA-based), the risk level of a majority of workers was not acceptable. Comparing the methods showed that average risk scores in the first and second methods were significant compared to the exposure to fumes with equivalent concentration (Pvalue<0.05). The average score of carcinogenicity risk in method 3 was significant compared to the concentration of chromium and nickel (P-value < 0.05), but it was not significant for iron and manganese and the non-carcinogenic risk of chromium and nickel. Chemical exposure risk level for the furnace operator was approximately moderate in all three methods. In terms of complexity and information required to implement the method, all three methods were almost the same, with the difference that the results of the first method cannot be generalized to other people who have the same job conditions because individual information such as a person's weight is used to calculate its score.
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A field intervention study was implemented to evaluate the effects of individual (physical exercise programme and worker ergonomics training) and organisational changes (optimising work-rest schedule and revised task procedure) on musculoskeletal outcomes and their exposure risks among milking workers in a dairy plant. A questionnaire survey (including the Cornell Musculoskeletal Discomfort Questionnaire [CMDQ]) and direct observations of working postures by using the Quick Exposure Check (QEC) method were used at baseline and 12-month follow-up. Shoulder, lower back and neck discomfort were found to be the most common problems. The results showed significant improvements in the frequency (neck, shoulder, lower back, forearm and knee symptoms), severity (shoulder, lower back and knee symptoms) and interference with work (particularly due to lower back symptoms) as well as in the exposure risks to musculoskeletal problems (using the QEC method) after the intervention. The findings support the effectiveness of implemented multiple component intervention for improving musculoskeletal health and exposure risks in the studied occupational group.