Occupational stressors among firefighters: application of multi-criteria decision making (MCDM)Techniques.

BACKGROUND: Firefighters are exposed to a wide range of occupational stressors due to the nature of their job. Multi-criteria decision-making technique (MCDM) is a method for identifying, evaluating, and preventing occupational stressors among firefighters. The purpose of this study was to identify and prioritize the occupational stressors among firefighters using the fuzzy delphi method (FDM) and fuzzy analytical hierarchy process (FAHP). METHODS: This qualitative-descriptive study was carried out in two stages. First, the most important occupational stressors of firefighters were identified and screened using a systematic review of scientific references and expert opinions based on the FDM. Then, all of the screened stressors were weighted and prioritized by the FAHP using the opinions of experts. All results were analyzed using Excel software. RESULTS: Among, the 52 occupational stressors of firefighters identified in the first stage, 27 stressors were selected to enter into the FAHP. The FAHP results showed that among the four main dimensions, the weight of managerial factors (0.358) was more than other dimensions. The overall result of the study, regardless of the stressors' main dimensions showed that the most important stressors among firefighters were financial strain due to inadequate pay, fear of explosion at incident scenes, toxic smoke, and gases produced at fires and lack of attention given to job safety by management, respectively. CONCLUSION: According to the results of the study, most occupational stressors of the firefighters are caused by organizational factors. Therefore, the implementation of management strategies to reduce the occupational stress of firefighters is recommended.

Occupational Stressors among Farmers in Iran Using Fuzzy Multiple Criteria Decision-Making Methods.

Introduction: Rural communities, especially farmers, are exposed to numerous concerns and stressors due to their type of occupation. The present study aimed at evaluating and prioritizing occupational stressors that cause dissatisfaction among farmers using Fuzzy Delphi Method and Fuzzy analytic hierarchy process.Methods: This qualitative applied research was conducted in two phases. First, the most important occupational stressors among farmers were extracted and screened by Fuzzy Delphi technique. In the second phase, Fuzzy Analytical Hierarchy Process (FAHP) was used to weigh and rank the stressors. Finally, data were analyzed using Chang's Extent Analysis method and Excel software.Results: Dimensions of stressors in farmers are ranked as; economic (w = 0.298), environmental and climate (w = 0.276), social and job-related (w = 0.224) and spatial (w = 0.202), respectively. Among stressor sub-dimensions, reduced groundwater levels (0.0617), low price of agricultural products in rural areas (0.0575), inappropriate access roads to farms (0.0545), no insurance for agricultural products (0.1521), and difficult sales of agricultural products in rural areas (0.488) were the most significant occupational stressors among farmers.Conclusion: Among occupational stressors, economic and environmental factors have the greatest impact on perceived occupational stress by farmers. Control strategies including providing farmers with financial support and purchasing agricultural products by government, restoring and reforming water and soil resources as well as personal coping strategies could greatly reduce occupational stress among farmers.

Occupational stress among nurses and pre-hospital emergency staff: application of fuzzy analytic hierarchy process (FAHP) method.

Healthcare professionals, especially nurses and pre-hospital emergency (PHE) staff, are influenced by many stressors due to their responsibility to provide comfort as well as care and treatment of patients. The aim of the present study was to identify and rank the occupational stressors in nurses and PHE staff using Fuzzy Analytic Hierarchy Process (FAHP) method. In this cross-sectional study, occupational stress factors in nurses and PHE staffs were identified and ranked by 30 experts, using FAHP method. Occupational stress factors were collected by General Health Questionnaire (GHQ), Job Stress Questionnaires as well as a literature review. Among the occupational stress factors in nurses, the highest scores were related to "Incompatibility between work schedule and life conditions" (0.03986) and "Being criticized by supervisors" (0.03723), respectively. The most common stress factors in PHE staff were related to "Care of patients with critical health conditions" (0.07258), "High number of missions" (0.07056), respectively. The overall results of this study showed that managerial factors and factors related to patient care are the most important causes of occupational stress among nurses and PHE staff. These factors should be considered in the implementation of control strategies for reducing and managing occupational stress.