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From
the Editor |
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Editorial
A. Abyad (Chief Editor) |
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Original contribution/Clinical Investigation
Diabetes Mellitus
- Knowledge, Management and Complications: Survey
report from Faisalabad-Pakistan
Ijaz Anwer, Ahmad Shahzad, Kashmira Nanji, Farah
Haider, Muhammad Masood Ahmad
Alanine aminotransferase
indicates excess weight and dyslipidemia
Mehmet Rami Helvaci, Orhan Ayyildiz* Mustafa
Cem Algin, Yusuf Aydin, Abdulrazak Abyad, Lesley
Pocock
Comparative Analysis of Antimicrobial Peptides
Gene Expression in Susceptible/Resistant Mice
Macrophages to Leishmania major Infection
Hamid Daneshvar, Iraj Sharifi, Alireza Kyhani,
Amir Tavakoli Kareshk, Arash Asadi
Does
socio-economic status of the patients have effect
on clinical outcomes after coronary artery bypass
grafting surgery?
Forough Razmjooei, Afshin Mansourian, Saeed
Kouhpyma
Comparison of the uterine
artery Doppler indices during pregnancy between
gestational diabetes and diabetes mellitus and
healthy pregnant women
Nazanin Farshchian, Farhad Naleini, Amir Masoud
Jaafarnejhad,
Parisa Bahrami Kamangar
Survey single dose
Gentamicin in treatment of UTI in children with
range of 1 month to 13 years old in Jahrom during
2015
Ehsan Rahmanian, Farideh Mogharab,
Vahid Mogharab
Evaluation of control of
bleeding by electro cauterization of bleeding
points of amplatz sheath tract after percutaneous
nephrolithotomy (PCNL) in Jahrom Peymanieh hospital
during year 2015-2016
Ali Reza Yousefi , Reza Inaloo
Comparison of the three-finger
tracheal palpation technique with triple ID
formula to determine endotracheal tube depth
in children 2-8 years in 2016-2017
Anahid Maleki, Alireza Ebrahim Soltani, Alireza
Takzare, Ebrahim Espahbodi,
Mehrdad Goodarzi , Roya Noori
Effect of Sevoflurane
and Propofol on pulmonary arterial pressure
during cardiac catheterization in children with
congenital heart diseases
Faranak Behnaz, Mahshid Ghasemi , Gholamreza
Mohseni, Azim Zaraki
Population and Community Studies
Prevalence
and risk factors of obesity in children aged
2-12 years in the Abu Dhabi Islands
Eideh Al-Shehhi, Hessa Al-Dhefairi, Kholoud
Abuasi, Noora Al Ali, Mona Al Tunaiji, Ebtihal
Darwish
Study and comparison
of psychological disorders in normal students
and students with multiple sclerosis in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad
Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani
Comparative
study of self-concept, physical self-concept,
and time perspective between the students with
multiple sclerosis and healthy students in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad
Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani
Relationship
between Coping Styles and Religious Orientation
with Mental Health in the Students of the Nursing-Midwifery
Faculty of Zabol
Nasim Dastras, Mohsen Heidari Mokarrar, Majid
Dastras, Shirzad Arianmehr
Tuberculosis in Abadan,
Iran (2012-2016): An Epidemiological Study
Ali-Asghar ValiPour, Azimeh Karimyan, Mahmood
Banarimehr, Marzieh Ghassemi, Maryam Robeyhavi,
Rahil Hojjati,
Parvin Gholizadeh
Family Stability and Conflict
of Spiritual Beliefs and Superstitions among
Yazdi People in Iran: A Qualitative Study
Zahra Pourmovahed , Seyed Saied Mazloomy Mahmoodabad
; Hassan Zareei Mahmoodabadi ; Hossein Tavangar
; Seyed Mojtaba Yassini Ardekani ; Ali Akbar
Vaezi
A comparative
study of the self-actualization in psychology
and Islam
Simin Afrasibi, Zakieh Fattahi
The effectiveness
of cognitive - behavioral therapy in reducing
the post-traumatic stress symptoms in male students
survivors of earthquake in the central district
of Varzeghan
Sakineh Salamat, Dr.Ahad Ahangar, Robab Farajzadeh
Reviews
Effects and mechanisms
of medicinal plants on stress hormone (cortisol):
A systematic review
Kamal Solati, Saeid Heidari-Soureshjani, Lesley
Pocock
Comparing Traditional
and medical treatments for constipation : A
Review Article
Mohammad Yaqub Rajput
A review of anti-measles
and anti-rubella antibodies in 15- 25 year old
women in Jahrom City in 2011
