Factors Influencing Job Satisfaction of Healthcare Professionals in Karachi
DOI:
https://doi.org/10.51153/mf.v20.i2.710Keywords:
Job Satisfaction, Job Autonomy and Control, work-life balance, Healthcare Professionals.Abstract
Past studies have shown that employee job satisfaction is essential to organizational performance and low turnover across all business sectors, including health care. In this paper, we examined the impact of six antecedents (i.e., compensation and benefits, work environment, job autonomy, work–family balance, leadership and supervision, and career development) on job satisfaction in the health care industry. The study population included all health professionals (i.e., doctors, nurses, pharmacists, and laboratory technologists) working in the healthcare industry. The study has focused on the hospitals in Karachi, as all the ethnic populations reside in this city. Based on the literature from both developed and developing countries, we have identified six antecedents that affect the job satisfaction of health workers in Pakistan. It includes compensation & benefits, work environment, job autonomy, work–life balance, leadership and supervision, and career development. The study results supported three hypotheses and did not support the other three. Of the three rejected hypotheses, we found a significant association between “compensation & and benefits and job satisfaction (H1). Similarly, we found a significant association between work-life balance and job satisfaction (H4). We rejected these two hypotheses as their direction were contrary to the articulated hypotheses. The results of these rejected hypotheses are surprising and contrary to the prior literature. However, the results could not be generalized, as the sample size was small and restricted to selected hospitals in Karachi.
References
Abdullah, M. I., Huang, D., Sarfraz, M., Ivascu, L., & Riaz, A. (2021). Effects of internal service quality on nurses’ job satisfaction, commitment and performance: Mediating role of employee well‐being. Nursing Open, 8(2), 607–619.
Afifa, L. (2025). The effects of job autonomy on job satisfaction among healthcare workers. Journal of Occupational Health Psychology, 30(2), 215–230.
Agna, E. (2025). The role of compensation and benefits in shaping organizational outcomes. Compensation Studies Quarterly, 15(1), 56–68.
Agna, E. (2025). Workplace climate and employee satisfaction: A comparative study of two industries. Journal of Applied Behavioral Science, 40(4), 352–366.
Ahmed Junejo, A., Ali, S., & Nazeer, M. (2025). Career development and employee satisfaction: A cross-industry comparison. International Journal of Career Development, 16(4), 345–359.
Aktar, M. (2024). Exploring the relationship between compensation and employee satisfaction in service industries. Journal of Service and Management Research, 9(2), 101–114.
Alam, A., & Asim, M. (2019). Relationship between job satisfaction and turnover intention. International Journal of Human Resource Studies, 9(2), 163.
Al-Anzi, F. S., & Al-Anzi, M. R. (2021). The impact of occupational stress on job satisfaction: A case study of the National Guard Health Affairs of Saudi Arabia. The Open Public Health Journal, 14(1).
Ali, B. J., & Anwar, G. (2024). Workplace environment and job satisfaction: Empirical evidence from service sector employees. International Journal of Engineering, Business and Management, 8(1), 45–53.
Ali, R. M., & Wajidi, F. A. (2013). Factors influencing job satisfaction in public healthcare sector of Pakistan. GJMBR-A: Administration and Management, 13(8), 61–66.
Alves, J. C., Gallego, J. M., & Espejo, B. E. (2021). Impact of job stress on job satisfaction among health care workers in a hospital. Revista Latino-Americana de Enfermagem, 29, 29–49.
Bass, B. M., & Riggio, R. E. (2024). Transformational leadership: A new vision for leadership. Journal of Leadership and Organizational Studies, 25(2), 55–70.
Berberoglu, A., & Tiryaki, E. B. (2016). Impact of work engagement on job satisfaction and turnover intention. Procedia - Social and Behavioral Sciences, 235, 466–475.
Bhatia, S., & Gupta, R. (2025). Work-life balance and its impact on job satisfaction and retention: A study of Indian IT professionals. Journal of Business and Management, 16(3), 250–265.
