الفهرس 
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Abstract
This study aimed to measure the prevalence and risk factors of work
related stress among residents at Ain Shams University hospitals as
well as to study the relationship between work related stress and job
satisfaction.
A cross-sectional study was conducted including 488 residents from
Ain Shams University Hospitals their ages range from 24 to 29 years
old and the percentage of males and females was almost the same.
Self-administered questionnaire was used which involved
demographic and job related characteristics, work related stressors,
stress associated manifestations, causes of job dissatisfaction, as well
as general health questionnaire (12 items) which is a questionnaire
designed and validated by WHO.
It was evident from the study results that work related stress was
prevalent among residents working inAin Shams University Hospitals,
as 58% of them were stressed, 29.9% scored severe stress. Female
doctors were significantly more stressed than male doctors (65.4% and
50.4%respectively). There was a significant association between work
related stress and leisure time, total working hours, workload,
perception of doing job of no value,irregularity of schedule of work
shifts, decision latitude, role ambiguity, role conflict, work
relationships, limited opportunities for skills development and
uncomfortable work environment.
In addition, relation between work related stress and associated
manifestations was also examined and revealed a significant relation
between work related stress and the physical manifestations as (fatigue,
chronic headache, muscle ache, palpitation, stomach ache, coldness in
extremities, chest pain, constipation or diarrhea and nausea) and also
between stress and the psychological and behavioural manifestations as
(frustration, depression, lack of self-confidence, restlessness, anxiety,
lack of concentration, impaired memory, racing thoughts, rapid anger,
lack of life enjoyment, social withdrawal, hesitation, attacks of crying,
loss of sense of humor, nervousness, decreased appetite, frequent
yawing, insomnia and night mares).
In multivariate logistic regression analysis, perception of doing job of
no value, uncomfortable work environment,difficulty in taking
vacation, problems in communication with supervisors and gender
were the most important independent predictors of work related
stress.Pareto chart showed that lack of leisure time, urgency of time,
uncomfortable work environment, long working hours, absence of job
description and problems with the supervisors were responsible for
about 60% of the outcome (work related stress).
Regarding job satisfaction, the current study showed that 59.4% of
the residents were dissatisfied with their job. Female doctors were
significantly more dissatisfied than male doctors (66.3% and 52.5%
respectively). The highest dissatisfaction was among the oncologists
(69.2%), while the least was among thegynecologists and obstetricians
(42.9%). There was a significant association between work related
stress and job satisfaction. Moreover, the current study showed a
significant relation between job satisfaction and work environment,
safety and training level at work, taking decision, diversity of tasks,
lack of resources, relationships with supervisors and colleagues, ways
of problem solving, ambition, enthusiasm when going to work,
intention to leave and long working hours.
Conclusion drawn from this study is that the degree of work related
stress among residents in Ain Shams University Hospitals is
considerably high; this stress is mainly related to their work place and
caused by a number of workplace stressors identified by them. This
indicates that residents who are working in this place are in urgent
need for immediate actions and intervention programs to overcome
such a problem especially for residents working in oncology
department who were identified by the study as the most stressed and
dissatisfied residents.These actions include:encouraging time out
periods through frequent rests during the work time and at the end of a
week, training courses should be periodicallyheld for improving the
technical skills of the residents and for teaching them how to manage
their time effectively which help in reducing the workload and work
hours, giving residents opportunities to participate in decisions and let
them to design their own schedule of work shifts especially for female
doctors to give them more social support, clearly define workers’ roles
and responsibilities,improving communication between residents and
their supervisors through giving communication skills courses and
through providing opportunities for social interaction with each other.