جستجوی مقالات مرتبط با کلیدواژه « over commitment » در نشریات گروه « پزشکی »

Professional autonomy and commitment are factors influencing the retention process in the nursing profession, job satisfaction and quality of care in Critical Care Units (CCUs). The level of education of nurses plays an important role in their ability to develop autonomy and commitment. This study was conducted with the aim of investigating the relationship between autonomy and professional commitment with the level of education.

The present study is a cross-sectional study was conducted in the year 2021 in the CCUs of hospitals affiliated to Qom University of Medical Sciences. The study population consisted of 160 nurses working in CCUs who were selected by available method. Research tools included demographic questionnaire, autonomy and professional commitment questionnaire. In order to determine the relationship between the variables, Pearson correlation, analysis of variance and independent t tests were used.

According to the findings, the average score of professional commitment in the CCUs in general (12.82 ± 91.14) and the average score of professional autonomy in nurses (74.10 ± 15.35) was reported, which shows the commitment and high professional autonomy of the nurses working in these units. Among the different dimensions of professional commitment, the highest score was related to engagement with the nursing profession with an average of 3.63 ± 0.78 and the lowest score was related to understanding of nursing with an average of 3.02 ± 0.56. Professional autonomy in the performance-based autonomy dimension had the highest mean (25.26 ± 6.31) and value-based autonomy dimension had the lowest mean (23.87 ± 6.15). Professional autonomy had a significant relationship with the level of education (P = 0.020).

The findings showed that there is a significant relationship between commitment and professional autonomy. Therefore, familiarizing nurses with the factors affecting professional autonomy, including increasing and updating knowledge, can be effective in increasing professional autonomy. Considering the autonomy in the performance of nurses in CCUs, it can increase the quality of care by increasing professional commitment. Also, the findings showed that considering the limited level of education, it cannot be concluded that nurses with a bachelor's degree show higher autonomy and professional commitment.

Human capital is the most vital strategic element and the most basic way to improve the performance and efficiency of an organization. Concerning the importance of human resources, it is obvious that in order to achieve the goals of the health system, human resources must have a favorable sense of belonging and commitment in addition to skills and expertise. Based on this, the current study aimed at providing a structural model for predicting professional commitment based on the components of self-leadership among the employees of a medical science university.

  The current applied research utilized a descriptive-correlational design. The statistical population of the employees of Tabriz University of Medical Sciences (northwest of Iran) was 976. Of this amount, 276 individuals were estimated as the statistical sample based on Cochran's formula and were randomly selected. Data were collected randomly through a questionnaire. In this study, structural equation modeling based on PLS3 software was used to test the hypotheses.

  The results indicated that the components of self-leadership-visualization of successful performance, personal goal setting, self-rewarding, evaluation of beliefs and assumptions, personal observation, focusing on natural rewards, and self-guidance had a positive effect on professional commitment among the employees of Tabriz University of Medical Sciences. What is more, the components of self-leadership positively predicted professional commitment.

  Strengthening the components of self-leadership among employees will lead to the improvement of their morale, job satisfaction, and professional commitment, and in general, a better manifestation of lofty goals and a significant increase in the performance of the organization.

Nurses always experience high levels of job burnout, which affects their psychological well-being and organizational commitment level. This study was conducted with the aim of investigating the mediating role of religious beliefs in the relationship between psychological well-being and organizational commitment with nurses' job burnout. The present research method was descriptive and correlation type. The statistical population of this research included all the nurses of private hospitals in Mashhad in the summer of 2023, 200 of them, and they were selected by available sampling method. The data collection tool was Maslach's job burnout questionnaire (1981), Golriz and Baraheni's religious beliefs (1974), Allen and Meyer’s organizational commitment (1997) and Ryff's psychological well-being (1989). Findings were analyzed using Pearson's correlation test and path analysis, and Amos22 and SPSS22 software were used in all statistical analyzes of this research. The results showed that there is a significant negative relationship between mental well-being and job burnout (p-value <0.05); However, no significant relationship was found between organizational commitment and job burnout. Also, it should be added, religious beliefs played a mediating role in the relationship between psychological well-being and organizational commitment with job burnout (p-value <0.01). Using the results, it can be concluded that the relationship between psychological well-being and organizational commitment with job burnout is not a simple linear relationship and religious beliefs can play a mediating role