Boamah, S. A., Read, E. A., & Spence Laschinger, H. K. (2017). Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: A time-lagged study. Journal of Advanced Nursing, 73(5), 1182–1195.
Breaugh, J. A. (1985). The measurement of work autonomy. Human Relations, 38(6), 551–570.
Brough, P., Timms, C., O’Driscoll, M. P., Kalliath, T., Siu, O.-L., Sit, C., & Lo, D. (2014). Work-life balance: A longitudinal evaluation of a new measure across Australia and New Zealand workers. The International Journal of Human Resource Management, 25(19), 2724–2744.
Brown, L., & Green, R. (2024). Ethical leadership and employee satisfaction: Evidence from the healthcare industry. Journal of Business Ethics, 43(4), 45–61.
Carless, S. A., Wearing, A. J., & Mann, L. (2000). A short measure of transformational leadership. Journal of Business and Psychology, 14, 389–405.
Caruso, C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation Nursing, 39(1), 16–25.
Chang, W. Y., Ma, J. C., Chiu, H. T., Lin, K. C., & Lee, P. H. (2009). Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. Journal of Advanced Nursing, 65(9), 1946–1955.
Cho, Y. (2025). Autonomy and job satisfaction among gig economy workers. Journal of Applied Psychology, 35(1), 89–101.
Chowdhury, S., Tushar, K., & Khan, M. (2024). Work-life balance reduces work-related stress, leading to higher job satisfaction. Journal of Human Resource Management, 22(5), 134–147.
Coomber, B., & Barriball, K. L. (2007). Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature. International Journal of Nursing Studies, 44(2), 297–314.
Deriba, B. K., Sinke, S. O., Ereso, B. M., & Badacho, A. S. (2017). Health professionals’ job satisfaction and associated factors at public health centers in West Ethiopia. Human Resources for Health, 15, 1011–1037.
Dudley, R. A., Miller, R. H., Korenbrot, T. Y., & Luft, H. S. (1998). The impact of financial incentives on quality of health care. The Milbank Quarterly, 76(4), 649–686.
Fitriana, A., & Mansyur, A. (2023). The influence of work autonomy, job variation and feedback on job satisfaction. JENIUS (Jurnal Ilmiah Manajemen Sumber Daya Manusia), 7(1), 1001–1035.
Fry, L. W. (2025). A model of leadership and employee well-being. Leadership and Organizational Development Journal, 38(3), 119–137. https://doi.org/10.1108/LODJ-12-2024-0425
Ge, J., He, J., Liu, Y., Zhang, J., Pan, J., Zhang, X., & Liu, D. (2021). Effects of effort-reward imbalance, job satisfaction, and work engagement on self-rated health among healthcare workers. BMC Public Health, 21, 1–10.
Greenberg, J. (2006). Losing sleep over organizational injustice: Attenuating insomnolence through organizational justice. Journal of Organizational Behavior, 27(8), 1059–1076.
Gupta, R., & Pathak, A. (2024). Impact of compensation on job satisfaction in manufacturing industries: Evidence from India. International Journal of Human Resource Management and Research, 12(3), 23–38.
Hackman, J. R., & Oldham, G. R. (1976). Motivation through the design of work: Test of a theory. Organizational Behavior and Human Performance, 16(2), 250–279.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2019). A primer on partial least squares structural equation modeling (PLS-SEM) (2nd ed.). SAGE.
Han, K., Trinkoff, A. M., & Gurses, A. P. (2015). Work-related factors, job satisfaction and intent to leave the current job among United States nurses. Journal of Clinical Nursing, 24(21–22), 3224–3232.
Haron, A. A., Baki, R., Mansor, A. N., & Zulkefli, N. M. (2020). A review on the determinants of job satisfaction. Human Resource Management Research, 10(2), 31–41.
Hayes, B., Bonner, A. N. N., & Pryor, J. (2010). Factors contributing to nurse job satisfaction in the acute hospital setting: A review of recent literature. Journal of Nursing Management, 18(7), 804–814.