Ehsan Rahmania , Farideh Mogharab, Vahid Mogharab
Review of percutaneous
nephrolithotomy in children below 12 years old
in Jahrom hospital, during 2010-2014
Ali Reza Yousefi , Reza Inaloo
Physical and
mental health in Islam
Bahador Mehraki, Abdollah Gholami
International Health Affairs
The Challenges of Implementation
of Professional Ethics Standards in Clinical Care
from the viewpoint of Nursing Students and Nurses
Saeedeh Elhami, Kambiz Saberi, Maryam Ban, Sajedeh
Mousaviasl, Nasim Hatefi Moadab, Marzieh Ghassemi
Cognitive Determinants
of Physical Activity Intention among Iranian Nurses:
An Application of Integrative Model of Behavior
Prediction
Arsalan Ghaderi, Firoozeh Mostafavi, Behzad Mahaki,
Abdorrahim Afkhamzadeh,
Yadolah Zarezadeh , Erfan Sadeghi
Effect of resilience-based
intervention on occupational stress among nurses
Hossein Jafarizadeh, Ebrahim Zhiyani, Nader
Aghakhani, Vahid Alinejad, Yaser Moradi
Education and Training
Calculation of Salaries
and Benefits of Faculty Members in the Ministry
of Health and Medical Education of Iran
Abdolreza Gilavand
The effect of education
on self-care behaviors of gastrointestinal side
effects on patients undergoing chemotherapy
Shokoh Varaei, Ehsan Abadi Pishe, Shadan Pedram
Razie, Lila Nezam Abadi Farahani
Creating and
Validating the Faith Inventory for Students
at Islamic Azad University of Ahvaz
Solmaz Choheili, Reza Pasha, Gholam Hossein
Maktabi, Ehsan Moheb
Creating
and Validating the Adjustment Inventory for
the Students of Islamic Azad University of Ahvaz
Homa Choheili, Reza Pasha, Gholam Hossein Maktabi,
Ehsan Moheb
Evaluating
the Quality of Educational Services from the
Viewpoints of Radiology Students of Ahvaz Jundishapur
University of Medical Sciences
Abdolreza Gilavand, Jafar Fatahiasl
An Investigation
of Psychosocial aspect of Iranian Nursing Students'
Clinical Setting
Mahsa Boozaripour , Zanyar Karimi, Sima Zohari
Anbohi, Amir Almasi-Hashiani, Fariba Borhani
Clinical Research and Methods
Comparison of the
Antibacterial Effects of Chlorhexidine Mouth
washes with Jaftex Mouth wash on Some Common
Oral Microorganisms (An in Vitro Study)
Ebrahim Babadi, Zahra Bamzadeh, Fatemeh Babadi
Study of the effect
of plasma jet on Fusarium isolates with ability
to produce DON toxins
Elham Galin Abbasian, Mansour Bayat, Arash chaichi
Nosrati, Seyed Jamal Hashemi, Mahmood Ghoranneviss
The comparison of
anti-inflammatory effect in two methods of topical
dexamethasone injection and topical application
of ginger alcoholic extract after removing mandibular
wisdom teeth
Sahar Zandi, Seyyed Muhammadreza Alavi, Kamran
Mirzaie, Ramin Seyedian, Narges Aria, Saman
Jokar
The effect of curcumin
on growth and adherence of major microorganisms
causing tooth decay
Leila Helalat, Ahmad Zarejavid, Alireza Ekrami,
Mohammd Hosein Haghighizadeh, Mehdi Shiri Nasab
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Chief
Editor -
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Abyad
MD, MPH, MBA, AGSF, AFCHSE
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November 2017
- Volume 15, Issue 9 |
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Effect of resilience-based
intervention on occupational stress among nurses
Hossein Jafarizadeh (1)
Ebrahim Zhiyani (1)
Nader Aghakhani (2)
Vahid Alinejad (3)
Yaser Moradi (4)
(1) MSc in
nursing, Patient safety research center, Urmia
University of Medical Sciences, Urmia, Iran
(2) Ph.D. in nursing, assistant professor, Patient
safety research center, Urmia University of
Medical Sciences, Urmia, Iran
(3) Department of Biostatistics, Urmia University
of Medical Sciences, Urmia, Iran
(4) Ph.D. Student in Nursing, Nursing and Midwifery
school, Hamadan University of Medical Sciences,
Hamadan, Iran
Corresponding author:
Yaser Moradi
Nursing and Midwifery school,
Hamadan University of Medical Sciences,
Hamadan, Iran
Email:
Yasermoradi1045@yahoo.com
Abstract
Background:
Resilience is one of the most important
factors that can affect nurses occupational
stress. The purpose of this study was
to determine the effect of a resilience-based
intervention on occupational stress in
nurses at Tekab Shohada Hospital in 2016.
