جستجوی مقالات مرتبط با کلیدواژه « occupational stress » در نشریات گروه « پزشکی »

A growing body of systematic reviews focused on interventions that help workers to overcome job burnout. This overview aimed to synthesize the results of the job burnout interventions. 

Systematic reviews were searched in databases) PubMed, Web of Science, CINAHL, Embase, Google Scholar, and Scopus) from inception to 2023, and included if they mentioned the results of at least one intervention, provided the details of the reviewed articles, received high scores in the quality assessment stage, and their full-text in English were available. 

Ten systematic reviews were identified that reviewed around 303 unique articles. At least 29 types of interventions were identified and categorized using narrative synthesis and thematic analysis methods. The interventions could be categorized into three main themes: precipitating-focused, emotional state-focused, and consequence-focused intervention. Each theme is further divided into change or acceptance-based interventions. 

Findings show that most interventions focused on changing the situations that cause or lead to job burnout. However, the interventions that focused on accepting emotional aspects of job burnout were the most effective programs. There are still some inconclusive results about several interventions, and some research gaps that need attention were discussed.

 Today, one of the most important factors threatening everyone is stress.

 Considering the problems caused by stress in people’s careers and the fact that dentistry has been introduced as a stressful profession, the purpose of this research was to investigate the relationship between occupational stress and demographic variables among dentists in Khorramabad, Iran, in 2022.

 The current research is a cross-sectional analytical study. Of the 120 working dentists, 92 were enrolled in the study according to the inclusion criteria. Of these, 28.3% were women and 71.7% were men. The data collection instrument was Osipow’s Occupational Stress Inventory. The researcher completed the questionnaires by referring to dentists’ offices. All statistical tests were performed using SPSS version 25, with P < 0.05 as the significance level.

 The findings showed that the average occupational stress in dentists was 184.01 ± 9.88, showing that 89.1% of dentists had moderate to severe stress and 10.9% had severe stress. The average occupational stress was 180.42 ± 6.35 in women and 185.42 ± 10.68 in men. Thus, the level of occupational stress in men was significantly higher than that of women (P = 0.007). In addition, 2 variables (age and workplace) had a significant relationship with the level of occupational stress of dentists (P < 0.05).

 Since most dentists participating in this study had moderate to severe stress, knowing the sources of stress and ways to deal with them can help reduce fatigue and increase job performance among dentists.

The aim of this study was to investigate if listening to music can help reduce stress for women who work in an electric car parts factory in Mashhad.  Out of 200 people in this study, 32 were chosen at random and split into two groups: one for the experiment and one for comparison. To gather information, we used a job stress questionnaire and a music therapy plan that consisted of 30 sessions, which lasted for one month. In this study, we played the music that the participants liked 4 times during each session. Each time, we played the music for 15 minutes, while they were taking a break or before they started working. There were 16 participants in the group we tested. The people in the control group followed their normal way of doing things and did not use this procedure. The research found that music intervention helps decrease the occupational stress in women more than the traditional work schedule method. The effect size of the music intervention was 0.809, which means it had approximately an 81% impact on reducing stress.  The results of the pre-tests and post-tests indicated that the stress levels of women in the experiment group decreased significantly after listening to music. Based on these findings, it can be concluded that listening to music while taking breaks at work helps to lower job stress.

Job burnout is more frequent in stressful and high-risk jobs. Healthcare workers, especially Voluntary Counseling and Testing (VCT) workers and therapists, are more exposed to job burnout. This study aimed to compare the burnout rate among the staff and therapists working in behavioral disease counseling centers and health centers in 9 provinces of Iran.

This cross-sectional study was conducted in 9 provinces of Iran from January 2020 to March 2020. For this research, 94 VCT workers as the experimental group, and 103 public clinic workers participated as the available sampling group. To collect the data, the Meslesh questionnaire was used and descriptive statistics (frequency, percentage, mean, etc.) and inferential methods were applied for statistical analysis (t-test, one-way analysis of variance and Tukey post hoc test, chi - square test and Spearman correlation test). (P< 0.05)

Our finding showed that 33% of health center workers and 32% of VCT workers had burnout, but the difference was not statistically significant. Most Health Center (HC) workers who showed burnout were working in the southern province of Iran (Bushehr and Bandar Abbas), and the most VCT workers who showed burnout were working in the western province of Iran (Kermanshah and Kurdistan).

