BackgroundReduction in organizational commitment of nurses results in deficiency of care services. Some demographic factors affect organizational commitment.ObjectiveThe present study is intended to determine the organizational commitment of nurses and its relationship with demographic characteristics.MethodsThis study was a descriptive correlation (cross-sectional) study in January and February of 2016 on 126 nurses who held Bachelor of Science (B.Sc.) or Master of Science (M.Sc.) and at least one year of work experience in the Social Security Hospital of Khorramabad, selected using the census method. Data collection tools included a demographic characteristics form and Allen and Meyer questionnaire. Data analysis was performed using SPSS 20. Independent-samples t-test and one-way ANOVA were used to determine the relationship between organizational commitment and demographic characteristics.ResultsThe majority of nurses had moderate organizational commitment, the highest score belonging to the continuance commitment (22.33%), and the lowest score belonging to the normative commitment (19.16%). Also, there was a significant correlation between the continuance commitment and work experience (p=0.001), the staff posts (p=0.01) and shifts (p=0.04).ConclusionConsidering the moderate level of subjects’ organizational commitment in the present study, managers should take necessary measures to increase the attachment and organizational commitment of nurses and provide the ground for improving nursing services.

Aims:To promote the nurses' organizational commitment by their participation in the improvement of the performance appraisal process.Background: Organizational commitment is one of the factors that secures safe and high-quality care of patients. It also enhances motivation among nurses, which affected by various factors such as performance appraisal. Method: A participatory action research study was undertaken (March 2015 toFebruary 2018) with 39 intensive critical care nurses and nurse managers in Social Security Hospital in Iran, using a complete enumeration sampling method. The data were collected using organizational commitment and job satisfaction questionnaires, focus groups, semi-structured interviews and Delphi technique.Results: Three major themes emerged including inappropriate performance appraisal system, inefficient instruments and unskilled evaluators. There were significant differences between organizational commitment and job satisfaction with performance appraisal process before and after the change in appraisal process. Conclusions:Nurses' involvement in revising and improving the process of their performance appraisal leads to higher commitment. Implications for Nursing Management: Maintaining a committed nursing workforceis vital for high-quality health care. Nurse Managers can improve the process of nurses' appraisal to make more motivation among them and prevent some problems such as job dissatisfaction.

Objective: Nurses' organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients' satisfaction. The aim of this study was identified the factors that affect nurses' perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba's criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included "organizational factors", "occupational challenges", and "contributory management". Conclusion: Our findings showed that numerous factors present in nurses' profession and work environment may influence the rate of nurses' interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses' organizational commitment through creating the required suitable conditions.