Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

10.34172/jqr.1509

Abstract

Background: Nurses are a key component of the healthcare system, and to provide effective care and achieve optimal productivity, they require attention and support from healthcare organizations. This study was conducted qualitatively to elucidate the barriers to perceived organizational support from the perspective of nurses.
Methods: In this qualitative study, a conventional content analysis approach was used to identify the barriers to perceived organizational support from the viewpoint of nurses. Data were collected between September and November 2024 through in-depth, semi-structured individual interviews with 14 participants selected through purposive sampling. The five-step method proposed by Graneheim and Lundman (2004) was used for data analysis. MAXQDA version 10 software was utilized for data management.
Results: The participants in this study included 14 nurses with an average experience of 10.66 ± 0.54 years. After analyzing the data, four main categories emerged: unfavorable organizational climate, unfavorable organizational position, unfavorable working conditions, and the negligence of authorities towards the individual capabilities and professional qualifications of nurses.
Conclusion: The findings of this study can serve as a roadmap for nursing managers to enhance positive supportive perceptions among nurses by identifying deterrent factors and implementing fair solutions, ultimately leading to improved working conditions for nurses and, consequently, an enhancement in the quality of nursing care.

Keywords

  1. Heidari A, Beygom Kazemi S, Kabir MJ, Khatirnamani Z, Badakhshan A, Lotfi M, et al. Relationship between turnover intention and perceived organizational support in nurses of hospitals in Gorgan, Iran. Journal of Modern Medical Information Sciences. 2023;9(3):234-45. doi: 10.32598/ jmis.9.3.5. [Persian].
  2. Li X, Zhang Y, Yan D, Wen F, Zhang Y. Nurses’ intention to stay: the impact of perceived organizational support, job control and job satisfaction. J Adv Nurs. 2020;76(5):1141-50. doi: 10.1111/jan.14305.
  3. Saadeh IM, Suifan TS. Job stress and organizational commitment in hospitals: the mediating role of perceived organizational support. Int J Organ Anal. 2020;28(1):226-42. doi: 10.1108/ijoa-11-2018-1597.
  4. Heidari A, Imani Gorgi S, Koochak F, Khatirnamani Z. Relationship between occupational fatigue and sleep quality among nurses of teaching hospitals in Golestan University of Medical Sciences. J Health Res Commun. 2023;9(1):99-107. [Persian].
  5. Olyaiekhachic R, Bozorgnejad M, Haghani SH, Khayeri F, Seyedfatemi N. Evaluating the effect of positive self-talk on job stress among nurses working in the emergency wards. Iran Journal of Nursing. 2020;33(127):89-102. doi: 10.52547/ ijn.33.127.89. [Persian].
  6. Ghezeli F, koshan M, Rakhshani MH, Ghasemi MR. Investigate the relationship between perceptions of job characteristics and organizational support with job alienation among nurses. J Sabzevar Univ Med Sci. 2020;26(6):747-53. [Persian].
  7. Habibzadeh H, Ghorbanzadeh K, Khalkhali HR, Mohamadpor Y. The relationship between nurses’ quality of work life and their clinical competency. J Urmia Nurs Midwifery Fac. 2012;10(3):332-9. [Persian].
  8. Cusack L, Smith M, Hegney D, Rees CS, Breen LJ, Witt RR, et al. Exploring environmental factors in nursing workplaces that promote psychological resilience: constructing a unified theoretical model. Front Psychol. 2016;7:600. doi: 10.3389/ fpsyg.2016.00600.
  9. Manojlovich M, Ketefian S. The effects of organizational culture on nursing professionalism: implications for health resource planning. Can J Nurs Res. 2002;33(4):15-34.
  10. Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: a discussion paper. Nurse Educ Today. 2017;56:29-34. doi: 10.1016/j. nedt.2017.06.002.
  11. Tayebi J. Relationship between managerial competencies and performance. Teb va Tazkieh. 2010;77:17-24. [Persian].
  12. Robaee N, Atashzadeh-Shoorideh F, Ashktorab T, Baghestani A, Barkhordari-Sharifabad M. Perceived organizational support and moral distress among nurses. BMC Nurs. 2018;17:2. doi: 10.1186/s12912-017-0270-y.
  13. Vivona BD, Cloninger K, Grief L. A qualitative study of the value, organizational supports, and barriers to specialty nursing certification. Perioper Care Oper Room Manag. 2022;28:100259. doi: 10.1016/j.pcorm.2022.100259.
  14. Stone M. Second victim support: nurses’ perspectives of organizational support after an adverse event. J Nurs Adm. 2020;50(10):521-5. doi: 10.1097/nna.0000000000000928.
  15. Faulkner J, Laschinger H. The effects of structural and psychological empowerment on perceived respect in acute care nurses. J Nurs Manag. 2008;16(2):214-21. doi: 10.1111/j.1365-2834.2007.00781.x.
  16. Nikbakht Nasrabadi A, Emami A. Perceptions of nursing practice in Iran. Nurs Outlook. 2006;54(6):320-7. doi: 10.1016/j.outlook.2006.06.001.