Nurse educators may consider the use of formulation and implementation of empirically tested interventions to reduce stress while enhancing coping skills.
Objectives
The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the country. This study explored the extent of nurses' organizational commitment and turnover intention in the Philippines. Furthermore, predictors of nurses’ organizational commitment and turnover intention were identified.
Methods
A cross-sectional research design was adopted for this study. Two hundred nurses from nine rural hospitals in the Central Philippines were asked to participate in the study and 166 nurses responded (an 83% response rate). Two standardized instruments were used: the Organizational Commitment Questionnaire and the Six-item Turnover Intention Inventory Scale.
Results
Findings revealed that Philippine nurses were moderately committed (3.13 ± 0.24) to and were undecided (2.42 ± 0.67) whether or not to leave their organization. Nurses' age (
P
= 0.006), gender, (
t
= -2.25,
P
= 0.026), education (
t
= 2.38,
P
< 0.001), rank(
t
= 4.38,
P
< 0.001), and work experience (
t
= 2.18,
P
= 0.031) correlated significantly with organizational commitment, while nurses’ age (
P
= 0.028) and education (
t
= 1.99,
P
= 0.048) correlated significantly with turnover intention. An inverse relationship was identified between the organizational commitment and turnover intention (
r
= −0.22,
P
= 0.005).
Conclusion
The findings of this study highlight the need for formulation and implementation of interventions to promote life-long commitment in nurses and to reduce turnover rates.
Strengthening nursing students' positive coping skills may be helpful for them to effectively deal with various stressors during their educational experiences while maximizing learning. Implementing empirically tested approaches maybe useful to prevent the recurrence of stress and lessen its impact such as stress management counseling, counseling programs, establishing peer and family support systems, and formulating hospital policies that will support nursing students.
Aim: This study evaluated the role of nurse caring in predicting missed nursing care, adverse patient events and the quality of nursing care. Background: Missed nursing care is an issue essential in health care, as it is associated with adverse patient events. While studies have previously examined factors that result in missed nursing care activities and adverse events, the role of nurse caring itself in this context has not yet been explored. Methods: A cross-sectional research design was adopted, employing a convenience sample of 549 registered nurses from six hospitals in the Philippines identified between October 2018 and January 2019. Four self-report scales were used in this study as follows: the caring behaviour inventory, the missed nursing care scale, the adverse patient events scale and a single-item scale to measure the quality of nursing care. Results: Comforting or talking with patients and changing patients' positioning in bed were the most frequently missed care tasks, while patient/family complaints and patient/family verbal abuse were the most frequently reported adverse events. Nurse caring strongly predicted the quality of care, missed nursing care and patient adverse events. Conclusion: Fostering caring behaviours among nurses has a profound effect on nurses' decision to omit or provide nursing care as well as on reducing adverse events and promoting quality nursing care.
Aim
This is a research report examining the influence of organizational politics perceptions on nurses' work outcomes (job satisfaction, work stress, job burnout and turnover intention).
Background
Organizational politics is a phenomenon common in almost all institutions and is linked with undesirable consequences in employees.
Introduction
Despite the plethora of research around the world on this topic, studies describing organizational politics in nursing remain underexplored.
Methods
A cross‐sectional research design was utilized in this study. One hundred sixty‐six (166) nurses participated. Five standardized tools were used: the Job Satisfaction Index, the Job Stress Scale, the Burnout Measure Scale, the Turnover Intention Inventory Scale and the Perception of Organizational Politics Scale.
Results
Nurses employed both in private and government‐owned hospitals perceived moderate levels of organizational politics. Positive correlations were identified between perceived organizational politics and job stress, turnover intention and job burnout. Negative correlations were found between perceived organizational politics and job satisfaction.
Discussion
Perceptions of workplace politics in Filipino nurses were lower when compared to findings in other international studies. A strong link was found between organizational politics perceptions and the four job outcomes (stress and burnout levels, turnover intention and job satisfaction).
Limitations
Use of a self‐reporting questionnaire and exclusion of nurses from other provinces.
Conclusion
Perceived organizational politics predicted nurses’ stress and burnout levels, turnover intention and job satisfaction.
Implications for nursing and/or health policy
The findings of this study may provide a valuable perspective of this organizational issue and could assist policymakers and nurse administrators in formulating interventions that could minimize the effect of workplace politics.
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