Anxiety and depression are determinants of the prognosis of coronary artery disease(CAD). Spiritual well-being and religious commitment affect people's mental well-being. Due to the limitations of previous similar studies in the difference in demographic characteristics of participants with CAD patients, it was necessary to repeat these studies in coronary artery disease patients. In this study, the state of spiritual well-being and religious commitment and their relationship with anxiety and depression in coronary artery disease patients referred to Fatemeh Zahra Hospital (Mazandaran Cardiology Center) in 1400 and 1401 were investigated.

In this cross-sectional descriptive-analytical study, 159 heart and CAD patients referred to Fatemeh Zahra Hospital (Mazandaran Cardiology Center) were selected by conventional sampling method. Demographic and well-being variables including age, gender, marital status, education level, employment status, and history of psychiatric diseases and substance abuse were measured using the data collection form. The participants answered the questionnaires of the Hospital Anxiety and Depression Scale (HADS) (with validity in the anxiety component t260=21.32 and depression t260=23.41 and reliability in the anxiety component r=0.75 and depression r=0.71), the scale of the practice of religious beliefs (Mabad) (reliability confirmed with Cronbach's alpha coefficient of 91.0 and criterion-related validity coefficient of .0.84) and Palutzian Ellison's spiritual well-being (validity confirmed by content validity and reliability with Cronbach's alpha coefficient of 0.89). Data were analyzed with the help of Stata 14 statistical software at the significance level of P<0.05. Independent T-test and ANOVA tests were used to compare quantitative scores between study groups, and the Chi-square test was used to compare the frequency of qualitative variables between groups. The relationship between the variables was measured by Pearson's correlation coefficient test.

The average age of the participants was 57.82±14.0 and 33.33% of the sample were men. The religious commitment score of the participants was in the range of 97-10 with an average of 63.73±19.10 (high commitment level). 23% of participants had low religious commitment and 77% had high religious commitment. The religious well-being score of the participants was in the range of 60-34 with an average of 55.28±6.38 and the existential well-being score of the participants was in the range of 60-13 with an average of 43.07±11.24. Also, the spiritual well-being score of the participants was at the average level with a range of 120-54 and an average of 98.35±14.54. 51% of the participants had average spiritual well-being and 49% had high spiritual well-being. The hospital anxiety score of the participants was in the range of 0-21 with an average of 8.23±5.67 (at the level of mild anxiety). 44.2% of the participants had no anxiety, 16% had mild anxiety, 19.2% had moderate anxiety, and 20.5% had severe anxiety. The hospital depression score of the participants was in the range of 0-21 with an average of 7.35±5.06 (at the level of mild depression). 46.4% of the participants had no depression, 14.6% had mild depression, 12.1% had moderate depression, and 26.7% had severe depression. A negative correlation was found between the severity of spiritual well-being and the severity of depression with a Pearson coefficient of -0.62 (P<0.001) and the severity of anxiety (-0.48, P<0.001). The relationship between the intensity of religious commitment with the intensity of anxiety (P=0.87) and the intensity of depression (P=0.12) was not significant.

Considering the reduction of anxiety and depression scores in samples with higher spiritual well-being scores, it is recommended to focus more on improving the spiritual well-being level of CAD patients by medical staff, as well as group training programs and spiritual self-care training programs after discharge. Follow. Psychotherapy sessions with a spiritual approach can also be useful.

Professional commitment is described as a set of attitudes, values, behaviors, and relationships that serve as the foundation of a health professional's contract with society. The present study was conducted with the aim of determining the attitude of medical students of Bushehr University of Medical Sciences towards professional commitment in 2022. The research population of this descriptive study included 254 students of the last 3 years of the Faculty of Medicine of Bushehr University of Medical Sciences who were included in the study by census. The standard questionnaire of attitude towards the professional commitment of doctors was used for data gathering. Data were analyzed using SPSS software version 25. Descriptive tests, Spearman's correlation test, linear regression and Mann-Whitney test were used to analyze the data. The mean and standard deviation of the age of the students participating in the study was 24.69±2.25 years. The mean and standard deviation of the attitude score towards professional commitment were 67.12±12.72 out of 100. There was a statistically significant relationship between the variables of age, academic semester and experience of participating in training courses related to professional ethics with the mean attitude score (p < 0.05), but there was no relationship between gender and the attitude score towards professional commitment. There was no statistical significance (p > 0.05). Educational centers and its professors, as the most influential force on the formation of students' morals, should revise and implement the educational program well in the field of medical professionalism, considering professional needs