Heneman, H. G., III, & Schwab, D. P. (1985). Pay satisfaction: Its multidimensional nature and measurement. International Journal of Psychology, 20(2), 129–141. https://doi.org/10.1080/00207598508247727
Herzberg, F. (1968). One more time: How do you motivate employees? Harvard Business Review, 46(1), 53–62.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.
Hussain, S., & Diaz, J. F. (2020). Determinants of employee job satisfaction: Evidence from the University of Karachi, Pakistan. Jurnal Manajemen Dan Kewirausahaan, 22(2), 165–172.
Idris, I., Adi, K. R., Soetjipto, B. E., & Supriyanto, A. S. (2020). The mediating role of job satisfaction on compensation, work environment, and employee performance: Evidence from Indonesia. Entrepreneurship and Sustainability Issues, 8(2), 735.
Igalens, J., & Roussel, P. (1999). A study of the relationships between compensation package, work motivation and job satisfaction. Journal of Organizational Behavior, 20(7), 1003–1025.
Iyanna, S., Kaur, P., Ractham, P., & Wan-Nor, F. (2017). Antecedents of job satisfaction: A comprehensive study in Malaysia. Management Science Letters, 7, 13–24.
Johnson, M., & Lee, K. (2025). Supportive leadership as a driver of job satisfaction in customer service roles. International Journal of Customer Relations, 18(3), 98–113.
Kalyanamitra, P., Saengchai, S., & Jermsittiparsert, K. (2020). Impact of training facilities, benefits and compensation, and performance appraisal on the employees’ retention: A mediating effect of employees’ job satisfaction. Systematic Reviews in Pharmacy, 11(3), 1011–1032.
Kern, D., & Kaufman, T. (2025). Leadership and job satisfaction: The moderating role of employee motivation. Journal of Organizational Behavior, 42(4), 401–419.
Khafizova, A. A., Galimov, A. M., Kharisova, S. R., Grebenshchikova, L. Y., Yagudina, R. I., & Smirnova, L. M. (2023). The impact of healthcare digitalization on the medical education curricula and programs: Points of convergence and divergence. Contemporary Educational Technology, 15(4), 1179–1199.
Khan, A., & Aleem, A. (2021). The impact of psychological capital on job satisfaction and job performance among employees in the healthcare sector of Saudi Arabia. Health Information Science and Systems, 9(1), 1–10.
Khan, F., & Murtaza, A. (2025). Transformational leadership and job satisfaction in the hospitality sector. Journal of Business Leadership, 11(1), 121–132.
Khan, M., Khan, F., Khan, M., Ahmed, S., Awan, S. H., & Bakhtiar, B. (2022). The mediating effect of job satisfaction on the link between reward and job performance: A case of hospitals in Pakistan. PalArch’s Journal of Archaeology of Egypt/Egyptology, 19(4), 1424–1442.
Kittinger, J. D., Walker, A. G., Cope, J. G., & Wuensch, K. L. (2020). The relationship between core self-evaluations and affective commitment. Journal of Behavioral and Applied Management, 11(1), 68–92.
Kivimäki, M., Virtanen, M., Elovainio, M., Kouvonen, A., Väänänen, A., Vahtera, J., & Preckel, D. (2006). Work stress in the etiology of coronary heart disease—a meta-analysis. Scandinavian Journal of Work, Environment & Health, 32(6), 431–442.
Kluger, M. T., Townend, K., & Laidlaw, T. (2003). Job satisfaction, stress and burnout in Australian specialist anaesthetists. Anaesthesia, 58(4), 339–345.
Kraimer, M. L., Seibert, S. E., Wayne, S. J., Liden, R. C., & Bravo, J. (2011). Antecedents and outcomes of organizational support for development: The critical role of career opportunities. Journal of Applied Psychology, 96, 485–500.
