Health and Development Journal

Health and Development Journal

Investigating the Relationship Between Job Adjustment and Job Self-Concept with the Mediating Role of Moral Distress in Employees of Saman Health and Treatment Network in 2024

Document Type : Original Article

Authors
Masomeh Beigi 1
Zohreh Karimiankakolaki 2
1 Department of Health, Shk.C., Islamic Azad University, Shahrekord, Iran
2 Department of Health, Shk.C., Islamic Azad University, Shahrekord, Iran Social Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran
10.34172/jhad.1205
Abstract
Introduction: Job adjustment is a concept in occupational therapy that describes the process or outcome of the interaction among the individual, their occupation, and their work environment in response to occupational challenges. The present study aimed to investigate the relationship between job adjustment and job self-concept, with moral distress as a mediating variable, among employees of Saman County Health and Treatment Network in 2024.
Methods: This descriptive-correlational study was conducted among all employees of Saman County Health and Treatment Network. A total of 224 participants were selected through simple random sampling. Data were collected using a demographic questionnaire, the Job Adjustment Questionnaire developed by Dawis and Lofquist, Beck’s Self-Concept Test (SCT), and Hamric’s Moral Distress Scale. Data were analyzed using SPSS version 26 and path analysis in AMOS version 24, with maximum likelihood estimation. The significance of indirect effects was assessed using bootstrap analysis with 2000 resamples.
Results: The mean ± standard deviation scores were 116.93 ± 17.73 for job adjustment, 49.23 ± 17.84 for moral distress, and 74.69 ± 6.76 for job self-concept. A significant positive relationship was found between job adjustment and job self-concept. Job adjustment was significantly and inversely associated with moral distress. In addition, moral distress showed a significant inverse relationship with job self-concept. The indirect effect of job adjustment on job self-concept through moral distress was also statistically significant.
Conclusion: Overall, the findings indicated that job self-concept and moral distress are important factors related to employees’ job adjustment. Therefore, organizational managers are recommended to provide supportive environments and educational interventions to enhance employees’ job self-concept and reduce moral distress, thereby improving job adjustment.
Keywords
Job adaptability
Job self-concept
Moral distress
Health
Subjects
  1. Grajo L, Boisselle A, DaLomba E. Occupational adaptation as a construct: a scoping review of literature. Open J Occup Ther 2018;6(1):2. doi:10.15453/2168-6408.1400
  2. Zohoor Parvandeh V, Pasban Z. Investigating the mediating role of psychological climate in the relationship between cultural intelligence and job adjustment of female teachers. Quarterly Journal of Woman and Society 2019;10(39):171-86.
  3. Latifi Z, Khalili M. The effectiveness of career counseling with a narrative therapy approach on career adaptability, procrastination, and quality of wok life. Ind Organ Psychol Stud 2021;8(1):197-212. doi:10.22055/jiops.2021.38492.1241
  4. Jafar Jalal E, Seyedfatemi N, Haghani SH, Feyzbabaie M. Psychological capital of nurses working in academic medical centers of Iran University of Medical Sciences. Iran Journal of Nursing 2021;34(129):27-38. doi:10.52547/ijn.34.129.27
  5. Schkade JK, McClung M. Occupational Adaptation in Practice: Concepts and Cases. SLACK Incorporated; 2001.
  6. Rahimi H. The effect of job nature on job adjustment of nurses in hospital affiliated to Kashan University of Medical Sciences. Iran J Ergon 2020;8(2):17-25. doi:10.30699/jergon.8.2.17
  7. Zafarizadeh AA, Abedi MR, Baghban I. Developing model of emotional intelligence skills training and the effectiveness of this model on the vocational self-concept’s male high schools students. Technol Educ J 2013;8(1):55-61. doi:10.22061/ tej.2013.110
  8. Sarmadi M, Mahboobi T, Abdollahzade H. Investigating the relationship between of intelligence beliefs, self-esteem, achievement motive and entrepreneurship among the students of Payame Noor University in Western and Eastern Azerbaijan. Journal of Modern Psychological Researches 2009;4(14):63-88.
  9. Safaee S, Ghiasi M, Jafari Nodoushan A, Kakaei H, Jafari Nodoushan R. Modeling of self-concept and work stress in women personnel of Semnan University of Medical Sciences: mediated role of religious orientation. Occupational Medicine Quarterly Journal 2015;7(3):19-27.
  10. Karimi A, Heravi-Karimooi M, Rejeh N, Javanmard S. Professional self-concept in nurses working in intensive care units. J Crit Care Nurs 2019;12(2):21-7.
  11. Keighobadi F, Sadeghi H, Keighobadi F, Tabaraei Y. The relationship between moral distress and emotional exhaustion in nurses. Iran J Med Ethics Hist Med 2014;7(3):36-47.
