An STUDY OF THE RELATIONSHIP BETWEEN PSYCHOLOGICAL EMPOWERMENT AND THE LIFESTYLE OF WOMEN WORKING IN NORTH OF IRAN HOSPITALS
Lifestyle is a normal daily activity that people have accepted in their lives as pleasing. Empowerment, as the heart of health promotion, can be considered as a social action to increase behavioral dimensions of individual and society. The aim of this study was to determine the relationship between psychological empowerment and lifestyle of the women working in educational hospitals in North of Iran. This cross-sectional study was carried on 252 women with Spreitzer’s staff psychological empowerment scale and Health-promoting lifestyle profile II. The response rate was 91.3%. U-Mann Whitney, Kruskal Wallis, Spearman correlation and Logistic regression were used to determine the relationship between the variables. Age, marital status, shift work, socioeconomic status and BMI were significantly associated with health promoting behaviors. The mean score of psychological empowerment was 42.90 ± 9.15 and the mean score of health promoting behaviors was 142.83 ± 21.25. Work shift and age were also significantly related to employees' psychological empowerment. On the basis of regression analysis, the impact dimension was identified as the final determinant of health promoting behaviors. It is necessary to pay special attention to the psychological empowerment of employees, especially feeling efficacy at work and plan to enhance employees' health promoting behaviors.
1. Samimi R, Masrure Rodsary D, Hosseini F, Tamadonfar M. Correlation Between LifeStyle and General Health in University Students. Iran Journal of Nursing. 2007;19(48):83-93.
2. Arsalani N, Fallahi-Khoshknab M, Josephson M, Lagerstrom M. Iranian nursing staff's self-reported general and mental health related to working conditions and family situation. International nursing review. 2012;59(3):416-23.
3. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S, Franch HA, et al. Diet and lifestyle recommendations revision 2006 A scientific statement from the American Heart Association nutrition committee. Circulation. 2006;114(1):82-96.
4. Reeves MJ, Rafferty AP. Healthy lifestyle characteristics among adults in the United States, 2000. Archives of internal medicine. 2005;165(8):854-7.
5. Martin-Moreno JM, Soerjomataram I, Magnusson G. Cancer causes and prevention: a condensed appraisal in Europe in 2008. European journal of cancer. 2008;44(10):13-15.
6. Rahimian Boogar I, Rostami R. The psychosocial and demographical risk factors of cancer (Tehran 2011). Journal of Kermanshah University of Medical Sciences. 2013;17(1):30-40.
7. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century.HEALTH PROMOTION INTERNATIONAL. 2006;15(3):259-67.
8. Mohan V, Shanthirani CS, Deepa M, Datta M, Williams OD, Deepa R. Community empowerment-a successful model for prevention of non-communicable diseases in india-the chennai urban population study (cups-17). Journal of the Association of Physicians of India. 2006;54:858-62.
9. Shaditalab, Zhaleh. (2002). Social empowerment of women. Research Women. Third printing. No. 7. (In persian)
10. Marcia Fatima S, Rachel Conceicao F, Pazzini CA, Denise Vieira T, Saul Martins P, Efigenia Ferreira e F. Individual and collective empowerment and associated factors among Brazilian adults: a cross-sectional study. BMC Public Health. 2015;15.
11. Chamroonsawasdi K, Phoolphoklang S, Nanthamongkolchai S, Munsawaengsub C. Factors influencing health promoting behaviors among the elderly under the universal coverage program, Buriram Province, Thailand. Asia journal of public health. 2010;1(1):15-9.
12. Marcia Fatima S, Rachel Conceicao F, Pazzini CA, Denise Vieira T, Saul Martins P, Efigenia Ferreira e F. Individual and collective empowerment and associated factors among Brazilian adults: a cross-sectional study. BMC Public Health. 2015;15.
13. Wilkinson RG, Marmot MG. Social determinants of health: the solid facts: World Health Organization; 2003.
14. HEIDARI M, ALHANI F, KAZEMNEJAD A, TOL A, MOEZI F. Assessing the effect of educational program based on empowerment model on HbA1C among adolescents with type 1 diabetes. 2012.
15. Brandstetter S, Rüter J, Curbach J, Loss J. A systematic review on empowerment for healthy nutrition in health promotion. Public health nutrition. 2015;18(17):3146-54.
