A single-center cross-sectional study on the relationship between mental health, communication skills, and maladaptive schemas with nurses' job motivation

Akram Baghbanzadeh, Afsaneh Sobhi

DOI: 10.22122/cdj.v9i1.587


BACKGROUND: Human resources are considered as the most important capital in health care system of the country. This study was conducted to investigate the relationship between mental health, communication skills, and maladaptive schemas with nurses' job motivation.

METHODS: In a cross-sectional study, during October 2018 to January 2019, 120 active nurses in Alborz Hospital, Karaj, Iran, were selected by available sampling method. The data were collected using General Health Questionnaire (GHQ), Interpersonal Communication Skills Test, Young's Early Maladaptive Schema Questionnaire (YEMSQ), and Employee Motivation Questionnaire and were analyzed using Pearson correlation and multivariable regression tests in the software environment of SPSS.

RESULTS: The results of simultaneous regression showed that the message receiving sequence indices (β = -2.32), emotional control (β = -1.98), listening (β = -1.97), insight into relationship (β = 1.06), relationship with decisiveness (β = -1.45), and communicational skills (β = -7.45) were predictors of job motivation (P < 0.010). Also, the components of failure (β = -0.19) and anxiety/insomnia (β = -0.20) were predictors of job motivation
(P < 0.010). There was a significant positive relationship between sacrifice schemas, harsh criteria, and desirability with job motivation (P < 0.050). In addition, there was a significant negative relationship between failure schemas and job motivation (P < 0.050), but other variables were not able to predict job motivation (P < 0.050).

CONCLUSION: The findings of this study indicate that there is a relationship between psychological indices and job motivation in nurses. These findings can have clinical applications in the planning of major programs in the field of health and treatment.


Nurses; Job Satisfaction; Motivation; Communication

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Danaci E, Koc Z. The association of job satisfaction and burnout with individualized care perceptions in nurses. Nurs Ethics 2020; 27(1): 301-15.

Palazoglu CA, Koc Z. Ethical sensitivity, burnout, and job satisfaction in emergency nurses. Nurs Ethics 2019; 26(3): 809-22.

Chen YM, Fang JB. Correlation between nursing work environment and nurse burnout, job satisfaction, and turnover intention in the western region of mainland China. Hu Li Za Zhi 2016; 63(1): 87-98.

Tarcan M, Hikmet N, Schooley B, Top M, Tarcan GY. An analysis of the relationship between burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals. Appl Nurs Res 2017; 34: 40-7.

Altintas E, De Benedetto G, Gallouj K. Adaptation to nursing home: The role of leisure activities in light of motivation and relatedness. Arch Gerontol Geriatr 2017; 70: 8-13.

Happell B, Platania-Phung C, Watkins A, Scholz B, Curtis J, Goss J, et al. Developing an evidence-based specialist nursing role to improve the physical health care of people with mental illness. Issues Ment Health Nurs 2019; 40(10): 832-8.

Ayuso-Murillo D, Colomer-Sanchez A, Herrera-Peco I. Communication skills in ICU and adult hospitalisation unit nursing staff. Enferm Intensiva 2017; 28(3): 105-13.

Canadas-De la Fuente GA, Ortega E, Ramirez-Baena L, De la Fuente-Solana EI, Vargas C, Gomez-Urquiza JL. Gender, marital status, and children as risk factors for burnout in nurses: A meta-analytic study. Int J Environ Res Public Health 2018; 15(10): 2102.

Bach B, Lockwood G, Young JE. A new look at the schema therapy model: Organization and role of early

maladaptive schemas. Cogn Behav Ther 2018; 47(4): 328-49.

Bamber M, McMahon R. Danger-early maladaptive schemas at work!: The role of early maladaptive schemas in career choice and the development of occupational stress in health workers. Clin Psychol Psychother 2008; 15(2): 96-112.

Endsley P, Weobong B, Nadkarni A. The psychometric properties of GHQ for detecting common mental disorder among community dwelling men in Goa, India. Asian J Psychiatr 2017; 28: 106-10.

Phillips K, Brockman R, Bailey PE, Kneebone II. Young Schema Questionnaire - Short Form Version 3 (YSQ-S3): Preliminary validation in older adults. Aging Ment Health 2019; 23(1): 140-7.

Allan BA, Dexter C, Kinsey R, Parker S. Meaningful work and mental health: Job satisfaction as a moderator. J Ment Health 2018; 27(1): 38-44.

Kim JH, Jang SN. The relationship between job stress, job satisfaction, and the symptom checklist-90-revision (SCL-90-R) in marine officers on board. J Prev Med Public Health 2016; 49(6): 376-85.

McVeigh J, MacLachlan M, Vallieres F, Hyland P, Stilz R, Cox H, et al. Identifying predictors of stress and job satisfaction in a sample of merchant seafarers using structural equation modeling. Front Psychol 2019; 10: 70.

Mauno S, Ruokolainen M, Kinnunen U. Does aging make employees more resilient to job stress? Age as a moderator in the job stressor-well-being relationship in three Finnish occupational samples. Aging Ment Health 2013; 17(4): 411-22.

Timilsina Bhandari KK, Xiao LD, Belan I. Job satisfaction of overseas-qualified nurses working in Australian hospitals. Int Nurs Rev 2015; 62(1): 64-74.

Sprangers S, Dijkstra K, Romijn-Luijten A. Communication skills training in a nursing home: Effects of a brief intervention on residents and nursing aides. Clin Interv Aging 2015; 10: 311-9.

Lapena-Monux YR, Cibanal-Juan L, Macia-Soler ML, Orts-Cortes MI, Pedraz-Marcos A. Interpersonal relations and nurses' job satisfaction through knowledge and usage of relational skills. Appl Nurs Res 2015; 28(4): 257-61.

Liu Y, Aungsuroch Y, Yunibhand J. Job satisfaction in nursing: A concept analysis study. Int Nurs Rev 2016; 63(1): 84-91.


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