Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

Sepahvand, F; Atashzadeh‐Shoorideh, Foroozan; Parvizy, Soroor; Zagheri‐Tafreshi, Mansoureh

doi:10.3329/bjms.v18i2.40701

Cited by 6 publications

(5 citation statements)

References 26 publications

(38 reference statements)

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“…The results of a qualitative study carried out by the present researcher, concerning organizational commitment indicated that dissatisfaction with annual performance appraisal was one of the causes of nurses' indifference towards their work environment (Sepahvand, Atashzadeh-Shoorideh, Parvizy, & Zagheri-Tafreshi, 2018). This finding is consistent with studies that demonstrated that performance appraisal had a significant positive impact on nurses' intrinsic motivation.…”

Section: Literature Reviewsupporting

confidence: 89%

Improving nurses’ organizational commitment by participating in their performance appraisal process

Sepahvand¹,

Mohammadipour

Parvizy

et al. 2020

J Nurs Manag

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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.

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Section: Literature Reviewsupporting

confidence: 89%

Improving nurses’ organizational commitment by participating in their performance appraisal process

Sepahvand¹,

Mohammadipour

Parvizy

et al. 2020

J Nurs Manag

Self Cite

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“…Due to this, the impact of fatigue may be an important factor in rationing nursing care, especially in the group of nurses working with children with hematological disease. Moreover, numerous evidence and studies have indicated that overwork, fatigue and intense stress in the nursing profession can lead to a reduction in organizational commitment [ 8 ], which also affects care rationing [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of fatigue on nursing care rationing in paediatric haematology and oncology departments – a cross-sectional study

Jankowska‐Polańska

Czyrniańska²,

Sarzyńska

et al. 2021

BMC Nurs

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Background Rationing of nursing care is a relatively new concept. It refers to an error of omission and has a direct influence on the quality of nursing care and treatment outcomes. Nurses who experience chronic fatigue often fail to perform their duties properly, which may lead, for instance, to medical errors attributed to impaired judgment. Therefore, it is necessary to identify factors which give rise to fatigue, leading to rationing of nursing care, and develop strategies to eliminate them. The primary objective of the study was to assess the impact of fatigue on nursing care rationing in paediatric haematology and oncology departments. The secondary objective of this study was to identify the factors, which may influence the nursing care rationing. Methods The study was conducted among 95 nurses (aged between 23 and 58 years) workinginthe Department of Paediatric Oncology, Haematology and Bone Marrow Transplantation of the University Teaching Hospital in Wroclaw. Participation in the study was voluntary and anonymous. Our own sociodemographic questionnaire, the Basel Extent of Rationing of Nursing Carequestionnaire and the modified fatigue impact scale (MFIS) were used in the study. Results The level of fatigue among the nurses participating in the study, as measured by the MFIS, was high, namely 28.97 ± 16.78. It was found that the fatigue of the nurses influenced most often the psycho-social dimension of QoL (1.78 ± 1.05), and least often - cognitive (1.24 ± 0.78). A correlation analysis showed that all aspects of fatigue had a statistically significant positive impact on care rationing (p < 0.05), i.e. the greater the fatigue, the higher the level of care rationing. A regression analysis showed that a 12-h shift pattern was an independent predictor of the level of care rationing (r = 0.771, p < 0.05). Conclusions Nurses working in paediatric haematology departments report a high level of fatigue. Work pattern is an independent determinant of nursing carerationing. A high level of nursing care rationing was found for nurses working 12-h shifts. Trial registration The study was approved by the Bioethics Committee of the Wroclaw Medical University, Poland (February 8th 2019, No. 205/2019).

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“…This indicate that nurses who perceived their work environment and living conditions are supportive intended to work and stay more in remote and rural areas than other nurses. Related findings from other literatures suggest that supportive work environment and living conditions can increase rural retention at work among nurses [36][37][38][39] .…”

Section: Discussionmentioning

confidence: 84%

Examining the relationship between living conditions, work environment and intent to stay among nurses in current posts in rural areas of Odisha state, India

Behera

Prutipinyo

2020

Bangladesh J Med Sci

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Objectives : The scarcity of nursing workforce in rural and underserved areas are key challenges for healthcare systems across the countries. Such inequities have not only impede quality care but also an impact to population health outcomes especially in developing countries. An understanding about nurses’ retention and attrition are crucial to inform policy and decision makers for improved rural retention among nursing workforce. The aim of the study was to examine the relationship between living conditions, work environment and intent to stay in current posts of work; and the associated factors influencing intent to stay in current posts of work among nurses in rural areas of Odisha state, India. Methods : A cross sectional survey was conducted among 232 nurses from October 2016 to February 2017. Multistage sampling technique was used to select the study subjects from rural hospitals. Data were collected using structured self-administered questionnaires. Descriptive statistics were computed to summarize the basic characteristics of study sample. Logistic regression model was fitted and odds ratio with 95% of confidence interval was calculated to identify associated factors Results: The proportion of a nurse’s intent to stay and continue working in rural areas for next 3 years was 73.7%. There was a positive correlation between intention to stay with the living conditions and work environment. Logistic regression shown that age (OR=0.95, 95% CI = 0.89 - 0.98, P = 0.047), living conditions (OR = 1.13, 95% CI = 1.04 - 1.22, P=0.009) and work environment (OR = 1.07, 95% CI = 1.01 – 1.14, P = 0.015) were the significant predictors that are associated with intent to stay in rural areas among the nursing profession. Conclusion - Improving living conditions and creating a culture of supportive work environment among the nursing community in rural areas can create increased retention in the workforce. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.527-536

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Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

Cited by 6 publications

References 26 publications

Improving nurses’ organizational commitment by participating in their performance appraisal process

Improving nurses’ organizational commitment by participating in their performance appraisal process

Impact of fatigue on nursing care rationing in paediatric haematology and oncology departments – a cross-sectional study

Examining the relationship between living conditions, work environment and intent to stay among nurses in current posts in rural areas of Odisha state, India

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