Organizational commitment of health professionals and associated factors in primary healthcare facilities of Addis Ababa, Ethiopia: A multi-center cross-sectional study

Abstract

BackgroundOrganizational commitment has a positive impact on an organization's ability to provide professional services. Committed human power pushes an organization to achieve its goals, but non-commitment can lead to increased medical errors, prolonged inpatient admissions, and repeated hospitalizations leading to low quality of healthcare provision. However, to the best knowledge of researchers, there are no studies examining organizational commitment in the healthcare setting of Addis Ababa, Ethiopia.ObjectiveThe aim of this study was to assess the level of organizational commitment and associated factors among health professionals working in the primary health facility of Addis Ababa, Ethiopia.MethodsA facility-based cross-sectional study was conducted among 459 healthcare professionals selected by simple random sampling from 12 health centers. Data were collected by three data collectors and one supervisor using a pretested questionnaire. Data were checked for completeness, cleaned, and entered into Epi-Data version 3.1.and exported into SPSS version 25 for analysis. In binary logistic regression statistical analysis, variables with p < 0.2 were entered in multivariate binary logistic regression analyses; then, the regression result was presented using COR, AOR with 95% CI, and a p-value < 0.05 as a level of significance.ResultThe respondent's percent mean score of organizational commitment was 48.4%. Age group above 30 years (AOR = 1.52, 95% CI, 1.01, 2.30), those who were satisfied with their job (AOR 2.02, 95% CI 1.30, 3.13), and those who perceive good transformational leadership behavior (AOR: 1.85, 95% C.I, 1.18, 2.90) were significant factors of organizational commitment among health professionals.Conclusion and recommendationOrganizational commitment was lower in magnitude in the study setting. Age, job satisfaction, and transformational leadership behavior were significant predictors of organizational commitment.

Improving Organizational Commitment among Healthcare Employees in Angola: The Role of Psychological Capital and Perceived Transformational Leadership

“…In the area of healthcare, the commitment of its employees has been considered a key pillar of society, considering that it boosts well-being and satisfaction at work, essential factors for the provision of healthcare with quality standards essential for patient safety [37]. Therefore, healthcare organizations need to promote a culture that allows their employees to be strongly committed to previously defined values, objectives, and policies [2]. According to [12], analyzing healthcare professionals' perceptions of organizational commitment is crucial for better performance at work.…”

“…For this reason, healthcare systems should contemplate certain changes in their work procedures to accommodate new challenges and ideas that allow for optimizing healthcare and responding to the needs of the population in different contexts [1]. Thus, the identification of healthcare professionals who perform their activities with a high level of commitment was considered a key point in previous research [2].…”

Health Professionals Commitment and its Associated Factors in Public Health Facilities of Addis Ababa, Ethiopia, 2024 Multi Center Mixed Cross-Sectional Study

“…Health professional commitment is seen in employee behavior, which in uences employee performance and boosts output, service quality, and productivity (3,4). It could also take the form of a determination to continue being a member and a promise to go above and beyond the call of duty to further the organization's objectives and beliefs (4). Health professionals commitment has been de ned as the extent to which an individual identi es with and participates in a particular organization (5).…”

“…Health institutions need dedicated health personnel if they are to achieve their objectives successfully and effectively (9). This idea has drawn a lot of interest in the subject of health professional behavior, which has led to extensive study to learn more about the dedication of health professionals and its correlations (3,4). One of the primary goals of human resources management for many health professionals, especially those in the health industry, is to achieve a high level of commitment from employees.…”

“…Health professional commitment, has been identi ed as one of the elements that predated high retention (2). The goal of healthcare is to provide high-quality treatment at affordable prices, thus keeping nurses on staff may be the best course of action in the long run, even while increasing recruitment of nurses may assist to address the nursing shortage issue in the near term (4). The majority of healthcare facilities enhance nurse recruitment and retention to maintain enough sta ng in order to deal with the turnover of health professionals (12).…”