Although the rate of burnout in the staff of these two centers is very similar, it can be concluded that due to the small number of people referred to AIDS centers compared to the large number of patients in health centers, working with people with HIV/AIDS is so difficult.

The present study aimed to investigate the relationship between stress and temporomandibular disorders (TMDs) by quantification of occupational stress using the Dental Environment Stress (DES) questionnaire as well as measuring the stress markers in the saliva, including cortisol and immunoglobulin A (IgA), in fourth to sixth-year dental students of Qom Dental School.

In the present study, 60 students were included. A clinical examination was first performed using the Research Diagnostic Criteria/Temporomandibular Disorder (RDC/TMD) criteria in order to determine the temporomandibular joint (TMJ) status, and then the DES questionnaire was completed in order to determine the occupational stress level of dental students. Finally, saliva samples were obtained from the students, and the levels of salivary cortisol and IgA were measured using enzyme-linked immunosorbent assay (ELISA). Independent t-test, ANOVA, Chi-square test, and Pearson's correlation coefficient were used for data analysis (alpha=0.05).

The mean salivary levels of cortisol and IgA were found to be 4.74 ± 2.80 ng/mL and 220.26 ± 121.22 µg/mL, respectively. The mean DES score was 2.48 ± 0.58. Of all students, 24 (40%) suffered from TMDs. There was no correlation between cortisol and IgA levels and the DES score (P>0.05). No significant relationship was found between TMD and salivary cortisol, salivary IgA, or DES score (P>0.05).

Stress is one of the most important causes of TMDs. Although salivary biomarkers are known as useful markers for detection of stress in patients with TMDs, this issue was not confirmed in the present study.

The World Health Organization characterizes workplace stress as a "global epidemic" due to its pervasive influence on various facets of daily life. Occupational stress among educators is on the rise in both developed and developing nations, with estimates suggesting that at least one-third of teachers experience high levels of stress and burnout. The main objective of this study was to determine occupational stress and associated factors among teachers in selected schools. 

In 2022, a cross-sectional study was conducted in Lamjung District, Nepal, involving nine secondary-level schools from Besishahar Municipality and Marshyangdi Rural Municipality. Data collection occurred from February 13 to February 26, with participation from 193 school teachers who completed a self-administered questionnaire. The selection of teacher participants was carried out using purposive sampling. The association between teachers' occupational stress, socio-demographic characteristics, and work-related variables was analyzed using Pearson's chi-square test.

Nearly half (47.2%) of the respondents had experienced stress, with the majority (37.3%) reporting mild stress levels. Females (50.56%) and older respondents, particularly those aged 51 to 60 years, experienced higher stress levels (71.43%). This study revealed that only education level (p=0.035) and large class size (p=0.002) were significantly associated with occupational stress.

Despite the majority of respondents reporting factors such as a high monthly salary, good student behavior, a favorable work environment, and sufficient social support, nearly half of them still reported experiencing stress. This underscores the need for further investigation into the underlying causes of occupational stress among teachers.

The COVID-19 pandemic caused depression by creating constant occupational stress. Depression can be one of the most important complications after corona.

The present study was performed with aim to investigate the relationship between occupational stress and depression in emergency medical technicians (EMTs) when facing the patients with suspected COVID-19 after corona peak.

This cross-sectional correlational study was conducted with the participation of 205 EMTs at Zanjan University of Medical Sciences, Zanjan, Iran, 2022. Sampling was done using convenience methods. Data collection tools included a demographic information form, Goldberg depression scale, and House and Rizzo's Work Stress Scale.

