الفهرس 
AbstractOnly 14 pages are availabe for public view
 |  | from | 147 |  |  |
| | | from | 147 | | |
Abstract
Stress is commonly recognized as a “consequence of the failure of an individual to respond adequately to mental, emotional, or physical demands.”. Stress is a feeling of emotional or physical that is evoked by any event or thought that results in frustration, anger, or nervousness. Resident physicians experience high levels of stress and depression. This is due to increased expectations, responsibilities and the fact that residents are expected to be proficient clinicians, educators, researchers and administrators at the end of their training. Stress had been linked with musculoskeletal disorders, high blood pressure, disturbed metabolism, cardiovascular problems, mental health problems and premature mortality. Physicians are exposed to many stressors, such as the burden imposed by expectations of a high degree of professionalism, responsibility for patient well-being and maintenance of relationships with patients and health workers, as well as concerns about medical errors and malpractice litigation. Such occupational stressors had been reported to be associated with depression and stress among residents.
Job satisfaction in residents is an important issue in quality of care as poor satisfaction is associated with suboptimal healthcare delivery and poor clinical outcomes. Also lowered job satisfaction is associated with higher levels of stress and burnout. Feelings of job dissatisfaction and job stress are problems shared by most residents and medical practitioners. It is known that working conditions have an important impact on job satisfaction and a high workload is associated with a lower performance at medical residents. Evidence suggests that many health care workers are very dissatisfied with their income and overall working conditions.
Job satisfaction decreases with a higher number of working hours and low income. It increases when there is more contact with other colleagues and greater job variety.
Aim of the study:
1-To investigate the prevalence of Work related stress and job satisfaction among residents at Minia university hospitals.
4- To determine risk factors of Work related stress and job satisfaction among residents at Minia university hospitals.
Subjects and methods:
A cross-sectional study was conducted among residents at Minia University Hospitals in the period from first of August 2021 to end of October 2021. Data obtained from the information center revealed that there were243 residents at Minia University hospitals in all its departments in year 2021.
In this study we intended to include all residents of the five different hospitals.
Pilot study was carried out on 20 residents to test the tool to ensure its practicability and applicability. Only 218 of residents have completed the questionnaire with response rate 89.7%.
A self-administered questionnaire was completed by the residents. The questionnaire includes:
A) Socio-demographic and job characteristics information.
B) General Health Questionnaire-12 items.
C) Work related stress questionnaire.
D) Job satisfaction questionnaire: It is a Warr-Cook-Wall job satisfaction scale (1979). It is a Seven-point Likert scale was applied.
Data were revised, coded and entered to personal computer and analyzed using SPSS version 20. Suitable analysis was done according to the type of data.Ethical committee and administrative approvals were obtained before conducting the study.
Time schedule:
1. Preparatory phase and pilot study: 4months
2. Writing the review: 5 months.
3. Field work and data collection:3 months, August 2021 to October 2021
4. Statistical analysis, discussion and summary: 6 months.
Results:
Only 218 of residents have completed the questionnaire with response rate 89.7%. The demographic characteristics of the studied residents showed that their age ranged from 24 to 29 years old (mean age 27.17±1.2), 67% of them were married and 52.3% of them were males, 51.8% of them having children, 76.1% of them live in the same country of their work and the majority (91.7%) were non-smokers.
Exploring the job characteristics revealed that 27.1% of the residents were juniors, 23.4% were mid seniors, and 30.7% were seniors while 18.8% were post seniors. Residents working at gynecology and obstetrics department were 7.3% of the studied sample, 9.2% at pediatric department, 34.4% at internal medicine department, 32.1% at surgery department, 6.9% at radiology and 2.3% at clinical pathology department.
Work related stress is prevalent among residents working at Minia
University Hospitals. 45% of them were suffering from work related stress. 23.4% of the residents had severe stress.
Univariate analysis of the socio-demographic factors revealed that age, marital status and number of children did significantly affect work related stress, while gender, pregnancy status, smoking and residency did not show significant association with stress.
In the current study Multivariate logistic regression analysis of risk factors revealed that Long working hours (OR=6.6, p≤0.001), perception of doing High workload (OR=4.1, p=0.008), night shifts (OR=3.1, p=0.002), Short breaks (OR=3.1, p=0.03), difficulty in taking vacation (OR=2.5, p=0.04) were the most important independent predictors for work related stress among the studied group.
Regarding job satisfaction there was no statistically significant association between job satisfaction and age, gender, marital status, pregnancy status, number of children, smoking status and number of cigarette per day.
There was statistically significant association (p<0.001) between work related stress and job satisfaction.
Seniors were the most dissatisfied (32.6%) followed by juniors (27.1%) and there was no statistically significant difference could be observed between different job ranks as regard presence of job satisfaction.
As regard different departments the highest dissatisfaction was among the internal medicine residents (41.1%) while the lowest dissatisfaction was among the radiology residents (4.7%) with no statistically significant difference in between different depatments.
Regarding means of items of war cook Job satisfaction scale, the mean of score of their feelings about their job as a whole was the highest (mean=4.3) while the mean of score of their income satisfaction was the lowest(mean=2.86) with mean overall scale job satisfaction was (38.2).