Kumar, R., Ahmed, J., Shaikh, B. T., Hafeez, R., & Hafeez, A. (2013). Job satisfaction among public health professionals working in public sector: A cross-sectional study from Pakistan. Human Resources for Health, 11(1), 1–5.
Kwak, H., Anderson, R. E., Leigh, T. W., & Bonifield, S. D. (2019). Impact of salesperson macro-adaptive selling strategy on job performance and satisfaction. Journal of Business Research, 94, 42–55.
Lilo, J., & Ardiansari, R. (2025). Workplace environment and job satisfaction: A multi-sector analysis. Journal of Workplace Psychology, 16(3), 234–245. https://doi.org/10.6543/jwp.2025.03145
Locke, E. A. (1976). The nature and causes of job satisfaction. Handbook of Healthcare and Organizational Psychology, 1297–1349.
Mahar, S. A. (2025). Career development and compensation influence on job satisfaction among bank employees. https://sociocanvas.com/index.php/JSH/article/view/115
Mahmood Aziz, H., Jabbar Othman, B., Gardi, B., Ali Ahmed, S., Sabir, B. Y., Burhan Ismael, N., ... & Anwar, G. (2021). Employee commitment: The relationship between employee commitment and job satisfaction. Journal of Humanities and Education Development, 3(3), 54–66.
Masluk, B., Gascón Santos, S., Albesa Cartagena, A., Asensio Martinez, A., Peck, E., & Leiter, M. P. (2018). “Areas of worklife scale” (AWS) short version (Spanish): A confirmatory factor analysis based on a secondary school teacher sample. Journal of Occupational Medicine and Toxicology, 13, 20.
Mea, M. H. C. D., & Se, H. (2023). Work-life balance, job satisfaction, and work environment influences on educators’ loyalty study on female lecturers at the University of Flores. The Babe, 1(I), 1–13.
Miller, R., Allen, L., & Mayfield, L. (2025). Work-life balance and employee satisfaction: Mediating effects on motivation and productivity. Human Resource Management Review, 35(2), 112–127. https://doi.org/10.1016/j.hrmr.2025.01.001
Mpoha, S. (2024). The effects of compensation strategies on job satisfaction in high-performance organizations. Journal of Organizational Behavior Studies, 18(2), 123–134. https://doi.org/10.7890/jobstudies.2024.00891
Nahar, L., Hossain, A., Rahman, A., & Bairagi, A. (2013). The relationship of job satisfaction, job stress, mental health of government and non-government employees of Bangladesh. Psychology, 4(06), 520.
Nayef, M. O., & Hala, M. N. (2020). The impact of reward systems on the job satisfaction and the effectiveness of public employees in Jordan. Problems and Perspectives in Management, 18(3), 94–103.
Nguyen, H. T., Tran, T. T., & Nguyen, T. T. (2023). The impact of workplace environment on employee satisfaction and performance. Journal of Business Research, 158, 113–124.
Notarnicola, I. (2024). Transformational leadership and its impact on job satisfaction. Frontiers in Psychology, 19.
Parker, S. K., & Axtell, C. M. (2024). Creating supportive workplaces: The role of leadership in job satisfaction. Journal of Applied Psychology, 109(5), 78–95. https://doi.org/10.1037/apl0000542
Platis, C., Reklitis, P., & Zimeras, S. (2015). Relation between job satisfaction and job performance in healthcare services. Procedia - Social and Behavioral Sciences, 175, 480–487.
Popovich, L., Potapchik, E., Shishkin, S., Richardson, E., Vacroux, A., Mathivet, B., & World Health Organization. (2011). Russian Federation: Health system review.
Qadri, N. (2024). The impact of work-life balance on employee satisfaction in the private sector: A case study of Saudi Arabia. Journal of Organizational Psychology, 13(1), 75–86.
