Relationship between Job Stress, Job Satisfaction, and Related Factors among Health Center Employees

Background and Objective: Job satisfaction and occupational stress are two factors affecting employees’ productivity at the workplace in developed organizations. Occupational stress causes various prevalent physical and psychological effects, which in turn leads to poor job satisfaction. Despite many studies in this field on health groups, less attention has been paid to health workers. Further research is thus needed to explore and explain how job stress and job satisfaction are related to personal work and organizational factors among health center workers. Materials and Methods: This analytic cross-sectional study was performed from winter 2018 to spring 2019 among health workers of a city in Markazi province, Iran. Data collection tools were demographic and individual characteristics questionnaire, Job Description Index (JDI) questionnaire, and Occupational Stress Questionnaire (OSQ, Davies). Data were analyzed using the SPSS software (version 20). Results: The results showed that occupational stress is generally higher in women (119/848) than in men (108/122), and women’s job satisfaction (242/450) is lower than that of men (262/682). In addition, there was a negative and significant relationship between occupational stress and job satisfaction (r=0.001, P=0.783) at the significance of level P<0.05. Multivariate regression findings also revealed that occupational stress can predict job satisfaction (β=-0.783, P=0.001). Moreover, the highest occupational stress and the lowest job satisfaction were related to healthcare workers. Conclusion: In general, stress and job satisfaction were obtained at a moderate level in this study, and there was a negative relationship between the two variables. Given that dissatisfaction is mainly seen in the discussion of promotions, salaries, and benefits, it is necessary to take measures to reduce stress, improve economic conditions, and create fair promotion conditions

Inter and intra-rater reliability of a new assessment tool for Health٫ Safety, and Environment (HSE) in urban districts: a case study in Tehran city

Introduction: In recent years, a growing attention has been paid to assess the physical characteristics of rich and poor urban districts to understand social health differences. Urban districts environment play a major role in health of the residents. Previous few studies have considered some aspects of limited neighborhood environment. The current study was designed to investigate the reliability of the Neighborhood Health, Safety and Environment (NHSE) tool in one of Tehran city neighborhoods. Material and Method: Dimensions and related items of the NHSE were extracted based on the previous studies and interviews with city experts. Five observers completed the NHSE in a selected neighborhood in order to test inter and intra-rater reliability of the tool. Data analysis was done using the Cronbach&rsquo;s alpha, Interclass Correlation Coefficient (ICC) and kappa coefficient. Result: The ICC and Cronbach&rsquo;s alpha were estimated 0.86 for all dimensions of the NHSE. The calculated kappa values were in the range of 57%-66% for inter-rater reliability and 0.47-0.62 for intra-rater reliability. Conclusion: The NHSE tool was shown to have a desirable inter and intra-rater reliability and a good level of internal consistency for assessing the health, safety, and environment (HSE) of the neighborhoods