job instability, less nurse–patient ratio, higher intrusion of administration in the core area of nurses, grievances of caregivers and pressures from outside agencies, for example, political groups and local influential person/s, etc. It could be presumed that the cumulative impact of all these aforesaid stressors cause higher burnout and less job satisfaction among general nurses working in RIMS, which happens to be a referral multispecialty hospital and medical college of the state. Additionally the sphere of RIMS is much wider than the CIP, because CIP deals with only psychiatric disorders and the administration–nursing staff relationship somehow works as a mediating factor in lessening work-related stress and burnout. Barring a few sporadic or separate incidents in CIP this relationship is warmer than general hospitals.