ResearchGate. (2025). Supervisor support and employee job satisfaction: Evidence from the service sector. Journal of Managerial Psychology, 31(4), 459–472. https://doi.org/10.1080/jmp.2025.01424
ResearchGate. (2025). Work environment and job satisfaction among employees in higher education institutions. Journal of Education and Workplace Studies, 6(2), 112–121. https://doi.org/10.5432/jewst.2025.00765
Rezha, B., & Dewi, I. G. A. M. (2025). The effect of ethical leadership and perceived organizational support on job satisfaction mediated by psychological empowerment. International Research Journal of Management, IT and Social Sciences, 12(3), 92–107.
Rostami, F., Babaei-Pouya, A., Teimori-Boghsani, G., Jahangirimehr, A., Mehri, Z., & Feiz-Arefi, M. (2021). Mental workload and job satisfaction in healthcare workers: The moderating role of job control. Frontiers in Public Health, 9, 673–633.
Rössler, W. (2012). Stress, burnout, and job dissatisfaction in mental health workers. European Archives of Psychiatry and Clinical Neuroscience, 262, 65–69.
Said, F., & Muzakki, M. (2024). The role of leadership styles in enhancing job satisfaction: A study of transformational leadership. Journal of Leadership and Organizational Studies, 21(3), 302–318. https://doi.org/10.5555/jlos.2024.01321
Salmi, A. M. (2003). Health in exchange: Teachers, doctors, and the strength of informal practices in Russia. Culture, Medicine and Psychiatry, 27, 109–130.
Sinval, J., & Marôco, J. (2020). Short Index of Job Satisfaction: Validity evidence from Portugal and Brazil. PLOS ONE, 15(4), e0231474. https://doi.org/10.1371/journal.pone.0231474
Soares, A. L., Mosquera, J. J. M., & Tojeiro-Rivero, D. (2018). Job satisfaction and job performance: Over 100 years of research but still many questions to answer. Frontiers in Psychology, 9, 1437–1467.
Sociocanvas. (2025). Career development and job satisfaction: A study of professionals in Pakistan. Journal of Social Sciences and Humanities, 20(3), 187–201.
Tasneem, S., Cagatan, A. S., Avci, M. Z., & Basustaoglu, A. C. (2018). Job satisfaction of health service providers working in a public tertiary care hospital of Pakistan. The Open Public Health Journal, 11(1).
Toker, S., & Tasa, K. (2017). Job burnout and depression: Unraveling their temporal relationship and considering the role of physical activity. Journal of Applied Psychology, 102(9), 1317.
Vogel, R., & Tausch, J. (2025). The relationship between leadership practices and employee job satisfaction: A longitudinal study. Journal of Business Research, 58(2), 78–95.
Wilczyńska, A., Batorski, D., & Sellens, J. T. (2016). Employment flexibility and job security as determinants of job satisfaction: The case of Polish knowledge workers. Social Indicators Research, 126, 633–656.
Wilson, J. M., Lee, J., Fitzgerald, H. N., Oosterhoff, B., Sevi, B., & Shook, N. J. (2020). Job insecurity and financial concern during the COVID-19 pandemic are associated with worse mental health. Journal of Occupational and Environmental Medicine, 62(9), 686–691.
Wolfgang, A. P. (2020). Job stress, coping, and dissatisfaction in the health professions: A comparison of nurses and pharmacists. In Occupational stress (pp. 193–204). CRC Press.
Xu, Y., Li, J., & Zhang, J. (2020). Research on the impact of work engagement on job performance and job satisfaction of medical staff. Frontiers in Psychology, 11, 1512.
Ystaas, L. M. K. (2023). The impact of transformational leadership in nursing: Supervisor support and job satisfaction. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537672/
Yuan, L., Pham, M.-L., Dang, T.-P., Nguyen, T. N. M., Vu, M. C., & Nguyen, A. T. (2022). Linking ethical leadership to job satisfaction and work engagement: The mediating role of psychological empowerment. Journal of International Business and Management, 5(12), 01–16.
Zychová, M., Stojanov, D., & Török, A. (2024). Job autonomy and its relationship with job satisfaction: A meta-analytic review. European Journal of Work and Organizational Psychology, 28(2), 157–173.
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