جستجوی مقالات مرتبط با کلیدواژه "Resilience" در نشریات گروه "پزشکی"

The pharmaceutical supply chain (PSC) faced numerous challenges, particularly during the COVID-19 crisis. Due to the supply chain (SC) 's vulnerabilities, it requires enhanced capabilities to address these challenges. In Iran, specific economic and political issues have intensified the vulnerabilities of the PSC.

This study investigates the issues caused by the COVID-19 crisis in the PSC, identifies and characterizes these issues, and recommends appropriate courses of action to address future SC disruptions.

This study is a qualitative-quantitative analysis conducted in Iran during the COVID-19 crisis. Qualitative thematic analysis was performed from July 2022 until May 2023. Semi-structured, in-depth, face-to-face interviews with 23 Iranian PSC specialists were conducted until saturation was reached. The qualitative phase was analyzed using MAXQDA 2021. The quantitative phase included a survey of 547 individuals working in pharmaceutical manufacturing in Iran, with the questionnaires analyzed using SPSS 26.

In the qualitative phase, the research identified two main themes: (1) vulnerabilities and (2) capabilities, along with 15 subthemes providing solutions to enhance the resilience of the PSC. In the quantitative phase, findings from 64 questionnaires highlighted major vulnerabilities and capabilities necessary to create a resilient SC. The median score for vulnerabilities was 5.12, while the median score for capabilities was 5.39.

According to the questionnaire results, the quantitative findings indicate that capabilities received a higher score, suggesting that this sector of the PSC demonstrated better resilience against the pandemic. This study, with its contextual focus, mixed-method approach, comprehensive analysis of vulnerabilities and capabilities, and sector-specific insights, offers a novel contribution to the understanding of SC resilience within Iranian pharmaceutical manufacturing. It also has the potential to promote further research in other sectors of the PSC.

Considering the many physical and psychological stresses in old age, it seems necessary to investigate the factors affecting the resilience and spiritual health of this group of people. For this reason, the present study was conducted to determine the components of spiritual health in predicting the resilience of older adults in Urmia City in 1402.

In this descriptive-analytical and cross-sectional correlational study, 180 married elderly individuals living in Urmia were selected through cluster sampling. The Spiritual Health and Resilience questionnaires were used in addition to the demographic questionnaire to collect data in this research. Data were analyzed using SPSS version 21 statistical software as well as descriptive statistical tests (mean and standard deviation, frequency, and percentage) and analytical tests (Pearson correlation coefficients and multiple linear regression) at a significance level of p ≤ 0.05.

Multiple regression analysis showed that the three variables of existential health (p < 0.00001), age (p < 0.00001), and number of children (p < 0.032) can significantly predict the resilience variable. In other words, with an increase in existential health and age, there is expected to be an increase in the resilience of the elderly. However, with an increase in the number of children, the resilience will decrease.

The results of the present study can help health service providers identify effective resources for strengthening resilience in elderly empowerment planning. Resilience by creating better-coping strategies and defense mechanisms can enable older adults to address flexibility issues and be less exposed to mental and emotional disorders of old age.

Given the importance of spiritual health, resilience, and Self-efficacy in medical students for coping with the challenges of their long training path, this study was conducted to analyze these variables and their correlations among a group of medical students.

This descriptive study was performed on 300 medical students. The subjects were randomly selected, their demographic information recorded, and they were asked to carefully complete the questionnaires. The Spiritual Well-Being Scale, the Connor-Davidson Resilience Scale, and Sherer’s Self-efficacy Scale were used to measure spiritual health, resilience, and Self-efficacy, respectively. Data were analyzed using SPSS version 26 and EQS 6.4. Results were reported as mean ± SD, and statistical significance was set at P-value ≤ 0.05.

In this study, the mean scores for spiritual health, resilience, and Self-efficacy were 73.02, 79.67, and 59.01, respectively. The results showed a positive and significant correlation between religious health and resilience (β = 0.34, P < 0.001) and between existential health and resilience (β = 0.33, P < 0.001). Additionally, a significant correlation was found between religious health and Self-efficacy, both directly and indirectly (β = 0.85, P < 0.001), and between existential health and Self-efficacy indirectly (β = 0.29, P < 0.001). Furthermore, resilience had a direct effect on Self-efficacy (β = 0.87, P < 0.001).