16. Lin Y, Tudor-Sfetea C, Siddiqui S, Sherwani Y, Ahmed M, Eisingerich AB. Effective behavioral changes through a digital mHealth app: exploring the impact of hedonic well-being, psychological empowerment and inspiration. JMIR mHealth and uHealth. 2018;6(6):e10024.
17. Warren L, Rance J, Hunter B. Feasibility and acceptability of a midwife-led intervention programme called'Eat Well Keep Active'to encourage a healthy lifestyle in pregnancy. BMC Pregnancy and Childbirth. 2012;12(1):27.
18. Atkins S, Biles D, Lewin S, Ringsberg K, Thorson A. Patients’ experiences of an intervention to support tuberculosis treatment adherence in South Africa. Journal of health services research & policy. 2010;15(3):163-70.
19. Smith N, Littlejohns LB, Roy D. Measuring Community Capacity: State of the Field Review and Recommendations for Future Research. 2003.
20. Restrepo J, Kjerfve B. Magdalena river: interannual variability (1975–1995) and revised water discharge and sediment load estimates. Journal of hydrology. 2000;235(1):137-49.
21. Laverack G. Health Promotion Practice: Building Empowered Communities: Building Empowered Communities: McGraw-Hill International; 2007.
22. Spreitzer GM. Taking stock: A review of more than twenty years of research on empowerment at work. Handbook of organizational behavior. 2008:54-72.
23. Khadivi A, Kooshafar A, Khesareh Anakhaton J. The Assessment Rate Of The Employees' Psychological Empowerment Based On Thomas Model In Islamic Azad University Tabriz Branch. Journal Of Educational Sciences 2013; 5(20):49 - 62.
24. Borzabad PA, Yazdi Feyzabadi V, Rasuli Moghadam E. Relationships between Organizational Climate and Organizational Silence with Psychological Empowerment of Employees in Hospitals Affiliated with Birjand University of Medical Sciences; 2015. Journal of Birjand University of Medical Sciences. 2016; 22 (3): 1-12.
25. Al‐Kandari F, Vidal VL. Correlation of the health‐promoting lifestyle, enrollment level, and academic performance of College of Nursing students in Kuwait. Nursing & health sciences. 2007;9(2):112-9.
26. Morowati-Sharifabad MA. Optimization model of health promotion and its evaluation with the application of adult learning theory in older adults' health promoting change behavior in Yazd [dissertation]. Tehran Tarbiat Modares University of Medical Sciences Health Education Department; 2006.
27. Kermanshahi S. Perception and experiences of health phenomenon in mothers of children with mental retardation and designing and evaluating the nursing model of health promotion [dissertation]. Tehran Tarbiat Modares University of Medical Sciences Nursing Department; 2008.
28. Heidari F, Mohammadkhan Kermanshahi S. Health Related Lifestyle in Nurses. Health and Care J 2012;14(3):23-33.
29. Mohammadi Zeidi I, Pakpour Hajjiagha A, Mohammadi Zeidi B. Reliability and Validity of Persian Version of the Health-Promoting Lifestyle Profile. J Mazand Univ Med Sci 2012; 22(Supple 1): 103-113.
30. Bakhshi F, Shojaeizadeh D, Sadeghi R, Taghdisi MH, Nedjat S. The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran. Electronic physician. 2017;9(2):3690.
31. Laverack G, Labonte R. A planning framework for community empowerment goals within health promotion. Health policy and planning. 2000;15(3):255-62.
32. James W, Gary R, Jane S, Louise W-B. empowerment and health & well-being: Yorkshire & Humber Public Health Observatory; September 2010. Available from: www.altogetherbetter.org.uk.
33. Laverack G. Improving health outcomes through community empowerment: a review of the literature. Journal of Health, Population and Nutrition. March 2006;24(1):113-20.
34. Wallerstein N. What is the evidence on effectiveness of empowerment to improve health? Copenhagen, Denmark, World Health Organization [WHO], Regional Office for Europe, Health Evidence Network, 2006 Feb. 37 p. (Health Evidence Network Report).
