Write your message
Volume 8, Issue 2 (Iranian Journal of Ergonomics 2020)                   Iran J Ergon 2020, 8(2): 1-7 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rostami F, Feiz Arefi M, Babaei-Pouya A, ahangirimehr A. The Mediating Role of Job Control in the Explaining the Relationship Between Job Satisfaction and Mental Workload in Nurses. Iran J Ergon 2020; 8 (2) :1-7
URL: http://journal.iehfs.ir/article-1-704-en.html
1- MSc, Department of Occupational Health Engineering, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
2- Instructor, Department of Occupational Health Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran , f.arefi1390@gmail.com
3- Instructor, Department of Health, Shoushtar faculty of Medical Sciences, Shoushtar, Iran
4- Instructor, Department of Occupational Health Engineering, School of Health, Shoushtar University of Medical Sciences, Shoushtar, Iran
Full-Text [PDF 303 kb]   (9232 Downloads)     |   Abstract (HTML)  (9231 Views)
High levels of job control are associated with increased job satisfaction and reduced workload. As a result, in order to reduce the mental workload and increase job satisfaction, job control of nurses can be increased to improve working conditions.
Extended Abstract:   (1939 Views)
Introduction

The fundamental capital of any organization is human resources, which is the source of change and innovation [1]. Job dissatisfaction reduces productivity, increases absenteeism and rapid relocation in nurses [2]. Job satisfaction as one of the important factors of success that makes an individual efficient is the ultimate goal of any organization [3]. Studies have shown that for nurses, there is a positive relationship between their job satisfaction and patient satisfaction and the quality of care. Job satisfaction affects quality of life, physical and mental health, and its lack is an obstacle to achieving their individual and social development goals and leads to a decrease in a person's interest in attending work (5, 4). Various studies have shown the dependence of job satisfaction on various aspects of working conditions and personal characteristics. Therefore, improving working conditions in order to improve job satisfaction is of particular importance [6].
A study suggest that if the job demand is high and the person does not have the opportunity and ability to control the work process, he or she will suffer from psychological stress [9].
According to a study by Heidari et al., focusing on the psychological needs and job control of nurses is one of the intervention programs to increase employee productivity [11].
Due to the high stress and intellectual workload among nurses and the importance of job satisfaction and control on improving the quality of nursing care and the limited number of studies on the effect of job control, the present study aimed to investigate the mediating role of job control in explaining the relationship between job satisfaction and mental workload.


 

Materials and Methods

The present study is a descriptive-analytical study that was conducted in 2019 with the consideration of all nurses of Ardabil and Shushtar teaching hospitals as a statistical population. Data were collected from 188 nurses by census method.
This study used four tools to collect information including demographic information questionnaire, NASA-TLX questionnaire, JDI job satisfaction questionnaire and a researcher-made questionnaire designed by Adibi et al. to evaluate job control.
Descriptive correlation coefficient was used to analyze the collected statistical data. The data distribution followed the normal multivariate assumption.
Correlation tests, analysis of variance and regression coefficients in the structural equation model were used to determine the relationship between the variables. Significance level of the above tests was less than 0.05 and 95% confidence interval was considered. Data analysis was performed using SPSS software version 18 (SPSS Inc., Chicago, Ill., USA) and AMOS software version 18.


 

Results

Based on the results, the final model had good fitness (GFI=0.859, CFI=0.921, RMSEA=0.067). The results also showed that there is a significant relationship between mental workload and job satisfaction (P<0.001, r=-0.33) and this relationship has increased with the presence of job control (P<0.001, r=-0.42).
 

Table 1. Frequency and average of contextual variables and their relationship with workload, job satisfaction and control

Variable N (%) Workload Job satisfaction Job control
SD±M Significance level SD±M Significance level SD±M  
Significance level
Education BS 10 (5.3) 8.87±73.55 0.714 34.29±134.05 0.001>**
 
6.00±12.55 0.234
MSc (85.6) 161 15.55±70.81 55.83±195.27 5.75±14.71
PhD (9) 17 13.72±71.45 39.63±205.75 5.20±14.97
Variable SD±M The correlation coefficient Significance level The correlation coefficient Significance level The correlation coefficient Significance level
Age 6.47±34.84 0.235 0.001>** 0.894- 0.001>** -0.051 0.264
Work history 7.83±8.87 0.224 0.001>** 0.683- 0.001>** -0.048 0.296

 

Figure 1. Drawing a model of the relationship between job satisfaction variables and mental workload without the moderator of job control and despite it
Figure 1.
Drawing a model of the relationship between job satisfaction variables and mental workload without the moderator of job control and despite it

 
Table 2. Goodness criteria for fitting the model of the relationship between two variables of workload and job satisfaction despite the variable of job control

