A qualidade da relação líder-membro e o empenhamento organizacional dos enfermeiros

Abstract

Objective:To understand the perception of the quality of leadership relationships and the organizational commitment of nurses, and to analyze the influence of this relationship quality. Method: Cross-sectional and correlational study, with a quantitative approach, using a non-probability convenience sampling with 408 nurses. The data were collected through questionnaires at Central Hospital in Lisbon, between January and March 2013. The statistical analysis of the data was carried out using IBM® SPSS® Statistics 19 software. Results: Three hundred forty-two questionnaires were considered valid. The quality of the leadership relationship was satisfactory, and the nurses were poorly committed to the organization. The quality of the leadership relationship was statistically correlated with organizational commitment: there was found a moderate association to affective commitment (r s =0.42, p<0.05), a low association with the normative commitment (r s =0.37, p<0.05), and a very low association with the calculative commitment (r s =0.14, p<0.05). Conclusion: Leadership exerts influence on organizational commitment. An opportunity to improve the quality of the leadership relationship between nurses and their leaders was found, with the consequent possibility of developing organizational commitment.

Organizational commitment, psychometric qualities and invariance of the Meyer and Allen Questionnaire for Portuguese Nurses

“…These results are similar to the values of the original scale and values found in other studies 12 , 31 - 32 , 37 , but are lower than those of the previous study of this Portuguese version 3 . …”

“…Regarding the COC, which is associated with the achievement of personal objectives, the employees remain in the organization by necessity, by the lack of alternatives and by the costs associated with the change. Finally, a strong NOC results from the sense of associated duty and moral responsibility with the organization 2 - 3 , 12 . …”

“…However, the socio-economic context of recent years has led to the need for cost containment, with an impact on the effective management of resources, particularly human resources. Thus, organizational and legislative changes have been necessary, which influenced the relationships of health professionals with organizations, with subsequent impact on motivation, organizational commitment, and on the quality of health care 6 , 11 - 12 , 14 - 16 .…”

“…In Portugal, the ratio of nurses (6.58 nurses/1,000 inhabitants) is very low compared to the average of the Organization for Economic Co-operation and Development (9.16 nurses/1,000 inhabitants), with the majority concentrated in hospital care. However, the high level of training of Portuguese nurses must be highlighted, considering that most have a bachelor’s degree (4 years undergraduate course) and 22.53% have the title of specialist nurse (variable training time between 18 and 24 months) 6 , 12 , 14 - 15 , 17 . …”

“…It is also determinant for commitment with the patient and for the development of positive behaviors, minimizing negative aspects such as conflicts and professional exhaustion and having an impact on the quality of nursing care and on patient satisfaction 6 , 9 , 12 , 18 - 19 .…”