Moradi Mohsen, Kalroozi Fatemeh, Anari Ali Manafi, Aski Behzad Haghighi, Mehrabi Nahid
Department of Psychiatric Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Rahmatihe Street, Shahrekord, Iran.
Department of Pediatric Nursing, Aja University of Medical Sciences, Shariati St., Kaj St., College of Nursing, Tehran, Iran.
J Educ Health Promot. 2025 Jul 4;14:236. doi: 10.4103/jehp.jehp_2115_23. eCollection 2025.
Pediatric residents deal with children who are critically ill. This study was conducted to discover the stressors experienced by pediatric residents during the outbreak of coronavirus disease 2019 (COVID-19).
This study included two quantitative and qualitative phases and was conducted using a mixed-methods sequential explanatory design. Using a quantitative-cross-sectional approach, the first phase of the study was conducted on 70 pediatric residents of hospitals affiliated with the Iran University in Tehran, Iran. The participants were selected through the convenience sampling method. The data collection tool used in the quantitative phase of this study was the Osipow occupational stress inventory. After collecting and analyzing data and according to the results, the second phase of the study, qualitative phase, was initiated. Sampling was done purposefully. Ten percent of the highest average, lowest, and middle average were interviewed. Data were collected using semi-structured interviews. All interviews were recorded and typed in the MAXQDA software and then analyzed.
The pediatric residents' occupational stress level in this study was 187/40 ± 20.37 and the resident's occupational stress had a significant relation with marital status, sleep duration, year of residency, and the number of monthly shifts. The qualitative phase revealed that the residents attributed their occupation stress to theoretical education problems, clinical problems, the outbreak of the COVID-19 pandemic, a lack of balance between work-life responsibilities, and inappropriate physical environment as well as insufficient welfare facilities.
Given the prominent role of residents in the healthcare system, paying attention to their occupational stress is essential. Therefore, all health policymakers are recommended to alleviate medical residents' occupational stress by making appropriate decisions and adopting efficient measures.
儿科住院医师负责治疗重症患儿。本研究旨在发现2019冠状病毒病(COVID-19)疫情期间儿科住院医师所经历的压力源。
本研究包括定量和定性两个阶段,采用混合方法序列解释性设计。研究的第一阶段采用定量横断面研究方法,对伊朗德黑兰伊朗大学附属医院的70名儿科住院医师进行了调查。参与者通过便利抽样法选取。本研究定量阶段使用的数据收集工具是奥西波职业压力量表。在收集和分析数据并根据结果之后,启动了研究的第二阶段,即定性阶段。抽样是有目的进行的。对平均得分最高、最低和中等的10%进行了访谈。使用半结构化访谈收集数据。所有访谈都进行了录音,并录入MAXQDA软件进行分析。
本研究中儿科住院医师的职业压力水平为187/40±20.37,住院医师的职业压力与婚姻状况、睡眠时间、住院年限和每月轮班次数有显著关系。定性阶段表明,住院医师将他们的职业压力归因于理论教育问题、临床问题、COVID-19大流行的爆发、工作与生活责任之间缺乏平衡、不适当的物理环境以及福利设施不足。
鉴于住院医师在医疗系统中的重要作用,关注他们的职业压力至关重要。因此,建议所有卫生政策制定者通过做出适当决策和采取有效措施来减轻住院医师的职业压力。