Goodness of fit index CMIN/DF1 IFI2 TLI3 CFI4 GFI5 AGFI6 RMR7 RMSEA8
The relationship model between the two variables of workload and job satisfaction and the variable of job control 3.48 0.923 0.902 0.921 0.859 0.812 0.895 0.067
The acceptable level Less than 5 More than 0.08 More than 0.08 More than 0.08 More than 0.08 More than 0.08 More than 0.08 Less than 0.08
1) Chi-square/DF
2) incremental fit index
3) Tucker-Lewis Index
4) Comparative Fit Index
5) goodness of fit index
6) adjusted goodness of fit index
7) root mean square residual
8(Root Mean Square Error of Approximation
 

 
Discussion

In the present study, the relationship between mental workload and job satisfaction was studied by examining the mediating role of job control variable in nurses. The results of the study showed that job control can adequately explain the relationship between intellectual workload and job satisfaction.
In addition, the results of regression analysis showed that job control has been able to reduce the negative effect of intellectual workload on job satisfaction to some extent. The results obtained can be explained by the Karasek demand-control model.
The results of the present study showed that there is a significant and inverse relationship between mental workload and job satisfaction of nurses. Redman also stated in his study that increasing stress and job demand reduces nurses' satisfaction in the workplace and consequently reduces the quality of nursing care [24].
The graphic model indicates a significant and negative relationship between the two variables of mental workload and job satisfaction and despite the variable of job control, the relationship between the two variables of workload and job satisfaction has increased, because with increasing job control, mental workload decreases to some extent. Also, following the reduction of mental workload, job satisfaction increases.
The results of the present study showed that there is a significant direct relationship between the variables of age, work experience and mental workload and with increasing age and work experience, the amount of mental workload increases. But the relationship between age, work experience and job satisfaction is negative. In other words, job satisfaction has decreased with age and work experience.
According to the graphic model, the relationship between workload variables and job satisfaction in nurses has been strong; this may be due to the high level of mental workload and the diversity of nurses' responsibilities. Some studies have shown that nurses are more exposed to psychological problems and caring stressors than other groups [30, 29].


 

Conclusion

High levels of job control are associated with increased job satisfaction and reduced workload. As a result, in order to reduce the mental workload and increase job satisfaction, job control of nurses can be increased to improve working conditions.
 

Acknowledgements

The authors express their gratitude to Shushtar University of Medical Sciences.

 

Conflicts of Interest

The authors declared no conflict of interest.

 

Type of Study: Research |
Received: 2020/04/7 | Accepted: 2020/07/5 | ePublished: 2020/07/5

References
1. Demir C, Özaltin H, Çelik Y. Determining the level of job satisfaction of nurses working at Turkish military forces hospitals. Mil Med. 2002; 167(5):402-5. [DOI:10.1093/miled.167.5.402] [PMID]
2. Tomey AM. Guide to nursing management and leadership. Aust Nurs Midwifery J. 2008; 15(11):41. [Article] [Google Scholar]
3. Lorber M, Skela Savič B. Job satisfaction of nurses and identifying factors of job satisfaction in Slovenian Hospitals. Croat Med J. 2012; 53(3):263-70. [DOI:10.3325/cmj.2012.53.263] [PMID] [PMCID]
4. Mogharab M, Madarshahian F, Ali an, Rezaei N, Mohammadi A. Investigating job satisfaction among nurses in teaching hospitals of Birjand in 2004. J Birjand Uni Med Sci. 2006; 12(3):92-9. [Article] [Google Scholar]
5. Khademol-hoseyni SM, Nouri JM, Khoshnevis MA, Ebadi A. Consequences of nursing procedures measurement on job satisfaction. Iran J Nurs Midwifery Res. 2013; 18(2):123. [PMID] [PMCID] [Google Scholar]
6. Boultinghouse OW, Hammack GG, Vo AH, Dittmar ML. Assessing physician job satisfaction and mental workload. Telemed J Health. 2007; 13(6):715-8. [DOI:10.1089/tmj.2007.0010] [PMID]
7. Rafiee N, Hajimaghsoudi M, Bahrami Ma, Ghasemi N, Mazrooei M. Evaluation nurses' mental work load in Emergency Department: case study. Quart J Nurse Manag. 2015; 3(4):81-91. [Google Scholar]
8. Beheshti M, Hajizadeh R, Khodaparast E, Shojaei R, Ranjbar E. The role of workload and job satisfaction in general health of industrial workers in Gonabad, Iran, in 2015. J Occup Health Epid. 2014; 3(1): 17-25. [DOI:10.18869/acadpub.johe.3.1.17]
9. Karasek R. Demand/Control model: A social-emotional, and psychological approach to stress risk and active behavior development. In: Stellman JM, Editor. Encyclopaedia of Occupational Health and Safety. Geneva: International Labour Office; 1985. [Google Scholar]
10. Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands-resources model of burnout. J Appl Psych. 2001; 86(3):499. [DOI:10.1037/0021-9010.86.3.499]
11. Heidari Pahlavian A, Gholami T, Heidari Moghaddam R, Akbarzadeh M, Motamedzadeh M. Demand-Control model and its relationship with burnout syndrome in nurses. J Fasa Uni Med Sci. 2015; 5(1):23-35. [Article] [Google Scholar]
12. Quick TL. Healthy work: Stress, productivity, and the reconstruction of working life. Nat Prod Review. 1990; 9(4):475-9. [DOI]
13. Karasek Jr RA. Job demands, job decision latitude, and mental strain: Implications for job redesign. Adm Sci. 1979; 285-308. [DOI]
14. Johnson JV, Hall EM. Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Pub Health. 1988; 78(10):1336-42. [DOI] [PMID] [PMCID]
15. Hessels J, Rietveld CA, van der Zwan P. Self-employment and work-related stress: The mediating role of job control and job demand. J Bus Ventur. 2017; 32(2):178-96. [DOI]
16. Zahra Adibi MG, Mohammad Reza Mosahebi. The Moderating Role Of Job Control In Relations Between Overload, Ambiguity And Role Conflict With Positive And Negative Behavioral outcomes. Knowledge Res App Psych. 2011; 12(1):54-65. [Google Scholar]
17. Mohammadi M, Mazloumi A, Nasl Seraji J, Zeraati H. Designing Questionnaire Of Assessing Mental Workload And Determine Its Validity And Reliability Among Icus Nurses In One Of The Tums's Hospitals. J Sch Public Health Inst Public Health Res. 2013; 11(2):87-96. [Article] [Google Scholar]
18. Zakerian SA, Abbasinia M, Mohammadian F, Fathi A, Rahmani A, Ahmadnezhad I, et al. The Relationship between Workload and Quality of Life among Hospital Staffs. J Ergon. 2013; 1(1):43-56. [Article] [Google Scholar]
19. Zamanian Z, Roshan Sarvestani M, Sedaghati M, Ghatmiri M, Kouhnavard B. Assessment of the Relation between Subjective Workload and Job Satisfaction in University Faculty and Staff. J Ergon. 2016; 3(4):1-10. [Article] [Google Scholar]
20. Fischer FM, Oliveira DC, Nagai R, Teixeira LR, Lombardi Júnior M, Latorre MdR, et al. job control, job demands, social support at work and health among adolescent workers. Revista Saúde Pública. 2005; 39:245-53. [DOI] [PMID]
21. Noori Kaabomeir AN. The Effect of Perceived Organizational Justic Organizational Loyalty and Job Well_being Moderatig Role of Job Control in Epployees of Ahwaz Golestan Hospital. J Nurs Edu. 2016; 5(3(:55-63. [DOI:10.21859/jne-05038]
22. Scanlan JN, Still M. Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an australian mental health service. BMC Health Serv Res. 2019; 19(1):62. [DOI:10.1186/s12913-018-3841-z] [PMID] [PMCID]
23. Waddimba AC, Mohr DC, Beckman HB, Mahoney TL, Young GJ. Job satisfaction and guideline adherence among physicians: moderating effects of perceived autonomy support and job control. Soc Sci Med. 2019; 233:208-17. [DOI:10.1016/j.socscimed.2019.04.045] [PMID]
24. Redman BK, Fry ST. Nurses' ethical conflicts: what is really known about them? Nurs Eth. 2000; 7(4):360-6. [DOI:10.1177/096973300000700409] [PMID]
25. Portoghese I, Galletta M, Coppola RC, Finco G, Campagna M. Burnout and workload among health care workers: the moderating role of job control. Saf Health Work. 2014; 5(3):152-7. [DOI:10.1016/j.shaw.2014.05.004] [PMID]
26. Adibi Z, Golparvar M, Mosahebi MR. The moderating role of job control in relations between overload, ambiguity and role conflict with positive and negative behavioral outcomes. Knowledge Res App Psych. 2011; 12(1):54-65. [Google Scholar]
27. Mirmolaei T, Dargahi H, Kazemnejad A, Mohajerrahbari M. Job satisfaction of midwives. Hayat. 2005; 11(2):87-95. [Article] [Google Scholar]
28. Asgari M, Rafat A, Rashedi V. Evaluation of job satisfaction of the operating room technicians in Hamadan University of Medical Science hospitals. Pajouhan Sci J. 2012; 11(1):37-40. [Article] [Google Scholar]
29. Zakerian SA, Abbasinia M, Mohammadian F, Fathi A, Rahmani A, Ahmadnezhad I, et al. The relationship between workload and quality of life among hospital staffs. Iran J Ergon. 2013; 1(1):43-56. [Article] [Google Scholar]
30. Askari F, Abbasnezhad A. The study of professional stressor factors in nursing and midwifery community. Horiz Med Sci. 2007; 12(4):12-8. [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian Journal of Ergonomics

Designed & Developed by : Yektaweb |