A professional and educated midwifery workforce is essential to provide high-quality maternal and newborn care. Midwives’ awareness and knowledge of professional rules and regulations would be necessary for correct practice. Accordingly, this study aimed to investigate midwives’ awareness and knowledge of the professional rules and regulations in Iran. In this systematic review study, the PICO guidelines were used to find the relevant articles through searching MeSH terms in Irandoc, SID, Scopus, EMBASE, Cochrane, Magiran, and PubMed databases up to September 7, 2023. The JBI checklist was used to assess the quality of the articles. This systematic review investigated 14 cross-sectional studies with a total of 2161 participants. The results demonstrated that midwives in Iran do not have a satisfactory level of awareness and knowledge about the professional rules and regulations. Based on the results, much more focus is required to enhance the awareness and knowledge of midwives about the professional rules and regulations. The results of this study can be used for developing educational programs on midwifery professional rules and regulations as a necessity for providing high-quality maternal and newborn care

Breast cancer in women has a detrimental impact on marital relationships. The present study aimed to assess the effectiveness of emotion-focused couple therapy (EFCT) in marital commitment and interpersonal emotion regulation in couples where one partner suffers from breast cancer.

The study followed a pretest-posttest control group quasi-experimental design with a follow-up. The statistical population of the study consisted of all women with breast cancer in Tabriz and their spouses who visited Al-Zahra Hospital in Tabriz during a four-month period from June to the end of November 2023, totaling 711 people. In total, 16 couples who met the inclusion criteria were selected via the available sampling method. They were then randomly assigned to two intervention groups (n=8 each) and two control groups (n=8 each). The intervention group received EFCT in 10 sessions of 1.5 hours each (over two and a half months, with one session per week) as a group, following Johnson's treatment plan. Nonetheless, the control group did not receive any intervention. Both groups responded to Adams and Jones's (1997) 44-item Marital Commitment and Hoffman et al.'s (2016) 20-item Interpersonal Emotion Regulation questionnaires before, after, and four months after the intervention. Data were analyzed using repeated-measures analysis of variance.

The results of the data analysis of the present study demonstrated that after the implementation of emotion-oriented couple therapy, there was a significant difference between the values related to marital commitment and interpersonal emotion regulation in the experimental and control groups. These values increased in the experimental group. The results of the follow-up phase also displayed that the changes were permanent.

According to the results of the present research and the important role of couples in the health of children, families, and society, it is suggested that EFCT be implemented in breast cancer associations, psychological clinics of hospitals, as well as public and private sectors. This therapy aims to enhance marital commitment and regulate the interpersonal emotions of couples.

By making new changes in the organization, organizations are looking for various innovations to maintain their level of performance in the existing competitive environment. But these frequent changes can lead to change fatigue and its negative consequences for employees. Therefore, the present study was conducted to evaluate the change fatigue and its related consequences in health care providers.

The present study is a cross-sectional study conducted in health centers in western Iran. In this study, 803 people were selected using the available method. In this study, the change fatigue scale, Parker and Decotis’ job stress questionnaire, Ruth and Field’s job satisfaction questionnaire, Maslash and Jackson’s burnout questionnaire, turnover intention questionnaire, and standard questionnaire of organizational commitment of Mowday et al. are used. All analyzes were performed using SPSS23 and AMOS18 software.

The results of the present study showed that with the increase of change fatigue, the intention to leave, stress and burnout increased significantly and job satisfaction decreased significantly; however, there was no significant relationship between change fatigue and organizational commitment. Also, a significant relationship was observed between marital status, age, work experience, type of employment, type of job and education with change fatigue.

In environments that are associated with rapid and continuous changes, it is important to consider the change fatigue and its consequences because it can increase job stress, burnout, reducing job satisfaction, and organizational commitment and provide a basis for leaving the job.