Spiritual health can predict resilience and Self-efficacy. Since individuals with high mental health demonstrate greater resilience, it can be concluded that providing supportive factors, such as religion and spirituality, to enhance mental health and spiritual intelligence can lead to improved resilience and Self-efficacy.

There is widespread consensus that the healthcare system relies heavily on its human resources. Consequently, the capacity and capability of human resources are crucial factors in the success of healthcare systems.

This study examines the correlation between resilience, burnout, and productivity among employees of the health system in Iran.

A cross-sectional study with an analytical approach was conducted at Zahedan University of Medical Sciences (ZAUMS) in southern Iran in 2023. The research population included all employees of health centers and hospitals at ZAUMS, with a sample size of 350 participants. Data were collected using three standard questionnaires: Connor and Davidson's resilience scale, Moslesh's job burnout scale, and a human resource productivity questionnaire. Data analysis was performed using SPSS software, with a significance level set at P < 0.05.

The findings showed that 56.6% of participants were female, and the mean age was 34.3 ± 7.6 years. The total scores for resilience, job burnout, and productivity were 90.0, 85.3, and 73.4, respectively. Job burnout was significantly higher among hospital employees compared to those in health centers (P = 0.001). The results also indicated that as staff age increased, their workplace resilience improved. Additionally, resilience was positively correlated with productivity (P = 0.001). However, no significant correlation was found between job burnout and either productivity or resilience (P = 0.532 and P = 0.476, respectively).

Increasing employees' resilience is essential for boosting their productivity. Efforts to enhance resilience should focus on three key dimensions: Courage, optimism, and cooperation. Providing resilience-enhancing training for hospital and health center employees, along with strategies to address burnout, can be highly effective. Furthermore, managing the relationship between supervisors and employees, designing an appropriate work environment, and fostering work engagement can improve workplace interactions and reduce job-related stress by increasing resilience.

The current study aimed at assessing the ability of system resilience against threats using an integrated method based on entropy and technique for order of preference by similarity to ideal solution (TOPSIS) in an oil company.

The threats were identified through field observation, literature review, and expert opinion in the industry. Afterward, the required data were gathered, and the resilience status was examined using three structured questionnaires for each category of the threats. The weights of resilience criteria computed for each group of the threats using entropy, and were then ranked through the TOPSIS method.

Learning (0.34) and anticipating (0.15) had the highest and lowest impacts on the category of regular threats, respectively. In the case of irregular threats, anticipating (0.31) and monitoring (0.21) had the highest and lowest impacts, respectively. As for unexampled threats, learning and anticipating (0.26) had the highest impact, and responding (0.23) had the lowest impact. The results of TOPSIS analysis indicated that regular threats, irregular threats, and unexampled threats were ranked in the first, second, and third positions with scores of 0.52, 0.48, and 0.46, respectively.

To ameliorate resilience in complicated systems, managers should strengthen RE-related indicators along with working on the indicators which are in poor condition. The findings of this study can be used by managers and decision-makers to identify system weaknesses and improve comprehensive technical and applied plans.

To comprehend the complex interplay between autism symptoms, family well-being, and maternal coping abilities, it is essential to delve into the relationship between these factors. This study aimed to investigate how maternal resilience influences the connection between the severity of autism symptoms and the overall quality of life (QoL) for families with autistic children. A cross-sectional correlational study was designed to investigate the correlation between variables. The study population consisted of mothers of autistic children aged 4 to 12 years residing in Mashhad, Iran. A convenience sample of 372 mothers was recruited from rehabilitation, educational, and therapeutic centers catering to autistic individuals in Mashhad, Iran between January and March 2023. For data analysis, Pearson correlation and SEM were used, with the aid of SPSS and Amos 24. The mean score for the severity of autism symptoms was 160.26 (±11.66). The mean resilience score was 49.98 (±6.55). Also, the mean score for family QoL was 75.33 (±9.81). The results showed significant direct relationships among the severity of autism symptoms, family QoL, autism symptoms, and maternal resilience in mothers of autistic children (P=0.001). Additionally, the study demonstrated that maternal resilience played a significant mediating role in the connection between autism symptoms and family QoL (P=0.001). The study uncovered a negative connection between the severity of autism symptoms and family QoL, suggesting that more pronounced symptoms can negatively impact family well-being. Additionally, the study found a positive link between maternal resilience and family QoL, indicating that fostering resilience in mothers of autistic children can enhance family dynamics.

