Jundishapur J Chronic Dis Care. 2023 January; 12(1):e131501.
Published online 2023 March 6.
https://doi.org/10.5812/jjcdc-131501.
Research Article
On the Relationship Between Job Satisfaction and Burnout Among
Nurses Working in Hospitals of Erbil, a City in Kurdistan Region of Iraq
Fatemeh Hajibabaee
1
, Avang Hussein Mahmood
2
, Nahid Dehghan Nayeri
3, *
, Waliu Jawula Salisu
4
and Hadis Ashrafizadeh
5
1
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2
School of Nursing and Midwifery, International Campus, Tehran University of Medical Sciences, Tehran, Iran
3
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4
Department of Hepatology, Cambridge Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, England
5
Student Research Committee, Faculty of Nursing, Dezful University of Medical Sciences, Dezful, Iran
*
Corresponding author: Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, East Nosrat Street, Tohid
Square, Tehran, Iran. Email: nahid.nayeri@gmail.com
Received 2022 September 06; Revised 2022 December 18; Accepted 2022 December 22.
Abstract
Background: Witnessing chronic patients suffering from incurable diseases and the agony of watching their death make nursing
one of the most stressful jobs. Job satisfaction is a key factor in providing quality nursing care services. Stress and burnout are other
factors that can affect nurses’ job satisfaction and negatively influence the quality of care.
Objectives: The present study aimed to determine the relationship between job satisfaction and burnout among nurses working
in hospitals of Erbil, a city in the Kurdistan region of Iraq, during 2015 - 2016.
Methods: This research was a descriptive, correlational, and cross-sectional study, which encompassed 455 nursing staff, including
nurses, auxiliary nurses, and nurse aids working in the public hospital in Erbil city, Kurdistan. The participants were selected using
the random stratified sampling method. Demographic information forms, Herzberg’s job satisfaction scale, and Maslach’s burnout
questionnaires were used to collect data. The collected data were analyzed with SPSS software version 20 using descriptive statistics,
chi-square statistical tests, Fisher’s exact test, and Pearson’s correlation coefficients.
Results: According to the findings, 7.8% of nurses had low job satisfaction, 45.2% had moderate job satisfaction, 42.7% had high job
satisfaction, and 4.4% had remarkably high job satisfaction. The burnout results showed that the mean values were 36.16 ± 12.51 for
the lack of personal success, 13.38 ± 9.86 for emotional exhaustion, and 8.67 ± 8.39 for depersonalization. Pearson’s correlation
coefficient test revealed a statistically significant but inverse relationship between the job satisfaction of nurses and the three
burnout dimensions (P ≤ 0.0001).
Conclusions: The authors propose a periodic job satisfaction evaluation and the detection of factors negatively affecting job
satisfaction. To further reduce nurses’ burnout, managers should encourage and promote effective communication in work
environments and ensure that nurses participate in decision-making. Job contradictions and ambiguities should also be reduced
and avoided, if possible.
Keywords: Burnout, Job Satisfaction, Nurses, Stress
1. Background
Healthcare professionals, including nurses, are in close
contact with patients and their families and are always
responsible for their health. Witnessing patients suffering
from incurable diseases and the agony of watching their
death make nursing one of the most stressful jobs (1). Job
satisfaction is a key factor in providing quality nursing care
services (2) and an important component in many studies.
Job satisfaction refers to individuals’ positive emotions
and attitudes toward their jobs (3). Stress and burnout are
among other factors that can affect the quality of care by
having a negative impact on nurses’ job satisfaction (2).
The ratio of nurses per 1000 people in Iraq in 2018
was two, which is an important factor in burnout and job
stress levels. Although many studies have addressed this
issue, few studies, if any, have investigated the hospitals
of the Kurdistan region of Iraq, which have a different
context with different patient experiences caused by the
Copyright © 2023, Jundishapur Journal of Chronic Disease Care. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in
noncommercial usages, provided the original work is properly cited.