Iranian Red Crescent Medical Journal (IRCMJ)

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

Journal Metrics

News

Author Guidelines

Article Processing Charge

The Influence of Organizational Culture on Resilience by Mediatory Effects of Occupational Stress, Job Satisfaction, and Burnout in Nurses: Structural Equation ModelingModeling

Document Type : Research articles

Authors

1 Department of Community Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, Iran

2 Department of Community Medicine, Military Epidemiology Research Centre, School of Medicine, AJA University of Medical Sciences, Tehran, Iran

Abstract

Background: Organizational culture is the most essential tool of an organization to increase the resilience of personnel in a health- care system. Promoting organizational culture is an effective factor in increasing job satisfaction and reducing psychological bur- den, and burnout in nurses.
Objectives: This study aimed to investigate the influence of organizational culture on resilience by mediatory effects of occupa- tional stress, job satisfaction, and burnout in nurses using structural equation modeling.
Methods: This cross-sectional study was conducted among 712 nurses working in seven hospitals in Tehran during the 2018 - 2019. The participants were selected by thee stratified random sampling method with proportional allocation. In detail, after determin- ing the number of samples of each hospital, sampling was performed using a random number sequence. The data gathering was performed by using questionnaires. Data were analyzed by the SPSS, version 23.0, and LISREL, version 8.8.
Results: We found a significant positive correlation between organizational culture and job satisfaction (r = 0.29) and resilience (r
= 0.21) (P < 0.05). There was a significant negative correlation between organizational culture and occupational stress (r = -0.22), and burnout (r= -0.14) (P < 0.05). The goodness of fit index (GFI) for organizational culture, occupational stress, job satisfaction, burnout, and resilience was 0.97, 0.97, 0.98, 0.96, and 0.95, respectively. RMSEA index for organizational culture, job satisfaction, burnout, and resilience was 0.069, 0.093, 0.057, and 0.050, respectively, which showed that the model is appropriately fit.
Conclusions: The findings of the present study indicated that promoting organizational culture and reducing occupational stress and burnout can improve job satisfaction and mental health in nurses.

