Background One of the most prevalent problems in work places that is considered as an important risk factor for the health of the employee is job burnout (JB). JB could be harmful to employees, their families and society. Therefore, decreasing JB among individuals and determining factors associated with it is important to improve the working environment and prevent its negative outcomes. This study aims to elicit the conditions and factors that cause job burnout among nurses of the Razi Psychiatric Hospital, Iran. Methods This study was a descriptive correlational and cross-sectional survey which the demographic and occupational burnout variables of nurses were measured. The study was conducted from January to April 2016. Accordingly, with a type I error probability of 0.05 and a power of 0.80, the sample size was determined to be 100 nurses for each group (men and women). Then, 200 were selected in the Razi Psychiatric Hospital (of whom approx. 60% worked in a rotating shift schedule). The data were collected in two phases: the first step was created by the authors, including gathering demographic data with questionnaire such as gender, age, marital status, education level, years of professional experience, hours of overtime working per month, shift schedules, and their working hospitals and wards. The second step was the Maslach burnout inventory (MBI), human services survey (HSS) version, developed by Maslach and Jackson to assess the three dimensions of burnout. Descriptive statistics (frequency distribution) were used for integrating the demographic variables. Additionally, logistical regression was applied to realize the association between demographic characteristics with the job burnout in SPSS software V.19. Results Our findings indicated that age, hours of work per week, nursing skills, management experience and work experiences accounted for 30% of the variance of depersonalization. Formal employment was significantly associated with emotional exhaustion (p < 0.04). Also, sex was significantly associated with low personal accomplishment (p < 0.006). Conclusion The employment status and gender of nurses participating in the study has an effect on emotional exhaustion and personal achievement. Paying more attention to gender in the nursing profession and the change in their work status to a stable and formalized format can lead to a reduction in job burnout among nurses.
Background: Considering the many problems of conventional psychiatric therapies in the treatment of severe psychiatric disorders especially schizophrenia spectrum disorders, the aim of this study was to determine the effectiveness of CRP in the treatment of patients with schizophrenia spectrum disorders during the acute phase hospitalization of these patients.Methods: We evaluated the role of (CRP) in strengthening the effectiveness of Conventional psychiatric treatment on the number of visits to the nursing station, PRN received, physical restraint(s) and the exact date of hospitalization and discharge of patients during hospitalization, in patients with Schizophrenia spectrum disorders. The Interventional method was Community Re-entry Program (CRP), in combination with conventional psychiatric treatment in the experimental group, while the patients in the control group received only conventional psychiatric treatment. Measurement Performed using demographic information questionnaire, and Positive and Negative syndrome Scale. Then the collected information and data were analyzed descriptively and inferentially.Results: The results of this study showed that use of CRP in combination with conventional psychiatric treatment was more effective in reducing positive and negative syndrome, as well as the frequency of receiving PRN and physical restraint compared to conventional psychiatric treatment alone. However, the observed decrease in hospitalization duration and the rate of adhesion in the experimental group was not statistically significant.Conclusion: These results indicate that the implementation of CRP as an adjunctive therapeutic method, can increase the effectiveness of conventional psychiatric treatment used in therapeutic centers for patients with severe psychiatric disorders, leads to better treatment outcomes for these patients, and increases the social adjustment and sustainability of these patients in society; a finding that is consistent with new therapeutic theories of these patients, experiences of expert clinicians and the findings of research on improving of therapeutic approaches to severe psychiatric disorders.Trial registration: The study has been approved by the Ethical Review Board of the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (IR.USWR.REC.1396.150).
Objectives Elderly with psychological disorders are at risk of malnutrition. Investigating the nutritional status and identifying the effective factors among the preventive and control measures. This study aims to investigate the nutritional status and its relationship with health status and micronutrients level in older people with psychological disorders. Methods & Materials In this cross-sectional survey, 101 older people admitted to Razi Psychiatric Hospital in Tehran, Iran in 2018 participated. The data were collected after blood sampling and assessing body mass index (BMI) using a demographic form, the Mini Nutritional Assessment tool and a health status questionnaire. The collected data were analyzed by the chi-square test, ANOVA and logistic regression analysis in SPSS v. 21. Results Almost three-quarters of the participants had an abnormal nutritional status. The results showed that the nutritional status of participants had a significant relationship with dental health status, physical activity, the serum levels of vitamin D and vitamin B12, and BMI (P<0.05). After logistic analysis, vitamin B12 level (OR=1.007, 95% CI: 1.002-1.012), physical activity (OR=8.539, 95%CI: 1.142-63.85) and dental health status (OR=23.119, 95%CI:1.401-38.788) were reported as the predictors of nutritional status. It was reported that 95% of the elderly had vitamin D deficiency. Conclusion Most of the elderly with psychological disorders are at risk of malnutrition or have malnutrition. The identified predictors of malnutrition for this group are modifiable. Therefore, regular screening and nutritional management should be strengthened for their therapeutic interventions.
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