Occupational wellbeing among healthcare professionals is an essential determinant of organizational effectiveness and public health. Yet, in many healthcare systems, it remains overlooked, while chronic stress, policy instability, and limited resources undermine workforce sustainability.
Objective
This study aimed to explore the multidimensional factors that sustain or challenge occupational wellbeing among healthcare professionals in Iran.
Methods
A qualitative design was employed using purposive sampling to select 19 participants, including physicians, nurses, and mental health experts. Semi-structured interviews were conducted, and data were analyzed through thematic analysis guided by King and Horrocks’ framework, integrating inductive and deductive coding.
Results
Five interrelated domains were identified: psychological and emotional wellbeing, individual resilience and coping, organizational design and leadership, healthcare-specific stressors, and socio-cultural influences. These dimensions interacted dynamically, shaping professionals’ sense of autonomy, mastery, solidarity, and purpose. While workload, systemic instability, and policy ambiguity eroded wellbeing, resilience was strengthened through spirituality, collegial support, and family networks.
Conclusion
Occupational wellbeing is best understood as a dynamic, holistic process shaped by structural, psychological, and cultural factors. Sustainable improvement requires human-centered management that emphasizes supportive leadership, organizational culture, and systemic redesign to foster resilient, creative, and purposeful healthcare professionals.
WienekeKEggintonJJenkinsS, et al.Well-being champion impact on employee engagement, staff satisfaction, and employee well-being. Mayo Clin Proc Innov Qual Outcomes2019; 3(2): 106–115. https://doi.org/10.1016/j.mayocpiqo.2019.04.001
2.
Van den BroeckAVansteenkisteMDe WitteH, et al.Capturing autonomy, competence, and relatedness at work: construction and initial validation of the work-related basic need satisfaction scale. J Occup Organ Psychol2010; 83(4): 981–1002. https://doi.org/10.1348/096317909X481382
3.
GrotowskaMŁukasiewiczMStrawińskaA, et al.Burnout among physicians: prevalence, contributing factors and solutions: a review of literature. Quality in Sport2025; 37: 57716. https://doi.org/10.12775/QS.2024.37.57716
4.
MatyushkinaERoyARakhmaninaA, et al.Occupational stress and burnout among healthcare professionals. J Mod Foreign Psychol2020; 9(1): 39–49. https://doi.org/10.17759/jmfp.2020090104
5.
SelamuMThornicroftGFekaduA, et al.Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study. BMC Health Serv Res2017; 17(1): 412. https://doi.org/10.1186/s12913-017-2370-5
6.
ArslanoğluAİbrahimoğluÖMersinS, et al.Burnout in healthcare workers: the effect of stress of conscience. J Eval Clin Pract2025; 31(2): e14148. https://doi.org/10.1111/jep.14148
7.
TeoILeeMWLOngCE, et al.Burnout, anxiety and depression in healthcare workers during the early COVID-19 period in Singapore. Singap Med J2024; 65(Suppl 1): S26–S29. https://doi.org/10.11622/smedj.2021156
AlnahdiOSAlbuqaytahFAAlotaibiN, et al.COVID-19 stigma correlates with burnout among healthcare workers: evidence from healthcare workers practicing in Saudi Arabia. Saudi J Health Syst Res2023; 3(1-4): 85–92. https://doi.org/10.1159/000528564
10.
HekeDCameHBirkM, et al.Exploring anti-racism within the context of human resource management in the health sector in Aotearoa. Int J Crit Indig Stud2022; 14(2): 114–132. https://doi.org/10.5204/2100
11.
GhossoubZNadlerREl-AswadN. Emotional intelligence, resilience, self-care, and self-leadership in healthcare workers burnout: a qualitative study in coaching. Univ J Public Health2020; 8(5): 155–162. https://doi.org/10.13189/ujph.2020.080501
12.
GuptaJ. Employee well-being initiatives: a critical analysis of HRM practices. Educational Administration: Theory and Practice2024; 30(5): 6808–6815. https://doi.org/10.53555/kuey.v30i5.4020
13.
ShonJH. Management of factors associated with job satisfaction of healthcare workers in obstetrics and gynecology services at private hospitals: a cross-sectional study. J Inf Syst Eng Manag2025; 10(3S): 495–503. https://doi.org/10.52783/jisem.v10i3s.440
14.
Van den BroekA. Human resource management (HRM) and performance: balancing between optimization of organizational performance and well-being of (healthcare) employees. J Infrastruct Policy Dev2024; 8(1): 2812. https://doi.org/10.24294/jipd.v8i1.2812
15.
MaglalangDDSorensenGHopciaK, et al.Job and family demands and burnout among healthcare workers: the moderating role of workplace flexibility. SSM Popul Health2021; 14: 100802. https://doi.org/10.1016/j.ssmph.2021.100802
16.
HinoMEbinaYYanoR. Pregnant nurses’ occupational stress and associated factors: a comparative cross-sectional study. Jpn J Nurs Sci2025; 22: e70000. https://doi.org/10.1111/jjns.70000
17.
AthamnehS. Human resource management practices and their impact on healthcare workers’ job satisfaction and burnout in the Jordanian public sector. Probl Perspect Manag2024; 22(1): 634–648. https://doi.org/10.21511/ppm.22(1).2024.50
18.
UdekweEIwuCGObadireOS. Impact of human resource information system performance for sustainable health sector in South Africa. Electron J Knowl Manag2024; 22(2): 1–17. https://doi.org/10.34190/ejkm.22.2.3344
19.