Organizational commitment has been considered as the objective and efficient achievement of the organization's goals and values, the achievement of the individual's role in relation to the goals and values, and the achievement of the organization for its own sake. This study was conducted to investigate the quality of work life and organizational commitment and their relationship with each other.

A descriptive-analytical cross-sectional study was conducted in 2022. 280 employees of the health service delivery levels of Gorgan City participated in the study in a random stratified method. The data were collected using valid and established questionnaires of Walton's quality of work life and Allen and Mayer's organizational commitment and were analyzed with descriptive methods and statistical tests in SPSS-23 software.

The average age of the participants was 40.11 ± 9.04 years. The majority of participants were female (69.3%) and the rest were male. In general, 18.9% of people had a low quality of work life (QWL), 66.8% had an average QWL, and 14.3% had a high quality of life. Also, 11.1 percent of people had low organizational commitment, 77.1 percent had medium organizational commitment, and 11.8 percent had high organizational commitment. There was a statistically significant relationship between the QWL and organizational commitment (P-Value = 0.001).

The QWL and organizational commitment of employees were evaluated at moderate levels, and with the increase in the QWL, organizational commitment also increases.

Turnover of nurses creates great problems in providing services to and the quality of care regarding patients. Organizational commitment and compatibility between personal and organizational values of nurses reduces turnover intention in nurses. The current research was conducted with the aim of investigating the relationship between organizational commitment and turnover intention, considering the mediating role of personal and organizational values.

In this descriptive study, the statistical population included nurses working in the hospitals of Tehran Islamic Azad University of Medical Sciences in 2023. 250 people were selected by simple random sampling method and responded to the questionnaires of  Kim et al.'s turnover intention, Allen and Meyer's organizational commitment, Scroggins' person-organization fit, and demographic questionnaires. . In order to analyze data, Pearson's correlation coefficient, bootstrap method, and Sobel's test were used in structural equation modeling with Amos software.

The results of path analysis showed that the direct effect of organizational commitment on personal and organizational value and turnover intention was significant, and the direct effect of personal and organizational values on turnover intention was also significant. Moreover, the indirect effect of organizational commitment on turnover intention was confirmed through the mediation of personal and organizational values.

The findings of the current research show the mediating effect of personal and organizational values on the relationship between the turnover intention and organizational commitment. It is suggested that nursing managers try to formulate intervention strategies to improve organizational commitment and compatibility of personal and organizational values of nurses.

Theory-based educational interventions are a logical approach in order to improve pro-environmental behaviors. This study was conducted with the aim of investigating the effectiveness of the educational intervention based on the extended theory of planned behavior on pro-environmental behaviors in residents of Qazvin city.

Using a multi-stage random sampling method, 120 citizens referring to Qazvin health care centers participated in a quasi- experimental study in 2022-2023. Targeted educational content was provided through what’s APP and online training (4 sessions) in the form of lectures and group discussions along with educational pamphlets and text messages for the experimental group. Data were collected before and 3 months after the Theory based education using demographic questionnaires, Pro-environmental Knowledge, moral commitment, Self- identity, TPB subscales, and pro-environmental behavior questionnaires, and were analyzed with SPSS 25.0 software and chi-square, independent and paired T-tests, ANOVA and ANCOVA were analyzed.

The mean of pro-environmental awareness (from 5.2±1.3 to 10.9±2.1), attitude (from 17.5±2.5 to 34.7±6.1), subjective norms (from 8.9±1.8 to 14.9±1.3), self-identity (from 8.8±1.7 to 12.7±2.1), moral commitment (from 10.9±1.4 to 15.0±2.1), behavioral control (from 15.7±1.6 to 24.9±3.5) and behavioral intention (from 7.4±2.2 to 11.2±9) significantly improved in the experimental group after theory based education (P<0.001). Also, the mean of pro-environmental behaviors improved significantly after controlling the effect of the pre-test variable in the experimental group (36.4±9.5 to 52.2±8.7, P<0.001).

The implementation of educational interventions based on the extended theory of planned behavior can encourage pro-environmental behaviors in citizens by improving psychological factors.

