1. |
- Arsalani, Narges, et al.
(författare)
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Adaptation of Questionnaire Measuring Working Conditions and Health Problems Among Iranian Nursing Personnel
- 2011
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Ingår i: Asian Nursing Research. - : Elsevier BV. - 1976-1317. ; 5:3, s. 177-182
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To adapt a questionnaire in the Persian language measuring working conditions and health problems among nursing personnel. A further aim was to test the validity and reliability of the questionnaire. Methods: The adapted questionnaire was based on three well-established questionnaires. Physical working conditions items were from Nurse Early Exit Study. Psychosocial working conditions scales were included from Copenhagen Psychosocial Questionnaire which contains two scales on general and mental health as well. The Nordic Musculoskeletal Questionnaire was the origin of the musculoskeletal disorders questions. During the culture adaptation process, an expert panel method was used. To achieve equivalence between the sources and target version, some changes were made by the expert panel. Then the questionnaire was examined in the field for face validity and construct validity (n = 92) among Iranian nursing personnel from two hospitals. Construct validity was assessed using a priori hypothesized correlations of the outcomes with exposures. Finally the adaptation process was completed by reliability assessment using Cronbach's alpha and Intra-class Correlation Coefficient (ICC). Results: The construct validity result was the correlation of the health outcome with the work-related exposure (physical r(s) = .71 and psychosocial r(s) = .66). In the reliability assessment, Cronbach's alpha and ICC were .60 and .70 respectively. Conclusion: The findings show that the adapted questionnaire has an acceptable conceptual structure and provides reliable information from the nursing profession. Consequently, the questionnaire is applicable to work situation studies among nurses and other health care workers.
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2. |
- Arsalani, Narges, et al.
(författare)
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Musculoskeletal Disorders and Working Conditions Among Iranian Nursing Personnel
- 2014
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Ingår i: International Journal of Occupational Safety and Ergonomics. - : Informa UK Limited. - 1080-3548 .- 2376-9130. ; 20:4, s. 671-680
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated the prevalence of musculoskeletal disorders (MSDs) and associations with organizational, physical and psychosocial working conditions among 520 nursing personnel in Tehran, Iran. The results of the cross-sectional study on aids and different educational levels of nurses showed that the participants experienced 88% of MSDs in at least one body region during the past 12 months. The 3 most prevalent body regions were the low back (65.3%), knee (56.2%) and neck (49.8%). The participants reported inflexible work schedule, poor quality of devices for transferring patients, overexertion and job dissatisfaction. Physical and psychosocial exposure revealed an elevated odds ratio (95% confidence interval) of MSDs. The results showed a combination of high physical and psychosocial work demands along with low control over the work which increased work-related stress and enhanced the risk of MSDs. This study findings could help to understand work-related MSDs among nursing personnel in a developing country where the work situation and sociocultural context differ from other countries.
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3. |
- Arsalani, Narges
(författare)
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Occupational health among Iranian nursing personnel
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: There is increasing global evidence that today’s work environment results in a higher risk of adverse health among nursing staff than among many other professions. Since nurses constitute the largest group in the healthcare workforce and have a crucial role in providing care services, their impaired health might have an adverse effect on the quality of healthcare. The overall aim of this thesis was to explore work-related health and associated factors. A further aim was to describe the experience of managing work and family roles among Iranian nursing personnel. Methods: The first of the four studies in this thesis used a qualitative method and the other three used a quantitative method. Study I focused on the process of managing work and family roles in the everyday life of Iranian female nurses. In Study II a questionnaire was culturally adapted and psychometrically evaluated in Persian, based on well-established instruments to measure work-related health, working conditions and family situation in the healthcare sector. This newly adapted questionnaire was then used in a cross-sectional study (Studies III-IV) among 520 nursing personnel from ten university hospitals to measure self- reported general and mental health and musculoskeletal disorders, and investigates how this was associated with organizational, physical and psychosocial working conditions and family situation. Findings: The findings of Study I showed that nurses were striving for balance between work and family roles. In Study II the conceptual structure of the adapted questionnaire in Persian was found to be acceptable for measuring work-related health and associated factors. The results of Studies III-IV indicated an inadequate and low quality of manual patient transferring devices, as well as perceived over-exertion. The participants reported low influence at work, poor leadership and job dissatisfaction, along with inflexible work schedules. These physical, psychosocial and organizational work factors were associated with general and mental health, and with musculoskeletal disorders. However, nursing personnel perceived patient care as meaningful, and no associations between family demands and mental health were reported. Conclusion: Iranian nurses’ attempts to balance their demanding work role and high traditional family expectations, could lead to threatened health and life dissatisfaction. Although adverse general and mental health and musculoskeletal disorders were associated with most of the working conditions; patient care was found to be meaningful, and family values were perceived as an important source of support and inspiration. Interventions such as flexible work schedules, and improvements in the physical and psychosocial work situation, along with the provision of child care and elderly care during shift work, would help nurses to play their work and family roles, which could lead to increased work efficacy and quality of healthcare.
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4. |
- Lagerström, Monica, et al.
(författare)
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Striving for Balance Between Family and Work Demands Among Iranian Nurses
- 2010
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Ingår i: Nursing Science Quarterly. - : SAGE Publications. - 0894-3184 .- 1552-7409. ; 23:2, s. 166-172
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Tidskriftsartikel (refereegranskat)abstract
- The study reported here explored Iranian nurses' experience of managing work and family roles. Grounded theory method guided the data collection and data analysis from both individual and focus group interviews. Five categories emerged: family role, working conditions, seeking support, perceiving dissatisfaction, and perceiving threats to health. The core concept that emerged was striving for balance between family and work demands. In the work family role the Iranian nurses faced significant pressures, and they mostly relied on their own capabilities to create balance, often neglecting their own needs. This resulted in perceived dissatisfaction and health threats.
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