Materials &
Methods: This research was quasi-experimental
and implemented using pre-test/ post-test
design. All nurses working in Shohada
Hospital in Tekab city (n=60) were the
subjects of this study. Firstly, by referring
to the hospital, the occupational stress
questionnaire was distributed to the study
subjects and a pre-test was obtained from
them. In the next step, the nurses were
trained in 5 sessions of 1 hour, twice
a week in groups of 30 people in two shifts
of morning and evening at the conference
hall of the hospital. After collecting
post-test data, data were analyzed using
SPSS / 16 software.
Results:
There was a significant difference in
the level of occupational stress and its
components between the pre-test and post-test
of the studied subjects after the intervention
(P< 0/001).
Conclusion:
Holding resilience training courses
can help reduce nursing job stress and
help to adapt individuals to existing
changes.
Key words:
Resilience-based Intervention, Occupational
stress, Nurse
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The phenomenon of occupational stress is one
of the major problems that has been encountered
by human societies over the last decades and
with the gradual shift of societies towards
modern life [1]. According to the National Institute
of Occupational Safety and Health, a person
faces a stressful job when there is no coordination
between job needs and his/her abilities, and
desires [2]. Job stress is a process that results
from a persons encounter with the organization
and the workplace. Occupational stress is of
particular concern to people with mental health
problems [3, 4]. In 1992, the United Nations
recognized occupational stress as the 20th Century
disease, and later the World Health Organization
declared it to be the most epidemic in the world
[5, 6]. The International Labor Organization
has estimated labor costs for countries to be
1 to 3.5 percent of GDP due to occupational
stress, indicating that this is rising [7].
Also, the American Academy of Family Physicians
estimates that about two-thirds of those who
have been visited and evaluated at work have
symptoms of stress [8], and about 30% of the
workforce in developed countries is occupational
stressed [9]. Of the various occupational groups,
health professionals, especially those working
in the hospital environment, experience higher
job stress [10]. Among the healthcare professions,
nursing is also recognized as one of the high-risk
occupations for physical and mental illness
[11]. In our country, 80% of healthcare workers
are nurses. According to the Nursing Organization,
75 percent of nurses suffer from some degree
of stress and physical and mental illness [12,
13]. The National Professional Safety Association
in the United States has identified nursing
at the top of 43 professions with a high incidence
of occupational stress-related diseases and
believes nursing is likely to be at the head
of tensed healthcare jobs [12]. The nursing
profession is inherently tense and tension affects
the quality of life and health of nurses, the
burden of workload, close relationship with
patients, responsibility for their lives and
their lives ; technological advancements and
increasing care dimensions are directly related
to nursing job stress [14]. Long working hours,
busy work, shift work, lack of freedom to act
in decision-making, lack of support from managers
and colleagues are among the factors that cause
occupational stress in nurses [12, 15, 16].
Regarding the problems of job stress, recent
attention has also been paid to resilience in
the nursing profession [17, 18]. In this connection,
McGee in the theory of limited scope of resilience
in nursing, and a nursing pattern [19] sees
resilience as the ability to change disaster
and turn it into a growing and forward-looking
experience, and in his view, he considers the
four infrastructure patterns to be resilient.
Each of these patterns plays a role in both
empowering and empowering individuals. The four
patterns are readiness patterns, relational
patterns, situational patterns, and philosophical
patterns [19-21].
For resiliency five dimensions proposed by
Gitterman include: 1- Integration with the family
2- Consistency with the social environment 3-
Consistency with the physical environment 4.
Integration with the inner wisdom and 5. Supporting
mentality. These dimensions enable individuals
to develop appropriate coping skills in challenging
situations [22].
In relation to the research background, Kutluturkan
and et al, showed a significant negative correlation
between resiliency and burnout [23]. In their
analysis, Warelow and Edward (2011) stated that
nurses should increase their resilience skills
in the 21st century in order to cope with their
professional problems and mental health [24].