QattanYYRashedFAHananiAO, et al.Effect and causes of burnout on mental health among healthcare professionals. Int J Community Med Public Health2024; 11(1): 496–500. https://doi.org/10.18203/2394-6040.ijcmph20233945
20.
da SilvaJADiasDMPedrosaGA, et al.Burnout in healthcare professionals: impacts on quality of life and well-being. Lumen et Virtus2024; 15(41): 071. https://doi.org/10.56238/levv15n41-071
21.
MarkovićSKostićOZTerzić-ŠupićZ, et al.Exposure to stress and burnout syndrome in healthcare workers, expert workers, professional associates, and associates in social service institutions. Medicina (Kaunas)2024; 60(3): 499. https://doi.org/10.3390/medicina60030499
22.
PrenticeSElliottTDorstynD, et al.Burnout, wellbeing and how they relate: a qualitative study in general practice trainees. Med Educ2023; 57(3): 243–255. https://doi.org/10.1111/medu.14931
23.
SlavkovicMEricDMiricM, et al.Leveraging a synergy in motivation to effect job satisfaction of healthcare professionals in public blood bank units: a cross-sectional study. J Multidiscip Healthc2023; 16: 3203–3214. https://doi.org/10.2147/JMDH.S420054
24.
PeytremannIPeytremann-BridevauxIJubinJ, et al.Results from the Swiss cohort of healthcare professionals. Eur J Public Health2024; 34(Suppl_3): ckae144.230. https://doi.org/10.1093/eurpub/ckae144.230
25.
López-MoralesHDel ValleMVCanet-JuricL, et al.Mental health of pregnant women during the COVID-19 pandemic: a longitudinal study. Psychiatry Res2021; 295: 113567. https://doi.org/10.1016/j.psychres.2020.113567
26.
YousefCFarooqAAmateauG, et al.The effect of job and personal demands and resources on healthcare workers’ wellbeing: a cross-sectional study. PLoS One2024; 19(5): e0303769. https://doi.org/10.1371/journal.pone.0303769
27.
TomoADe SimoneS. Professional status and well-being in healthcare organizations. Health Serv Manag Res2020; 33(1): 43–51. https://doi.org/10.1177/0951484819885053
GioiaDACorleyKGHamiltonAL. Seeking qualitative rigor in inductive research: notes on the Gioia methodology. Organ Res Methods2013; 16(1): 15–31. https://doi.org/10.1177/1094428112452151
35.
NowellLSNorrisJMWhiteDE, et al.Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods2017; 16(1): 1–13. https://doi.org/10.1177/1609406917733847
36.
PattonMQ. Enhancing the quality and credibility of qualitative analysis. Health Serv Res1999; 34(5 Pt 2): 1189–1208.
WilesR. What are qualitative research ethics?: Bloomsbury Publishing, 2013.
39.
BrooksJMcCluskeySTurleyE, et al.The utility of template analysis in qualitative psychology research. Qual Res Psychol2015; 12(2): 202–222. https://doi.org/10.1080/14780887.2014.955224
40.
BosakJKilroySChênevertD, et al.Examining the role of transformational leadership and mission valence on burnout among hospital staff. J Org Eff, People Perform2021; 8(2): 208–227. https://doi.org/10.1108/JOEPP-08-2020-0151
41.
EdosomwanHSNwanzuCLOmreoreOE. Relationship between supportive supervision and caring behavior among healthcare workers: the mediating role of job satisfaction. Int J Occup Saf Health2024; 14(4): 475–484. https://doi.org/10.3126/ijosh.v14i4.54070
42.
PalathotiSRAl FalqiTOtitolaiyeVO. Study on causal effects of occupational stress on healthcare workers at a selected healthcare facility in Oman. Int J Occup Saf Health2024; 14(1): 98–106. https://doi.org/10.3126/ijosh.v14i1.50329
43.
OyamaNSekiMNakaiM, et al.Depressive symptoms, burnout, resilience, and psychosocial support in healthcare workers during the COVID-19 pandemic: a nationwide study in Japan. Psychiatry Clin Neurosci Rep2023; 2: e136. https://doi.org/10.1002/pcn5.136
44.
NaldiAVallelongaFDi LibertoA, et al.COVID-19 pandemic-related anxiety, distress, and burnout: prevalence and associated factors in healthcare workers of North-West Italy. BJPsych Open2021; 7(1): e27. https://doi.org/10.1192/bjo.2020.161
45.
WangGYuanQFengX, et al.The job burnout of tuberculosis healthcare workers and associated factors under integrated tuberculosis control model: a mixed-method study based on the two-factor theory. BMC Health Serv Res2024; 24(1): 984. https://doi.org/10.1186/s12913-024-11472-4
46.
RomateJRajkumarE. Exploring the experiences, psychological well-being and needs of frontline healthcare workers of government hospitals in India: a qualitative study. Hum Soc Sci Commun2022; 9: 89. https://doi.org/10.1057/s41599-022-01093-9
47.
BoitetLMMeeseKAHaysMM, et al.Burnout, moral distress, and compassion fatigue as correlates of posttraumatic stress symptoms in clinical and nonclinical healthcare workers. J Healthc Manag2023; 68(6): 427–451. https://doi.org/10.1097/JHM-D-23-00098
48.
NewmanCNayebareANeemaS, et al.Uganda’s response to sexual harassment in the public health sector: from “dying silently” to gender-transformational HRH policy. Hum Resour Health2021; 19(1): 59. https://doi.org/10.1186/s12960-021-00569-0
49.
ChungDMengYWangJ. The role of short-form video apps in mitigating occupational burnout and enhancing life satisfaction among healthcare workers: a serial multiple mediation model. Healthcare (Basel)2025; 13(4): 355. https://doi.org/10.3390/healthcare13040355
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