35. Organization WH, editor Declaration of Alma-Ata. Geneva: World Health Organization. International Conference on Primary health Care Alma-Ata http://www who int/publications/almaata_ declaration_en pdf Accessed 14th; 1978.
36. Organization WH. Sundsvall statement on supportive environments for health, 9-15 June 1991, Sundsvall, Sweden= La Déclaration de Sundsvall: des milieux favorables à la santé, 9-15 juin 1991, Sundsvall, Suède. 1992.
37. Promotion ICoH, Organization WH. The Jakarta declaration on leading health promotion into the 21st century: adopted at the Fourth International Conference on Health Promotion, July 21-25, 1997, Jakarta, Republic of Indonesia: Verlag für Gesundheitsförderung Conrad; 1997.
38. Organization WH. Ottawa Charter for Health Promotion. Geneva: World Health Organization; 1986, 2009.
39. Neighbors HW, Braithwaite RL, Thompson E. Health promotion and African-Americans: from personal empowerment to community action. American Journal of Health Promotion. 1995;9(4):281-7.
40. Fisher BJ, Gosselink CA. Enhancing the efficacy and empowerment of older adults through group formation. Journal of gerontological social work. 2008;51(1-2):2-18.
41. Jacobs G. Imagining the flowers, but working the rich and heavy clay: participation and empowerment in action research for health. Educational Action Research. 2006;14(4):569-81.
42. Aday RH, Kehoe G. Working in old age: benefits of participation in the senior community service employment program. Journal of Workplace Behavioral Health. 2008;23(1-2):125-45.
43. Edge S, Newbold KB, McKeary M. Exploring socio-cultural factors that mediate, facilitate, & constrain the health and empowerment of refugee youth. Social Science & Medicine. 2014;117:34-41.
44. Enjezab B, Farajzadegan Z, Taleghani F, Aflatoonian A, Morowatisharifabad MA. Health promoting behaviors in a population-based sample of middle-aged women and its relevant factors in Yazd, Iran. International journal of preventive medicine. 2012;3(Suppl1):S191.
45. Flattery M, Salyer J, Maltby M, Joyner P, Elswick R. Lifestyle and health status differ over time in long-term heart transplant recipients. Progress in Transplantation. 2006;16(3):232-8.
46. Malakouti J, Sehhati F, Mirghafourvand M, Nahangi R. Relationship between Health Promoting Lifestyle and Perceived Stress in Pregnant Women with Preeclampsia. Journal of caring sciences. 2015;4(2):155.
47. Sousa P, Gaspar P, Vaz DC, Gonzaga S, Dixe MA. Measuring Health-Promoting Behaviors: Cross-Cultural Validation of the Health-Promoting Lifestyle Profile-II. International journal of nursing knowledge. 2015;26(2):54-61.
48. Cao W-J, Chen C-S, Hua Y, Li Y-M, Xu Y-Y, Hua Q-Z. Factor analysis of a health-promoting lifestyle profile (HPLP): Application to older adults in Mainland China. Archives of Gerontology and Geriatrics. 2012;55(3):632-8.
49. Hall M. The effect of comprehensive performance measurement systems on role clarity, psychological empowerment and managerial performance. Accounting, Organizations and Society. 2008;33(2):141-63.
50. Kiani Z, Simbar M, Dolatian M, Zayeri F. Correlation between Social Determinants of Health and Women’s Empowerment in Reproductive Decision-Making among Iranian Women. Global Journal of Health Science. 2016;8(9):312-21.
51. Soares MF, Ferreira RC, Pazzini CA, Travassos DV, Paiva SM, Ferreira EFE. Individual and collective empowerment and associated factors among Brazilian adults: a cross-sectional study. BMC Public Health. 2015;15.
52. Baghianimoghadam M, Ehrampoush M, Ardian N, Soltani T. A research about health promoting activities (lifestyle) at employees. tkj. 2013; 5 (3) :79-87.
53. Alkhawaldeh O. Health promoting lifestyles of Jordanian university students. International Journal of Advanced Nursing Studies. 2014;3(1):27-31.
54. Beser A, Bahar Z, Büyükkaya D. Health promoting behaviors and factors related to lifestyle among Turkish workers and occupational health nurses' responsibilities in their health promoting activities. Industrial health. 2007;45(1):151-9.