Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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1735-9260
1735-9279
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jalali
1401
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2022
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ارتباط هوش اخلاقی با فرسودگی شغلی در کارکنان اورژانس پیش بیمارستانی مازندران طی پاندمی کووید-19
Relationship Between Moral Intelligence and Occupational Burnout in Mazandaran Pre-Hospital Emergency Staff During COVID-19 Pandemic
طب اورژانس
Emergency Medicine
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="line-height:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" nazanin="" style="font-family:"><span style="color:black"> </span></span></b></span></span></span></span><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black">پاندمی کووید-19، سبب افزایش حجم کار و فرسودگی شغلی درکادر پزشکی، از جمله کارکنان فوریت</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">های پزشکی شد. شناخت و پیشگیری از فرسودگی شغلی، می</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">تواند در ارتقاء بهداشت روان کارکنان، سطح کیفیت <span style="letter-spacing:-.1pt">و رضایت از </span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">خدمات مؤثر باشد.</span></span></span></span> <span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">این مطالعه با هدف بررسی ارتباط فرسودگی شغلی و هوش اخلاقی در کارکنان</span></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"> فوریت</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">های پزشکی انجام شد.</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">در این مطالعه تحلیلی مقطعی که در سال 1400 در مرکز اورژانس پیش بیمارستانی و مدیریت حوادث دانشگاه علوم پزشکی مارندران انجام شد، 250 پرسنل این مرکز در سطح پایگاه</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">های اورژانس، به روش نمونه</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">گیری طبقه</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">ای مورد مطالعه قرارگرفتند.</span></span></span> <span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">ابزار گردآوری دادهها شامل چک لیست مشخصات جمعیتشناختی، پرسشنامه استاندارد هوش اخلاقی لنیک و کایل و پرسشنامه استاندارد فرسودگی شغلی ماسلاچ و جکسون بود. مدل اندازه</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">گیری پژوهش، معادلات ساختاری و استفاده از مدل ماکزیمم درست نمایی بود. تحلیل</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">ها در نرم</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">افزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">SPSS 23</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">Amos 24</span></span></span><span style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"> انجام شد. </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">میانگین نمرههای هوش اخلاقی 8/30</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">±</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">81/10 و فرسودگی شغلی 13/73</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">±</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">44/41 بود. </span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">با افزایش هر نمره هوش اخلاقی، نمره فرسودگی شغلی به میزان 1/55 کاهش یافت(0/054</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P=</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">). ارتباط تمامی ابعاد پرسشنامه هوش اخلاقی با عامل هوش اخلاقی معنی</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">دار بودند(0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">). وفای به عهد(0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">، 0/82</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">r=</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">) و بخشش اشتباهات خود (0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">، 0/79</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">r=</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">) دارای بیش</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">ترین همبستگی با هوش اخلاقی بودند. در پرسشنامه فرسودگی شغلی، تنها بعد فردی دارای ضریب همبستگی معنی</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">دار و هم جهت با عامل فرسودگی شغلی بود(0/026</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P=</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">، 0/41</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">r=</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">)</span></span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black">.</span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span><span lang="FA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"> با ارتقا و افزایش</span></span></span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"> هوش اخلاقی، نمره فرسودگی شغلی کارکنان کاهش یافت، بنابراین </span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">با</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">توجه</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">به</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">این</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">که