title: The Effect of Stress Management Training through PRECEDE-PROCEED Model on Occupational Stress among Nurses and Midwives at Iran Hospital, Iranshahr.
abstract: BACKGROUND
  Occupational stress is a major factor in hindering the performance of nurses and midwives and developing physical and mental complications in them. Given that these two groups are in direct contact with patients more than other medical staff and stress management training can be effective in the reduction of occupational stress among the nurses and midwives.
  
  
  OBJECTIVE
  This study was set out to compare the effect of a PRECEDE-PROCEED based stress management training program on the occupational stress of the nurses and midwives.
  
  
  METHODS
  This quasi-experimental study was conducted on the aforementioned nurses and midwives. Data collection instruments included the Nursing Stress Scale (NSS). The training program was held in two 4-hour-long sessions for three months from 1stJanuary to 31stMarch 2013.
  
  
  RESULTS
  The results showed a significant increase in the PRECEDE scores of both groups by the end of the program, as compared to the baseline. A significant decrease was also observed in the stress scores of both groups. There was no difference between groups in these regards.
  
  
  CONCLUSIONS
  The PRECEDE-based stress management training is effective in the reduction of occupational stress among the nurses and midwives.
authors.affiliation: Lecturer, Department of Public Health, Iranshahr University of Medical Sciences , Iranshahr, Iran .
authors.forename: Mahnaz
authors.initials: M
authors.lastname: Didehvar
authors.affiliation: Assistant Professor, Department of Public Health, Health Promotion Research Center, Zahedan University of Medical Sciences , Zahedan, Iran .
authors.forename: Iraj
authors.initials: I
authors.lastname: Zareban
authors.affiliation: Lecturer, Department of Medical, Faculty of Medical, Science and Research Branch, I.A.U , Tehran, Tehran, Iran .
authors.forename: Zahra
authors.initials: Z
authors.lastname: Jalili
authors.affiliation: Professor, Department of Clinical Psychology, Children and Adolescent Health Research Center, Department of Clinical Psychology, Zahedan Univer , Zahedan, Sistanvbalouchistan, Iran .
authors.forename: Nour-Mohammad
authors.initials: NM
authors.lastname: Bakhshani
authors.affiliation: Assistant Professor, Department of Biological Statistics, Faculty of Health, Zahedan University of Medical Sciences , Zahedan, Sistanvbalouchistan, Iran .
authors.forename: Mahnaz
authors.initials: M
authors.lastname: Shahrakipoor
authors.affiliation: Student, Department of Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences , Zabol, Sistanvbalouchistan, Iran .
authors.forename: Abbas
authors.initials: A
authors.lastname: Balouchi
keywords: Depression; Nursing; Workplace stressors