The mean of occupational stress and depression were 45.80±6.480 (Range 15-75) and 34.92±19.21 (Range 0-90), respectively. Occupational stress has a positive and significant relationship with depression (r=0.189, p=0.009). Also, Logistic regression showed the level of education (OR=0.577, p=0.029) and employment status (OR=0.647, p=0.050) were identified as protective of occupational stress and the number of children (OR=0.433, p=0.021) identified as a protective factor of depression in EMTs when facing patients with suspected COVID-19.

Implications for Practice: 

This study showed that occupational stress is related to increased depression in EMTs. In addition, some demographic factors protect these disorders. Therefore, it is suggested to pay more attention to psychological symptoms and influencing factors in EMTs post-COVID-19 era. Also, psychological recovery skills should be improved in continuing professional development policy.

Long-term stress can lead to forgetfulness of nursing care and reduce the quality of nursing care. Therefore, this study aimed to determine the relationship between nursing stresses and missed nursing care during the COVID-19 pandemic.

The present study was a cross-sectional study. This study included 268 nurses from various hospitals in 2022. Sampling was done by stratified quota method. Kalish and Williams’ Forgotten Nursing Care and French’s nursing stress questionnaires were used to collect data. Data were analyzed using Stata 14 at a significance level of 0.05.

The study showed a significant relationship between the expression of nursing stress and forgotten nursing care (P ≤ 0.001). Average stress scores for nursing care and forgotten nursing care were obtained as 137.90 ± 36.70 and 32.71 ± 8.72, respectively.

Most nurses reported much stress. Considering the positive correlation between nursing stress and forgotten nursing care, nursing managers are suggested to reduce missed nursing care with stress reduction workshops.

Due to having multiple tasks in ensuring the health of patients, primary healthcare workers are under many stresses that may lead to job burnout. The present study aims to determine the relationship between occupational stress and job burnout of primary healthcare workers. 

This descriptive, correlational study was conducted in 2019 on 128 primary healthcare workers in Saveh and Zarandieh cities, who were selected by a census method. Data was collected by a demographic form, the Maslach Burnout Inventory (MBI), and Spielberger’s job stress survey (JSS). Descriptive statistics were used to describe the data, and independent t-test, analysis of variance, and Pearson correlation test were used to analyze data in SPSS software, version 18.

The mean score of JSS was 140.7±48.6, which was lower the median score (150). The mean frequency score was 23.43±8.3 for the MBI dimension of emotional exhaustion, 17±4.78 for depersonalization, and 14.43±6.74 for personal accomplishment. Occupational stress had a positive and significant relationship with the frequency of emotional exhaustion (r=0.59, P<0.001) and depersonalization (r=0.22, P<0.001), and a negative and significant relationship with the frequency of personal accomplishment (r=-0.47, P<0.001). This indicates that with the increase of occupational stress, the frequency of job burnout in two dimensions of emotional exhaustion and depersonalization increases, while the frequency of personal accomplishment decreases.

Primary healthcare workers in the study region have moderate occupational stress and a high level of job burnout in the areas of depersonalization and personal accomplishment. Considering the high level of job burnout and its relationship with occupational stress in these healthcare workers, and the fact that these factors can have a negative impact on the quality of healthcare services, it is necessary to carry out necessary interventions to reduce and manage occupational stress and job burnout of primary healthcare workers.

Nurses are the first point of contact in hospitalsandplay a significant role in providing high-quality care. Missed nursing care has been shown to be associated with poorer patient outcomes, increased mortality, medication errors, falls, and hospitalacquired infections.

This study aimed to investigate missed nursing care and its causes and related factors in the north of Iran.

This cross-sectional study was conducted during the COVID-19 pandemic in Rasht, Iran, from January to March 2021. A total of 326 nurses from non-emergency wards of 7 medical centers were enrolled using a simple random sampling method. The data on demographic characteristics, occupational stress (using the expanded nursing stress scale [ENSS]), and missed nursing care and its causes (using the MISSCARE questionnaire) were collected. Data were analyzed by descriptive statistics and multiple logistic regression analyses.