In work environments, job stress is the main factor that can break the control of employees and provide the context for the occurrence of aggression in employees. For this reason, this study investigated the role of the effort-reward imbalance model in the occurrence of bullying in the workplace.

This study was descriptive-analytical in nature. In this research, to measure the variables, two self-report questionnaires, the effort-reward imbalance scale and the negative actions questionnaire, were used.  The research population was employees of one of the process industries, and 202 people were included in the study using the census method. Analyses were performed using SPSS 18 software, Pearson’s correlation coefficient, and linear regression.

 The total number of participants in the study was 202. The average age and work experience of the participants in this study were 40.13±9.32 and 15.9±9.50 years, respectively. Among the participants, 72.8% were male and 86.1% were married. In terms of educational status, 10.9% had an associate's degree, 81.2% had a bachelor's degree, and the rest had a master's degree or higher. About three-fourths of the people were officially employed, and the rest were working on a contract basis. Based on the results of the multivariate regression model, among the variables investigated in this study, effort-reward imbalance and extreme commitment were able to significantly predict the changes in the bullying score (P<0.001).

Employees who feel imbalanced between inputs and outputs in the job, as well as employees who have the characteristic of extreme commitment, are more likely to engage in negative behaviors in the form of bullying in the workplace.

Organizational commitment is a state in which a person considers the organization and especially its goals to be his representative and has the desire to remain a member of that organization. Clinical competence is the foundation of practical nursing work. This research was conducted with the aim of investigating the relationship between clinical competence and organizational commitment and related factors in nurses working in special departments of hospitals affiliated to Kermanshah University of Medical Sciences in 2017

In this correlational study, 227 nurses working in the special care departments of educational hospitals in Kermanshah were selected by available sampling method. The data collection tool included Allen and Mayer's questionnaire of nurses' clinical competence and organizational commitment, whose reliability and validity have been proven in various studies. Data were analyzed using SPSS version 22 software and at a significance level of P>0.05.

The average scores of organizational commitment and clinical competence in nurses were 119.9 ± 23.5 and 73.35 ± 2.18 respectively. No significant relationship was found between clinical competence and organizational commitment. The average score of clinical competence in nurses who had clinical work experience between 6-10 years was higher than others (P < 0.05).

In this study, clinical competence and organizational commitment of intensive care unit nurses were high, but no significant relationship was observed. Therefore, the health service system can increase their commitment by improving the clinical qualification of nurses or employing nurses with higher qualifications.

Medical malpractice increases with the increase of cosmetic surgeries. This study aimed to investigate the medical demands (physician's commitment and patient satisfaction) of injured people seeking cosmetic surgery from a forensic medicine commission.

 In this descriptive-analytical cross-sectional study, 276 subjects whose medical malpractice was confirmed twice by the Forensic Medical Commissions of Tehran province in 2019 and 2020 were included. After being approved by Islamic Azad University, this study was also approved by Forensic Medicine Commissions of Tehran province (IR.IAU.SAB.REC.1400.290). A researcher-made questionnaire was used to check the physician's commitment and patient satisfaction of the participants. SPSS version 22 software was used for data analysis.

 The mean age of the patients was 37 years. Regarding gender, 18 respondents (6.5%) were male and 258 respondents (93.5%) were female. Regarding the frequency of surgery, 49.6% of the respondents had cosmetic surgery once and 31.9% had cosmetic surgery twice, and the mean number of surgeries was 2 times and the maximum was 8 times. The number of complaints among married women and respondents with high education was higher than other groups. Most respondents had liposuction surgery (18.8%) and rhinoplasty (18.1%). The results of the research indicated that between the amount of complaints about cosmetic surgery and medical demands; patient satisfaction (r=0.528) and physician commitment (r=0.751) have an inverse and significant relationship. In fact, with the decrease in patient satisfaction and physician commitment, the amount of complaints about cosmetic surgery also increases.

 According to the results of the study, two components of medical demands, including physician's commitment and patient satisfaction, are important predictors for cosmetic surgery complaints. Physician's commitment has the greatest impact on the amount of cosmetic surgery complaints. As each component of medical demands increases, the likelihood of a complaint after cosmetic surgery decreases and vice versa.