Marital burnout significantly affects many women, leading to emotional distress and decreased quality of life. The present study aimed to investigate the effectiveness of resilient dialectical behavior therapy (RDBT) and dialectical behavior therapy (DBT) on improving coping strategies and resilience in women experiencing marital burnout. This quasi-experimental study employed a pre-test, post-test, and two-month follow-up design to evaluate the efficacy of Dialectical Behavior Therapy (DBT) and Relational Dialectical Behavior Therapy (RDBT) in addressing marital burnout among women aged 25-50. The study participants were recruited from counseling centers in Isfahan, Iran, during the Spring of 2023. A convenience sample of 45 women was randomly allocated to three groups: DBT (n=15), RDBT (n=15), and a control group (n=15). The experimental groups received nine weekly, 60-minute therapy sessions, while the control group received no intervention. The Coping Inventory for Stressful Situations (CISS) and Connor-Davidson Resilience Scale (CD-RISC) were administered at pre-test, post-test, and follow-up. Repeated measures ANOVA and Bonferroni post-hoc tests were used to analyze the data, which was processed using SPSS version 27. Both interventions had a significant positive effect on improving coping strategies and resilience in women experiencing marital burnout (P<0.001). At post-test, the RDBT group demonstrated significantly higher levels of problem-focused coping than the DBT group, with mean scores of 16.80 (95% CI: 14.43, 19.17) and 7.20 (95% CI: 4.83, 9.57), respectively. Both groups exhibited decreases in emotion-focused coping, with the RDBT group showing a more pronounced decline (-10.47, 95% CI: -12.83, -8.11) compared with the DBT group (-6.54, 95% CI: -8.91, -4.17). Similarly, the RDBT group demonstrated a greater reduction in avoidant coping (-11.13, 95% CI: -13.59, -8.67) compared with the DBT group (-7.93, 95% CI: -10.3, -5.56). Finally, both groups exhibited significant increases in resilience, with the RDBT group showing slightly higher levels at post-test (33.13, 95% CI: 30.77, 35.49) compared with the DBT group (31.14, 95% CI: 28.77, 33.51). The findings of this study demonstrate the efficacy of both DBT and RDBT in enhancing coping strategies and resilience among women experiencing marital burnout. These results underscore the potential of DBT and RDBT in addressing the psychological challenges associated with marital distress.

The coronavirus disease 2019 (COVID-19) pandemic has become a great global health problem. It has also affected mental healthcare providers, especially nurses and midwives. This study was conducted to evaluate the resilience of Iranian midwives and the effectiveness of daily motivational messages through the WhatsApp messenger in improving resilience. 

A psychoeducational intervention study with a control group was conducted on 362 midwives who were on duty in Iran during 2021. The samples were selected from the national midwifery Telegram group, and the data were collected through a Google Form. The tools used included the checklist of demographic characteristics and Davidson’s resilience questionnaire, whose validity and reliability have been determined in the Persian version. The Persian version of the Connor-Davidson resilience scale (CD-RISC) was administered to all participants at baseline and at the end of the study. The intervention group received daily motivational messages via WhatsApp for 43 days. These motivational messages, based on Quranic verses and hadiths, were sent daily. Data were analyzed using SPSS software, version 16, and included the paired t-test, independent t-test, chi-square test, and Pearson and Spearman correlation coefficient tests. 

There was no significant difference in terms of personal characteristics between the groups at baseline (P>0.05). After the intervention, the resilience score increased significantly in the intervention group (P=0.002).

Motivational massaging via social media could be effective in increasing resilience among healthcare workers in stressful conditions, including epidemics.

Aggressive behavior is a common emotional manifestation among students of all grades. The present study aimed to establish the correlation between resilience, self-control, self-regulation, and decision-making style with aggressive behavior in adolescents.