Keywords

References
  1. Farhadi P, Sharifian R, Feili A, Shokrpour N. The effects of supervisors' supportive role, job stress, and work-family conflicts on the nurses' attitudes. Health Care Manag (Frederick). 2013;32(2):107-22. [PubMed: 23629033].
  2. Hosseini Z, Hazavehei MM, Imanzad M, Ghanbarnezhad A, Gharlipour Z. Occupational stress and mental health relationship in nurses. Journal of Shahid Beheshti Nursing and Midwifery School. 2013;23(82):55-62 (In Persian).
  3. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakim A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of Clinical Nursing and Midwifery. 2015;4(1):39-49 (In Persian).
  4. Dang KO. Situation of occupational stress in nursing staff at Hanoi Medical University Hospital. Hanoi: Hanoi Medical University; 2017.
  5. Nguyen Ngoc A, Le Thi Thanh X, Le Thi H, Vu Tuan A, Nguyen Van T. Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018. Frontiers in Psychiatry. 2020;10:950. doi: 10.3389/fpsyt.2019.00950. [PubMed: 32038316].
  6. Lee E, Jang I. Nurses’ fatigue, job stress, organizational culture, and turnover intention: A culture–work–health model. Western journal of nursing research. 2020;42(2):108-16. doi: 10.1177/0193945919839189. [PubMed: 31007153].
  7. Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. International journal of environmental research and public health. 2015;12(1):652-66. doi: 10.3390/ijerph120100652. [PubMed: 25588157].
  8. Wang J, Okoli CT, He H, Feng F, Li J, Zhuang L, et al. Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies. 2020;102:103472. doi: 10.1016/j.ijnurstu.2019.103472. [PubMed: 31810017].
  9. Kupcewicz E, Jóźwik M. Positive Orientation and Strategies for Coping with Stress as Predictors of Professional Burnout among Polish Nurses. International journal of environmental research and public health. 2019;16(21):4264. doi: 10.3390/ijerph16214264. [PubMed: 31684078].
  10. Mahdieh O, Darvishi Ghazanchi S. The Study of the Relationship between Nurses’ Job Stress and Resiliency. NPWJM. 2017;5(14):17-22.
  11. Khalafi A, Tangestani Y, Osanloo S. Relationship between job stress and social support and burnout in nurses. Journal of Novel Applied Sciences. 2014;3(1):48-52.
  12. Shakerinia I, Mohamadpour M. Relationship between Job Stresss, Relisience and Job Burnout in Female Nurses. Behbood. 2011;14(2):161-9.
  13. Payami M. Relationship between burnout and social support in critical care nurses. Journal of Zanjan University of Medical Sciences and Health Services. 2001;8(33):52-7.
  14. Khajeh Aldin N, Hakim Shoushtari M, Hajebi A. The impact of perception of control on burnout syndrome among nurses in a psychiatric hospital. Iranian Journal of Psychiatry and Clinical Psychology. 2006;12(1):43-8.
  15. Talaei A, Mokhber N, Mohammadnezhad M, Samari AA. Burnout and its related factors in staffs of university hospitals in Mashhad in 2006. Koomesh. 2008;9(3):237-45.
  16. Hakanen JJ, B. Schaufeli W. Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. Journal of Affective Disorders. 2012;141(2-3):415-24. doi: 10.1016/j.jad.2012.02.043. [PubMed: 22445702].
  17. Amini F. The Relationship between Resiliency and Burnout in Nurses. Journal of Research Development in Nursing & Midwifery. 2014;11(2):94-102.
  18. McGee EM. The healthing circle: Resiliency in nurses. Issues in Mental Health Nursing. 2006;27:43-57. doi: 10.1080/01612840500312837. [PubMed: 16352515].
  19. Phili W, Karen-Leigh E. Caring as a resillient practice in Mental Health Nursing. International Journal of Mental Health Nursing. 2007;16(2):132-5. doi: 10.1111/j.1447-0349.2007.00456.x. [PubMed: 17348964].
  20. Cooper AL, Brown JA, Rees CS, Leslie GD. Nurse resilience: A concept analysis. International Journal of Mental Health Nursing. 2020. doi: 10.1111/inm.12721. [PubMed: 32227411].
  21. Im SB, Cho MK, Kim SY, Heo ML. The huddling programme: effects on empowerment, organisational commitment and ego-resilience in clinical nurses e a randomised trial. J Clin Nurs. 2016;25(90000000000):1.377E+90. [PubMed: 26990685].
  22. Hong E, Lee YS. The mediating effect of emotional intelligence between emotional labour, job stress, burnout and nurses' turnover intention. International journal of nursing practice. 2016;22(6):625-32. [PubMed: 27653752].
  23. Hart PL, Brannan JD, De Chesnay M. Resilience in nurses: an integrative review. Journal of nursing management. 2014;22(6):720-34. [PubMed: 25208943].
  24. Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and psychological measurement. 2013;73(6):913-34. [PubMed: 25705052].
  25. Nazarian A, Atkinson P, Greaves L. The relationship between national culture and organisational culture: case of medium and large size organisations in Iran. The Macrotheme Review. 2014;3(6):66-78.