Allister and Kinnon (2013) found that resiliency
is one of the important and effective factors
in nursing career success and resilient capacity
is required for nursing careers success
[25]. Therefore, based on the importance of
the above-mentioned cases, the present study
aimed to determine the effect of resilience-based
intervention on occupational stress in hospital
nurses.
Study
Design
and
Participants
This
research
was
quasi-experimental
and
was
implemented
using
pretest-posttest
design.
All
nurses
working
in
Shohada
Hospital
in
Tekab
city
were
the
subjects
of
this
study.
Sampling
was
complete
and
all
60
nurses
working
in
Shohada
Hospital
in
Tekab
entered
the
study.
The
criteria
for
entry
to
studying
were
having
a
bachelors
or
masters
degree,
a
lack
of
a
second
job,
having
constant
shifts
(in
the
morning,
evening,
and
evening),
did
not
attend
the
taught
training
courses
associated
with
resilience
in
the
past
3
months,
and
the
exclusion
criteria
were
the
reluctance
to
continue
in
the
study,
the
lack
of
willingness
to
complete
a
questionnaire
or
an
irregular
company
and
absence
from
more
than
two
sessions
of
classes.
Participation
in
this
study
was
also
voluntary.
Instruments
In
this
study,
the
occupational
stress
questionnaire
of
the
British
Occupational
Safety
and
Health
Organization
was
used.
The
questionnaire
was
compiled
by
the
British
Health
and
Safety
Executive
Agency
(HSE)
and
was
reviewed
by
free
translation
and
its
validity
and
reliability.
The
occupational
stress
questionnaire
is
designed
to
measure
work-related
stresses
and
has
35
items
with
seven
subscales
of
Demands,
Control,
Managers
support,
Peer
support,
Relationships,
Role,
and
Change.
In
this
scale,
high
scores
indicate
low
occupational
stress
[26].
In
this
study,
Cronbachs
alpha
coefficient
for
the
total
job
stress
scale
89.9
and
each
of
dimensions
of
demand,
control,
support
of
authorities,
support
of
colleagues,
communication,
role
and
changes
0/77,
0/70,
0/69,
0/77,
0/81,
0/70,
0/72
were
obtained
respectively.
Procedures
Following
the
informed
consent,
patients
were
assured
of
the
secrecy
and
confidentiality
of
their
information.
Then,
occupational
stress
questionnaire
was
distributed
in
the
group
and
a
pretest
was
obtained
from
them.
In
the
next
step,
the
nurses
were
trained
in
5
sessions
of
1
hour,
twice
a
week
in
groups
of
30
people
in
two
shifts
of
morning
and
evening
at
the
conference
hall
of
the
hospital.
The
number
of
meetings
held
for
all
nurses
was
equal.
Methods
of
training
in
interventional
phase
included
lectures,
discussion
and
participation
of
nurses
in
role
play,
group
training
and
pamphlet
presentations.
Ethical
Considerations
The
present
study
was
approved
by
the
Ethics
Committee
of
Urmia
University
of
Medical
Sciences.
Informed
consent
was
obtained
from
all
participants.
Participants
were
briefed
on
the
objectives
and
methods
of
the
study
and
ensured
about
the
voluntary
nature
of
participation
in,
and
withdrawal
from,
the
study
as
well
as
the
confidentiality
of
their
data.
Data
Analysis
SPSS
16
was
utilized
to
analyze
the
data.
Further
to
descriptive
statistics,
first,
Kolmogorov-Smirnov
test
was
used
to
assure
the
normal
distribution
of
variables
(Table
1),
and
then
paired
t-test,
was
utilized
to
study
the
mean
of
scores
within
groups.
Normally
distributed
data
were
presented
as
the
mean
±
standard
deviation
(SD).
The
significance
of
data
was
set
at
a
p-value
of
0.05.
28.3%
of
the
study
subjects
were
male
and
71.3%
female.
The
mean
scores
of
occupational
stress
in
men
and
women
were
123.29
±
15.11
and
171.05
±
19.97
respectively
and
there
was
no
statistically
significant
difference
in
terms
of
the
level
of
occupational
stress
between
both
groups
(P=0.
33).
Based
on
the
results
of
the
paired
t-test,
there
was
a
statistically
significant
difference
in
the
level
of
occupational
stress
and
its
components
between
the
pre-test
and
post-test
of
the
studied
subjects
after
the
intervention.
(Table
2)
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