Introduction: Job satisfaction considered as an important factor in increasing productivity, Workers belonging and attachment to the work environment and improving the quantity and quality of work. Therefore this factor is important in various careers.Materials and Methods: This is a descriptive-analytic study. It was done between Occupational therapists and speech therapists in the Karaj. In each group 16 individuals were randomly collected demographic and job satisfaction (JDI) questionnaires completed. Reliability and validity of questionnaire was approved by similar internal articles. Data analyzing has done by nonparametric tests and SPSS software.Results: Scores for job satisfaction in occupational therapists (76.0±31.3) were higher than the speech therapists (45.0±80.2. In Speech therapists group between job satisfaction with supervision, salary and promotion was a significant correlation. In occupational therapist be found a significant relationship between job satisfaction with nature of job, salary, promotion and colleagues.Conclusion: Scores in both groups indicates that corrective actions are necessary. Actions for increase job security, improved ergonomics, workplace conditions, career development and job enrichment can help to increase job satisfaction in these two groups.

Objectives: Clinical reasoning is at the heart of clinical work; it is affected by different field factors. A clear understanding of the reasoning process could solve practitioners' problems on how to make their underlying theories, assumptions and values more explicit. The aim of this research is to understand how clinical reasoning process is formed in the context of occupational therapists working in different clinical settings in Iran.Methods: A purposeful and theoretical sampling of 15 occupational therapists working in clinical settings was performed through semi-structured interviews. All the data were recorded, transcribed, and analyzed using Strauss and Corbin’s (2008) grounded theory approach and constant comparative analyses.Results: Conceptual model was developed to explain the relationships among the main categories extracted through the grounded theory. Achieve an observable change emerged as the core category. Other important categories linked to the core category were, performing the continuum of clinical reasoning, context of clinical reasoning, and effective factors in clinical reasoning.Discussion: Findings showed that achieving an observable change in the client was the main consequence of the action/interaction strategies. Some facilitating factors related to the therapist, helped to process reasoning with a holistic and client-centered view, while also helping to develop the self-belief and professional identity. The dominance of medical views and a lack of health insurance were two intervening factors that constrained the dynamics of clinical reasoning within the context of practice.

Background and Aims Moral distress is an ethical problem when therapists know what to do but cannot do it due to internal constraints, external barriers, or uncertainty. Moral distress is a significant concern in healthcare practice and can have significant personal, professional, and practical consequences. Given the negative consequences of moral distress on physical and mental health, this study aimed to investigate moral distress among occupational therapists in Tehran City, Iran.Methods The present study was conducted cross-sectionally among 172 occupational therapists. The study population consisted of occupational therapists working in private and government centers in Tehran. They were recruited by cluster and random sampling from 22 districts of Tehran. The Moral Distress Questionnaires were completed in person. After collecting them, data analysis was performed using SPSS software, version 20.Results he mean moral distress in occupational therapists was estimated to be 46.33±6.22. A comparison of moral distress in men and women showed a significant difference between the mean moral distress in the two groups (P=0.001), and men endured more distress. Moral distress was more important in occupational therapists working in government centers (P<0.001). There was also a significant positive correlation between moral distress and therapists’ working hours (P<0.05).Conclusion The results showed that occupational therapists face moral distress, which indicates the need to educate them about the concept of moral distress and strategies for dealing with it.