  26. Mahdizadeh M, Vafaei Najar A, Taghipour A, Esmaily H, Mahdizadeh SM, Ebrahimpour H. Occupational burnout and influence of work environment factors among family physicians in Khorasan Razavi. Occupational Medicine Quarterly Journal. 2014;2014(5):4.
  27. Rezaei N, Behbahany N, Yarandy A, Hosseine F. Correlation between Occupational Stress and Social Support among Nurses. Iran Journal of Nursing. 2006;19(46):71-8.
  28. Mohammadi Amlash S. Job Satisfaction and Job Stress among the Employees of the Emergency Ward of Rassoul Akram Hospital: Assessment the Effects of Intervention, in Health Management Services. Tehran: Tehran University of Medical Sciences; 2006.
  29. Filian E. Evaluation of burnout and its correlation with coping mechanisms in nurses of educational hospitals of Tehran. Tehran: Tehran University of Medical Sciences; 1993.
  30. Gholamabbas S, Mohammad S, AhmadiAngali K. Assessing reliability and validity of an instrument for measuring resilience safety culture in sociotechnical systems. Safety and Health at Work. 2018;9(3):296-307. doi: 10.1016/j.shaw.2017.07.010. [PubMed: 30370161].
  31. Belias D, Koustelios A. Organizational Culture and Job Satisfaction: A Review. International Review of Management and Marketing. 2014;4(2):132-49.
  32. Azanzaa G, Morianob JA, Molero F. Authentic leadership and organizational culture as drivers of employees’ job satisfaction. Journal of Work and Organizational Psychology. 2013;29:45-50. doi: 10.5093/tr2013a7.
  33. Sabuei Jahromi E, Iranban SJ, Javidi H. Relationship Between Organizational Culture and Job Stress and Organizational Commitment with Official staff of Medical Sciences of Jahrom. Marvdasht: Islamic Azad University; 2009.
  34. Olulana BS. The Correlates of Organisational Culture, Job Stress and Organisational Commitment. Asian Journal of Business and Management. 2015;3(2):10.
  35. Ghavidel F, Fallahi-Khoshknab M, Molavynejad S, Zarea K. The role of organizational factors in nurse burnout: Experiences from Iranian nurses working in psychiatric wards. Journal of Family Medicine and Primary Care. 2019;8(12):3893. doi: 10.4103/jfmpc.jfmpc_615_19. [PubMed: 31879632].
  36. Bagheri Hosseinabadi M, Etemadinezhad S, khanjani N, Ahmadi O, Gholinia H, Galeshi M, et al. Evaluating the relationship between job stress and job satisfaction among female hospital nurses in Babol: An application of structural equation modeling. Health Promot Perspect. 2018;8(2):102-8. doi: 10.15171/hpp.2018.13. [PubMed: 29744305].
  37. Mohammadi AA, Naghi Farahani M, Hasani J, mirdarikvand F. Relationship between job stress and work locus of control with job satisfaction. Journal of Sabzevar University of Medical Sciences. 2017;24(4):249-55.
  38. Ahsan N, Abdullah Z, Yong Gun Fie D, Alam SS. A study of job stress on job satisfaction among university staff in Malaysia: Empirical study. European Journal of Social Sciences. 2009;8(1):121-31.
  39. Boyd NG, Lewin JE, Sager JK. A model of stress and coping and their influence on individual and organizational outcomes. Journal of Vocational Behavior. 2009;75(2):197-211. doi: 10.1016/j.jvb.2009.03.010.
  40. Abedi K, Zar M, Barkhordari A, Halvani GH. Work stress and job dissatisfaction and its relation to individual factors and accidents. Journal of Jahrom University of Medical Scinces. 2009;7(2):10-20. doi: 10.29252/jmj.7.3.10.
  41. Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and Resilience Among Nurses Practicing in High-Intensity Settings. Am J Crit Care. 2015;24(5):412-20. doi: 10.4037/ajcc2015291. [PubMed: 26330434].
  42. Obeidavi A, Elahi N, Saberipour B. Relationship between resilience and occupational stress among the faculty members of Ahvaz Jundishapur University of Medical Sciences. Int J BioMed Public Health. 2018;1(3):136-40.
  43. Menezes L, Fernández C, Hernández RC, Contador C. Resilience and the burnout-engagement model informal caregiver of the elderlypsychotheme. Psicothema. 2006;18(4):791-6.
  44. Edward KL, Hercelinsky JG. Burnout in the caring nurse: learning resilient behaviorsBurnout in the caring nurse: learning resilient behaviors. British Journal Of Nursing. 2007;(16):240-2. doi: 10.12968/bjon.2007.16.4.22987. [PubMed: 17363857].
  45. ShakeryNia I, MohammadPour M. [The study of relationship between jubstress, resiliency with burnout among female nurses]. Journal of Kermanshah University of Medical Science. 2010;14(2):161-169 ( In Persian). Persian.

Iranian Red Crescent Medical Journal (IRCMJ)
Volume 22, Issue 6 - Serial Number 6
2020
Files
History
  • Receive Date: 16 February 2021
  • Revise Date: 26 May 2024
  • Accept Date: 27 January 2024
  • First Publish Date: 27 January 2024
  • Publish Date: 01 June 2020
Share
How to cite
Statistics