Despite the growing knowledge about job satisfaction, the improvement of it for healthcare providers has remained a challenge. The present study was conducted to identify the challenges to nurses' job satisfaction and improving it by an action research approach. The present study was conducted from 2016 to 2018. The participants were twenty-four nurses, head nurses, and academic researchers as facilitators. They worked through two cycles of reflection and action for change for 19 months. The data were collected and analyzed using the concurrent mixed-method approach. The findings of the quantitative data revealed that the score of nurses’ job satisfaction increased from 50.8 ± 8.34 to 59.88 ± 7.82 in pre and post measurements. Furthermore, reflection on actions in two cycles resulted in designing and implementing action plans for change, learning for both participants and facilitators, and improvement in nurses’ satisfaction with the new program. Some of the Nurses’ Job Satisfaction challenges can be decreased with their participation, they could establish the foundation of a sustainable job satisfaction program successfully. Also, implications introduced in this action research could be applicable for top managers and health system policymakers in a wider range of practice.

尽管人们对工作满意度的了解越来越多，但对于医疗保健提供者而言，如何提高满意度仍然是一个挑战。本研究旨在确定护士工作满意度面临的挑战，并通过行动研究方法来提高其满意度。本研究于2016年至2018年进行。参与者为二十四名护士，护士长和学术研究人员。他们经历了两个月的反思和行动周期，进行了19个月的变革。使用并发混合方法对数据进行收集和分析。定量数据的发现表明，在测量前后，护士的工作满意度得分从50.8±8.34提高到59.88±7.82。此外，对行动的两个周期进行反思后，设计并实施了变革行动计划，为参与者和协助者学习，并提高护士对新计划的满意度。护士的参与可以减轻一些工作满意度挑战，他们可以成功地建立可持续的工作满意度计划的基础。同样，这项行动研究中引入的含义可能适用于更广泛实践中的高层管理者和卫生系统决策者。