Sixty-nine percent of nurses reported that at least 1 aspect of nursing care was missed occasionally, often, or frequently. Also, the median number of missed care items reported on each shift was 4 out of 25. Attending interdisciplinary care conferences (46%), interventions for basic care (45%), and psychological supports for patients (42%) were the most omitted items. The most stated reason was human resources (53%). Also, the occurrence of occasionally, often, or frequently missed care was significantly related to a higher level of nursing occupational stress (adjusted odds ratio [OR], 2.12; 95% CI, 1.28 - 3.52; P < 0.001) and rotating shift work compared to day shift work (adjusted OR, 4.54; 95% CI, 2.38-9.10; P = 0.003).

Nursing missed care is relatively prevalent in the north of Iran. Human resources, work shift schedules, and occupational stress play an important role in missed nursing care during the COVID-19 pandemic. It is necessary for policymakers and nursing managers to use strategies to optimize manpower and equipment, develop a standard work shift, and reduce stress in the workplace to improve the quality of patient care.

Psychiatric nurses are critical in caring for patients with mental health problems and many challenging problems. They are also likely to be tired because they have been in risky and stressful conditions for a long time. Thus, it is necessary to control job stress and burnout. This study examined the mediating influence of psychological capital in the relationship between job stress and burnout of psychiatric nurses.

The research method was a descriptive cross-sectional study. The study population comprised all psychiatric nurses working in three psychiatric hospitals in Tehran, Iran from 10 August to 15 September 2022. The study selected 170 psychiatric nurses working as samples through convenience sampling. The research tools were Job Stress Questionnaire of Nurses, Maslach Burnout Inventory (MBI), and the Psychological Capital Questionnaire (PCQ). After completing the questionnaires, Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and multiple regression by IBM SPSS 24.0 program.

The findings show a significant correlation between job stress, psychological capital, and burnout. The path coefficient of the direct effect of job stress on job burnout is significant (β = 0.524, P < 0.001). The path coefficient of the direct effect of psychological capital on job burnout is significant (β = 0.551, P < 0.05). The bootstrap result for this model was 0.49. The confidence interval’s lower and upper limits were calculated as 0.41 and 0.58, respectively.

These findings suggest that psychiatric nurses’ burnout can be decreased by implementing different healthcare programs to increase psychological capital. In general, according to the results of this research, it is suggested that the phenomena of occupational stress and burnout among nurses should be taken seriously. These variables can have destructive effects on the quality of nurses’ therapeutic performance. One of the suggestions that can be made is holding psychological workshops to improve self-efficacy, optimism, hope, flexibility and psychological capital among nurses in general.

Bank employees commonly experience high job stress due to the inherent demands of their work. Although previous studies have highlighted significant occupational stress and considerable job burnout among bank employees, few investigations have specifically explored the relationship between occupational stress and job burnout within this employee group. This study aimed to examine the association between occupational stress and job burnout among bank employees.

This cross-sectional survey study was conducted in Iran, focusing on employees working at a single bank branch in Urmia. One hundred two bank employees, comprising 83 males and 19 females aged between 25 and 55 years, participated in the study. Data were collected using the Occupational Stress Inventory (OSI) and the Maslach Burnout Inventory (MBI). Correlation analysis was employed to explore the relationship between occupational stressors and their subscales as independent variables, and job burnout as the dependent variable.

The findings indicated that bank employees experienced moderate to severe levels of occupational stress, with individuals exhibiting low stress reporting no burnout. Conversely, individuals with high stress levels demonstrated moderate levels of burnout. Notably, there was a significant relationship between dimensions of the occupational stress scale, such as role overload, role ambiguity, and the physical environment, and job burnout. Among these dimensions, the physical environment exhibited a particularly noteworthy correlation with job burnout (r = 0.429, p = 0.001).

The results suggest that specific dimensions of occupational stress significantly influence job burnout, underscoring the importance of implementing organizational interventions to mitigate occupational stress and job burnout.