In this cross-sectional study conducted in 2022 in Marvdasht, Iran, 469 students with a mean age of 15.48±1.74 years were recruited. Standard questionnaires were used to collect data on aggression, resilience, self-control, self-regulation, and decision-making style. The data were analyzed using SPSS version 22 and Amos version 24, with a significance level of P<0.05. Statistical methods including Pearson’s correlation coefficient, linear regression, and structural equation modeling (SEM) were employed for analysis.

The findings revealed significant negative correlations between self-regulation (r=-0.577, P<0.001), self-control (r=- 0.962, P<0.001), resilience (r=-0.984, P<0.001), and deliberative decision-making style (r=-0.571, P<0.001) with aggressive behavior in adolescents. Additionally, all variables except intuitive decision-making were found to have a significant association with aggressive behavior. Notably, resilience emerged as the most related variable to aggressive behavior. SEM analysis showed that standardized total effects of self-regulation, self-control, resilience, and deliberative decision-making on aggressive behavior were -0.500, -0.912, -0.632, and -0.565, respectively. The model fit indicators showed that the final model fit was acceptable (ᵡ2 / df=2.431, P=0.063, GFI=0.994, AGFI=0.969, CFI=0.999, NFI=0.989, RMSEA=0.055).

The study suggested all these variables, particularly resilience and self-control should be considered when planning interventions to reduce and control aggressive behavior.

Psychological well-being is a protective factor against mental disorders. This study aimed to clarify the contribution of resilience and social capital as predictors of psychological well-being as a first step toward developing evidence-based interventions to improve psychological wellbeing in healthcare workers.

This cross-sectional study was conducted on Iranian healthcare workers. Systematic random sampling was used to recruit 140 employees working in healthcare centers in Shiraz, Iran, in 2021. Data were collected using a survey that included Ryff’s Scale of Psychological Well-Being, the Social Capital at Work Scale, and the Resilience at Work Scale. Data analysis involved correlations and path analysis to clarify the relationship between predictor variables for psychological well-being in healthcare workers.

Significant relationships were found between psychological well-being and resilience (r=0.29, P<0.01), psychological wellbeing and social capital (r=0.31, P<0.01), and resilience and social capital (r=0.42, P<0.01). Path analysis revealed a significant and direct relationship between social capital and resilience (β=0.56, P=0.001) as well as resilience and psychological well-being (β=0.59, P=0.001). The direct path from social capital to psychological wellbeing was insignificant (β=0.00, P=0.93). The model explained 36% of the variance in psychological well-being.

Resilience was the most influential predictor of psychological well-being. It was associated with psychological well-being both directly and indirectly through the contribution of social capital. Promoting individual empowerment and developing resilience skills should be considered an essential approach in designing and implementing intervention programs to improve the psychological well-being of healthcare workers.

Paying attention to the psychological well-being of emergency medical technicians (EMTs) is necessary, since they are prone to physical and mental problems caused by emergency work. Resilience plays an important role in reducing stress. The present study aimed to find the relationship between psychological well-being and resilience of EMTs in Yazd, Iran.

This descriptive-correlational study was conducted in 2023 on 137 EMTs working in the emergency departments and accident management centers in Yazd province, who were selected by a simple random sampling method. Ryff’s psychological well-being scale (PWBS) and the Connor-Davidson resilience scale (CD-RISC) were used to measure psychological well-being and resilience. Data were analyzed in SPSS software, version 16 using descriptive statistics, the Wilcoxon test, and the Pearson correlation test.

A positive and significant correlation was found between the variable of resilience and psychological well-being. A significant difference was found in the mean score of PWBS based on gender (P<0.05). The mean total scores of CD-RISC and PWBS were 94.43±13.9 and 74±9.77, respectively. Among the domains of CD-RISC, the highest score was related to personal competence (30.71±5.29). Among the domains of PWBS, the highest score was related to positive relationships with others (13.62±2.71). 

There is a positive relationship between the psychological well-being and resilience of EMTs in Iran. It is necessary for planners and policymakers in Iran to develop stress reduction programs to promote the psychological well-being and resilience of EMTs by considering the importance of communication with others, personal competence, and spirituality.