ABSTRACT
Introduction: Job stress is an interaction between working conditions and the individual characteristics of the employee. The aim of this study was to compare job stress and related factors of welfare organization employees with and without physical disability in Tehran
Materials and Methods: In this descriptive-comparative study, the statistical population included all employees of welfare centers in Tehran. The type of sampling method was convenience and the cases included all the 53 employees affected by physical disabilities and the control group included 61 people with similar characteristics and job positions, without disabilities. In order to measure the job stress severity and its influencing factors, the [Occupational Stress Scale] prepared for Health and Safety Executive [HSE] and [Factors Influencing Job Stress] questionnaire were used respectively. In this study reliability was measured by Cronbach's alpha which for [Occupational Stress Scale] and was 0.73 and [Factors Influencing Job Stress] had reliability of 0.80. The collected data were analyzed by SPSS-16 software using statistical tests K2 and independent t-test
Findings: No significant differences were found in demographic characteristics between the two groups. The job stress in employees with physical disabilities was significantly different with the employees without [P<0.05], with higher stress in the physically disabled [mean=113.7 and standard deviation=11.3] compared to non-disabled [mean=97.2 and standard deviation=11.2] [P<0.001]
The importance of factors influencing job stress was also higher in the employees with disability [mean=119.2 and standard deviation=13.2] compared to non- disabled [mean=105.2 and standard deviation=12.5] [P<0.001]
Conclusion: Job stress of employees with physical disabilities is more than the employees without physical disability and also the factors influencing the stress are different. Paying more attention to the programs designed to promote the skills of job stress management and also decreasing and/or eliminating factors related to job stress of employees with disabilities are recommended
ABSTRACT
Objective: In The last two decades, nursing homes for elderly have expanded tremendously. Client satisfaction is one of the most important indicators of service quality delivered by institutes and organizations. This study was carried out to measure client satisfaction in the private nursing homes of Golestan, Mazandaran, Semnan and Northern Khorasan Provinces in 2012
Methods: In this cross-sectional study, 89 participants from all 14 nursing homes located in the pre-mentioned provinces who met the inclusion criteria including age 60 years or older, ability to communicate, Abbreviated Mental Test scores of 6 or higher, and at least 6 months stay duration were recruited by the method of census and interviewed. Data was gathered using the questionnaire of Assessing Elderly Residents' Satisfaction of the Delivered Services in Nursing Homes. In order to analyze data, statistical parametric t-test, ANOVA, Mann-Whitney, Kruskal- Wallis test, Spearman correlation coefficient and SPSS software [version 17], were used
Results: Mean scores showed that satisfaction with the physical care [3.55] and physical environment [3.77] were higher than of satisfaction with psychological care [3.00] and social care [3.26]. The mean score of overall satisfaction with the services was 3.40 and indicative of satisfaction in the levels of moderate to good. There was a significant relation between mean scores of satisfaction and the way which clients had been admitted to nursing homes [p<0.002]
Conclusion: Lower levels of satisfaction with psychological and social care in the nursing homes points to the need of paying more attention toward these two care dimensions. Considering the significant relationship between self commitment and the level of satisfaction, psychological preparedness of older clients before committing them to nursing homes may play a role in their satisfaction with the services delivered in nursing home
ABSTRACT
Patients, regardless of their age, sex, race, and other differences, have a right to knowledge, choice, respect, confidentiality, territoriality, and efficient care and treatment in health care settings. Rehabilitation experts, like other health care providers, should be knowledgeable and observant of these rights. This study was designed to determine the relationship between experts' knowledge of patients' rights and their level of observance of these rights. In this cross-sectional, descriptive and analytical study, all experts working in rehabilitation and welfare centers in the city of Tehran with at least 6 months work experience were included by census method. Sixty-two experts were examined by a questionnaire with confirmed validity and reliability, consisting of 2 subscales measuring knowledge and observance of the participants on patients' rights. Of all the participants, 79% were female and 77.4% had bachelor's degrees. The mean age was 35.9 [SD=8] years. Knowledge on patients' rights was at the very good level in 59.7%, at the good level in 35.55%, and at the moderate level in 5.3%. Observance of patients' rights was at the weak level in 13.6%, at the moderate level in 79%, and at the good level in 8.5%. Mean level of observance had significant relationships with sex [p < 0.02] and educational level [p < 0.03]. The relationship between knowledge and observance was significant at the 0.001 level. Data showed significant relationships between the experts' knowledge and observance in the domain of patients' rights. It is recommended to hold training courses on patients' rights for rehabilitation staff
ABSTRACT
Introduction: Burnout is the individuals' response to stress factors of work place and leads to changes in peoples' attitudes and behaviors toward work and environment. Aim of this study was to determine the correlation between organizational culture and burnout in the staff of Tehran province welfare organization
Materials and methods: In this descriptive-correlational study, 189 people were selected through random sampling. To collect data, demographic questionnaire,' Hofstede Organizational Culture Questionnaire' and 'Maslach Burnout Questionnaire' were used. To analyze the collected data by SPSS 12, Independent T-test, Mann-Whitney U, One-way ANOVA and Kruskal-Wallis were applied
Findings: The sample consisted of 38.1% male and 61% female .Results also showed that 9% of respondents were married. The mean age of the sample was 37.66[SD: 6.77] and the mean of employment years was 12.93[SD: 6.93]. In addition, findings revealed that, the characteristics of the organizational culture of the research community are as follows: cultural balance with a trend to masculinity, collectivism, fairly high uncertainty avoidance and highdistant of power. Burnout in emotional exhaustion and depersonalization was low whereas in personal accomplishment [frequency and intensity] were in medium levels. Analytic findings disclosed that the intensity of personal under-accomplishment was related positively and significantly with individualism-collectivism [P=0.03] and uncertainty avoidance [P=0.02]
Conclusion: The results suggested that organizational culture [individualism-collectivism and uncertainty avoidance] has a positive significant correlation with burnout [intensity of personal accomplishment]
ABSTRACT
Elder abuse by family members particularly where family provides care to an aging relative has been addressed as a serious problem by most societies. Considering the importance and prevalence of the issue, exploring lived experiences of elders in this regards is necessary to have a better understanding of elder abuse phenomenon. The study aimed to explore experiences and perceptions of elders regarding their abuse by family members. A qualitative study using hermeneutic phenomenological approach was employed to conduct the study. Unstructured interviews were undertaken with fourteen elderly community dwellers of Tehran city. In-depth interviews were taped and transcribed verbatim and analyzed using van Manen method. Four themes were identified including: 'being deprived of human rights and dignities', 'smashed up integrity', 'silent suffering' and 'painful ending'. The lived experience of the older adults evidenced elder abuse as a deprivation from the human rights and dignity which could result in negative physical, psychological, and socio- economical consequences, decreased quality of life and tough ending which they bear it in silence. The findings reveal significant concepts in providing care to elders and could contribute in increasing capabilities of healthcare workers specially nurses to assess, intervene and prevent it appropriately