  12. Habibzadeh SM, Reza Masouleh S, Mitra Chehrzad M, Kazemnezhad Leyli E. Moral distress and related factors in nurses working in intensive care units. J Holist Nurs Midwifery 2020;30(3):166-73.
  13. Molazem Z, Tavakol N, Sharif F, Keshavarzi S, Ghadakpour S. Effect of education based on the “4A Model” on the Iranian nurses’ moral distress in CCU wards. J Med Ethics Hist Med 2013;6:5.
  14. Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nurs Ethics 2005;12(4):381-90. doi:10.1191/0969733005ne809oa
  15. Taber BJ, Blankemeyer M. Future work self and career adaptability in the prediction of proactive career behaviors. J Vocat Behav 2015;86:20-7. doi:10.1016/j.jvb.2014.10.005
  16. Shahrabi Farahani L. Exploring the concepts and factors of Dawis & Lofquist job adjustment theory and making a questionnaire between women teachers of Tehran area 15 at 1389-1390 year. Quarterly Journal of Career and Organizational Counseling 2012;4(12):162-80.
  17. Baghouli H. Investigating the Relationship Between Emotional Intelligence, Job Self-Concept and Job Satisfaction of Shiraz Islamic Council Employees [dissertation]. Shiraz: Islamic Azad University, Marvdasht Branch; 2017.
  18. Razzaghi Kashani OM, Motevallian SA, Alizadegan S, Vaziri MH, Merghati Khoiee E, Goushegir SA, et al. Developing the moral distress scale in the population of Iranian nurses. Iran J Psychiatry 2008;3(2):55-8.
  19. Samadifard HR, Narimani M. The relationship between moral identity, spiritual well-being and religious orientation with job adjustment among nurses. Pajouhan Sci J 2018;17(1):1-8. doi:10.21859/psj.17.1.1
  20. Jalilian S, Karimianpour G. The relationship between psychological capital and job adjustment of staffs in Kermanshah University of Medical Sciences (the study of mediator role of job self-efficacy). Pajouhan Sci J 2018;16(3):39-47. doi:10.21859/psj.16.3.39
  21. Hu M, Zhu Y. Nursing Students’ Adjustment and Coping Strategies in Clinical Practice: A Descriptive Literature Review. Lishui: Lishui University, Nursing Department Medical and Health College, China; 2018
  22. Tsay SF, Chen WY, Lin YH, Liang YW. Job stressors, work adjustment and intention to leave: a study of female nursing assistants in long-term care facilities in Taiwan. Taiwan J Public Health 2013;32(5):476-90.
  23. Mortaghi Ghasemi M. Nurses job stress in therapeutic educational centers in Zanjan. J Res Dev Nurs Midwifery 2011;8(1):42-51.
  24. Hensel D. Relationships among nurses’ professional self-concept, health, and lifestyles. West J Nurs Res 2011;33(1):45- 62. doi:10.1177/0193945910373754
  25. Golestan F, Ashktorab T, Zohari Anboohi S, Mohtashami J, Salmani F. Professional self-concept in nurses working in intensive cares unit in hospitals affiliated to medical sciences universities of Tehran in 2014. Adv Nurs Midwifery 2016;25(90):39-46.
  26. Joolaee S, Jalili HR, Rafii F, Hajibabaee F, Haghani H. Relationship between moral distress and job satisfaction among nurses of Tehran University of Medical Sciences hospitals. Hayat 2012;18(1):42-51.
  27. Shakeriniya I. Moral distress: the latent stress in nursing. Iran J Med Ethics Hist Med 2011;4(3):26-35.
  28. Bell J, Breslin JM. Healthcare provider moral distress as a leadership challenge. JONAS Healthc Law Ethics Regul 2008;10(4):94-7; quiz 8-9. doi:10.1097/ NHL.0b013e31818ede46
  29. Rajabpour E, Soheilinik M. The effect of subjective career success on career adaptability and management. Transformation Management Journal 2021;13(1):259-84. doi:10.22067/tmj.2021.31059.0
  30. Rajabi Farjad H, Esmaieli A, Farjami M. Investigating the relationship between job adjustment and career plateauing with the moderating role of job self-efficacy (case study: deputy of human resources staff of Iran police). Development of Logistics and Human Resource Management 2021;16(60):1-26.
  31. Roberts BW, Yoon HJ. Personality psychology. Annu Rev Psychol 2022;73:489-516. doi:10.1146/annurev-psych-020821-114927
  32. Tahmasebi M, Salehi M, Gholtash A. The relationship between employees’ self-efficiency and organizational support with their organizational citizenship behavior. Journal of New Approaches in Educational Administration 2016;6(24):81-92.
  33. Kazemi A, Nouri A, Gholizadeh A. Investigating the relationship between self-concept and social adjustment of employees of the General Directorate of Culture and Islamic Guidance. Knowledge & Research in Applied Psychology 2003;5(17):101-18.
  34. Sohrabian A, Modaresi S, Yousefi F. The relationship between organizational climate and job satisfaction among occupied nurses in psychiatric hospitals of Qods, Tohid and Besat. Shenakht Journal of Psychology and Psychiatry 2018;4(4):34-43.
Health and Development Journal
Volume 14, Issue 1
Spring 2025
Pages 1-7

  • Receive Date 12 September 2025
  • Revise Date 25 October 2025
  • Accept Date 29 November 2025