هوش</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">اخلاقی</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">نوعی</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">توانایی</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">اکتسابی</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">است؛</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">می</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">توان</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">با</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">ارتقای</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">آن</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">در</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">بین</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">کارکنان فوریت</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">های پزشکی،</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">میزان</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">فرسودگی شغلی</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">را</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">در</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">آن</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">ها</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">کاهش</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">داد.</span></span><span lang="AR-SA" style="line-height:85%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt"> </span></span></span></span></span></b></span></span></span></span><span style="line-height:130%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:130%">COVID-19 pandemic caused high workload and led to high levels of burnout in medical staff including emergency medical personnel. Identifying and preventing occupational burnout can efficiently improve mental health in workplace and enhance the quality of services delivered. This research aimed to investigate the relationship between occupational burnout and moral intelligence in emergency medical staff.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:130%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:130%"> This analytical cross-sectional study was conducted in 250 pre-hospital emergency staff in </span></span><span style="font-size:10.0pt"><span style="line-height:130%">Mazandaran University of Medical Sciences,</span></span><span style="font-size:10.0pt"><span style="line-height:130%"> 2021. The participants were selected from emergency bases using stratified sampling. Data were collected using demographic characteristics checklist, Moral Intelligence Scale (Lennick & Kiel), and Maslach Burnout Inventory (MBI). Structural equation and maximum likelihood model were applied. Data analyses were carried out in SPSS 23 and Amos 24.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:130%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:130%">The mean scores for moral intelligence and burnout were 81.10±8.30 and 44.41±13.73, respectively. Every one point increase in moral intelligence score decreased burnout score by 1.55 <span style="letter-spacing:-.2pt">(P=0.054). Significant relationships were seen between all dimensions of Moral Intelligence Scale and moral</span> intelligence (P<0.001). Keeping promises (r=0.82, P<0.001) and the ability to let go of one’s own <span style="letter-spacing:-.2pt">mistakes (r=0.79, P<0.001) were found to be highly correlated with moral intelligence. In MBI, only personal</span> accomplishment showed a significant positive correlation coefficient with burnout (r=0.41, P=0.026).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:130%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:"Arial","sans-serif"">Conclusion: </span></span></span></b><span style="font-size:10.0pt"><span style="line-height:130%">In this study, improvements in moral intelligence score decreased the burnout score. Therefore, improving moral intelligence, as an acquired ability, in emergency medical personnel can reduce the levels of burnout experienced</span></span><span style="font-size:10.0pt"><span style="line-height:130%">.</span></span></span></span></span></span><br>
هوش اخلاقی, فرسودگی شغلی, اورژانس پیش بیمارستانی, پاندمی, کووید-19
moral intelligence, occupational burnout, pre-hospital emergency center, pandemic, COVID-19
87
96
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-12832-5&slc_lang=fa&sid=1
Hassan
Talebi Ghadicolaei
حسن
طالبی قادیکلائی
h.tghems@yahoo.com
1003194753284600147595
1003194753284600147595
No
MSc in Critical Care Nursing, Emergency Medical Services, Mazandaran University of Medical Sciences, Sari, Iran
کارشناسی ارشد پرستاری مراقبتهای ویژه، مرکز اورژانس پیش بیمارستانی و مدیریت حوادث، دانشگاه علوم پزشکی مازندران، ساری، ایران
Zoya
Hadinejad
زویا
هادی نژاد
zoya.hadian@yahoo.com
1003194753284600147596
1003194753284600147596
No
PhD Student of Health in Emergencies and Disaster, Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
دانشجوی دکتری تخصصی سلامت در بلایا و فوریت ها، مرکز تحقیقات حوادث و بلایای، دانشگاه علوم توانبخشی و سلامت اجتماعی تهران، تهران، ایران
Abolfazl
Hosseinnataj
ابوالفضل
حسین نتاج
abolfazlh_68@yahoo.com
1003194753284600147597
1003194753284600147597
No
Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی مازندران، ساری، ایران
Seyed Leila
Hosseini
سیده لیلا
حسینی
leilahosseini608@gmail.com
1003194753284600147598
1003194753284600147598
No
کارشناس مامایی، مرکز اورژانس پیش بیمارستانی و مدیریت حوادث، دانشگاه علوم پزشکی مازندران، ساری، ایران
Tahereh
Yaghoubi
طاهره
یعقوبی
tyaghubi@mazums.ac.ir
1003194753284600147594
1003194753284600147594
Yes
Assistant Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences Sari, Iran
استادیار، مرکز تحقیقات طب سنتی و مکمل، انستیتوی اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران