Examining the Impact of Job Motivation on Aggression, Burnout, and Stress Among Nurses in North Khorasan Teaching Hospitals (2023 - 2024)

Abstract

Background: Nurses are the backbone of the health care system and require adequate motivation to provide high-quality care. Reduced motivation can increase stress, burnout, and workplace aggression. Objectives: This study aimed to investigate the relationships between job motivation and aggression, burnout, and job stress among nurses working in teaching hospitals in North Khorasan Province. Methods: This descriptive cross-sectional correlational study was conducted among 155 nurses working in teaching hospitals in North Khorasan Province in 2023 - 2024. Data were collected using a demographic characteristics form and Ludahl and Kitchener's Job Motivation Questionnaire, Goldard's Burnout Questionnaire, the Buss and Perry Aggression Questionnaire, the Health and Safety Executive Occupational Stress Questionnaire, and the Holmes and Rahe Social Readjustment Rating Scale. Data were analyzed using SPSS version 19. Results: The mean age of the participants was 31.14 ± 7.11 years, and 12.9% were male. Most participants held a bachelor’s degree in nursing, were married, and lived in Bojnurd. The mean job motivation score was 53.13 ± 7.45, the mean aggression score was 70.45 ± 21.28, the mean job stress score was 108.85 ± 12.81, and the mean burnout score was 152.31 ± 20.54 Data analysis showed that motivation was significantly associated with aggression, aggression was significantly associated with burnout and job stress, and job stress was significantly associated with burnout (P < 0.05). Education, marital status, work experience, and type of employment were also associated with stressful events experienced during the previous six months. Conclusions: Increasing support and rewards from authorities and improving the nurse-to-patient ratio may enhance nurses’ motivation, reduce job stress, burnout, and aggression, and improve the quality of nursing services.