Relationship between Organizational Commitment and Intention to Leave among Professional Nurses at Damanhur National Medical Institute

Document Type : Original Article

Authors

1 Nursing Administration, Faculty of Nursing, Alexandria University

2 Nursing Administration, Faculty of Nursing, Damanhur University

3 Professor of nursing administration Faculty of nursing portsaid university

Abstract

Background: Organizational commitment has been extensively researched as an important factor in employee retention and motivation. Aim: Determine the relationship between organizational commitment and intention to leave. Design:A descriptive correlational design was applied in this study. Setting: The study was conducted in all the units at Damanhour National Medical Institute. Sample: Study sample was 101 professional nurses. Tools: Two tools were used for data collection; Organizational commitment scale and intention to leave scale. Results:The results of the present study showed that nearly two thirds of professional nurses (62.3%) got moderate level of organizational commitment and above half of professional nurses (51.4%) had moderate level of intention to leave. Conclusion:  the present study concluded that there was significant negative correlation betweenaffective commitment, continuance commitment, normative commitment, and total organizational commitment with intention to leave. Recommendations: Therefore, it is recommended that,healthcare organization administrators should increase professional nurses’ satisfaction through competitive salaries, encourage the team work spirit and conduct periodical meetings to discuss their problems to increase their commitment and eliminate their intention to leave.

Keywords


Ahmed, R., Abdelwahab, E., Elguindy, H. (2017). Staff nurses’ intention to leave nursing profession and their organizational commitment in selected hospitals at Beni-Sueif city. Egyptian Nursing Journal, 14(1): 17-24. Available at: http://www.enj.eg.net/temp/EgyptNursJ14117-4838901_132629.pdf. Retrieved on: 25/9/2017.
Ali S. (2006). The relationship between head nurses' commitment and their performance (Unpublished Master Thesis. Faculty of Nursing, Alexandria University, Egypt).
Auerbach, C., McGowan, G., Ausberger, A., Strolin, J., & Schudrich, W. (2010). Differential factors influencing public and voluntary child welfare workers' intention to leave. Children and Youth Services Review, 32(10): 1396-1402.
Beck, K., & Wilson, C. (2000). Development of affective organizational commitment: A cross-sequential examination of change with tenure. Journal of Vocational Behavior, 56 (1): 114-136.
Bright, L. (2007). Does person-organization fit mediate the relationship between public service motivation and the job performance of public employees?. Review of public personnel administration, 27(4): 361-379.
Bright, L. (2008). Does public service motivation really make a difference on the job satisfaction and turnover intentions of public employees?. The American Review of Public Administration, 38(2): 149-166.
Brunetto, Y., Xerri, M., Shriberg, A., Farr-Wharton, R., Shacklock, K., & Newman S. (2013). The impact of work relationships on engagement, well-being, commitment and turnover for nurses in Australia and the USA. Journal of Advanced Nursing; 69 (12):2786–99.
Dey, T., Kumar, A., & Kumar, N. (2014). A New Look at the Antecedents and Consequences of Organizational Commitment: A Conceptual Study. International Journal of Humanities and Social Science, 4(1): 281-287.
Diab, M., & Ajlouni, T. (2015). The influence of training on employee’s performance, organizational commitment, and quality of medical services at Jordanian private hospitals. International Journal of Business and Management, 10(2): 117-127.
Ellicy, N. (2012). The Relationship between conscientiousness and Professional Work Autonomy and Nursing Staff Organizational Commitment. (Unpublished Master Thesis. Faculty of Nursing, Alexandria University, Egypt).
Estryn-Behar, M., van der Heijden, B., Camerino, D., Fry, C., Le Nezet, O., & Conway, P. M. (2008). Violence risks in nursing: Results from the European ‘NEXT’ Study. Occupational Medicine, 58(2): 107-114.
Filipova, A. (2011). Relationships Among Ethical Climates, Perceived Organizational Support, and Intent-to Leave for Licensed Nurses in Skilled Nursing Facilities. Journal of Applied Gerontology, 30 (1): 44-66. Available at: http://journals.sagepub.com.ugrade1.eul.edu.eg:2048/doi/pdf/10.1177/0733464809356546. Retrieved on: 20/4/2017.
Ghorbanhosseini, M. (2012).Analysis of team working on organizational commitment in Safa Industrial Group in Iran. International Journal of Engineering and Science, 1(3): 22-25.
Halfer, D., & Graf, E. (2006). Graduate nurse perceptions of the work experience. Nursing Economic$, 24(3): 150-155.
Hassan, H. (2013). The relationship among professional nurses' leadership style, organizational commitment and intention to leave (Unpublished Master Thesis,Faculty of Nursing, Alexandria University, Egypt).
Hopkins, K. M., Cohen-Callow, A., Kim, H. J., & Hwang, J. (2010). Beyond intent to leave: Using multiple outcome measures for assessing turnover in child welfare. Children and Youth Services Review, 32(10): 1380-1387.
Huang, L. (2004). A leader's guide to the factors influencing organizational commitment: A study of nurses in Taiwan.  (Doctoral thesis, University of Montana, Montana). Available at:http://search.proquest.com.ugrade1.eul.edu.eg:2048/pqdtglobal/docview/305160590/5CEDBBB2052E4272PQ/1?accountid=37552. Retrieved on: 15/4/2017.
Khalifa, A.  (2012). Relationship among Work Empowerment, Organizational Justice, Respect and Trust in Nursing Management and its Association with Nurses' Job Satisfaction and Organizational Commitment. (Unpublished Master Thesis. Faculty of Nursing, Alexandria University, Egypt).
Kim, W., Price, L., Mueller, W., & Watson, W. (1996). The determinants of career intent among physicians at a U.S. Air Force hospital. Human Relations49 (1): 947.
Lambert, G., Cluse-Tolar, T., Pasupuleti, S., Prior, M., & Allen, R. I. (2012). A test of a turnover intent model. Administration in Social Work, 36(1): 67-84.
Leonea, C., Bruyneel L., Andersona, J., Murrells T., Dussault G., Jesus É., Sermeus, W., Aikene, L., & Raffertya, A. (2015). Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study. Health Policy, 119 (12): 1584-1592.Availableat:http://www.sciencedirect.com.ugrade1.eul.edu.eg:2048/science/article/pii/S0168851015002432. Retrieved on: 19/4/2017.
Liou, S. (2007). The Relationships between Collectivist Orientations, Perception of Practice Environment, Organizational Commitment, and Intention to Leave Current Job among Asian Nurses Working in the U.S (doctoral thesis, Faculty of the Graduate School, University of Texas, Austin). Available at: http://search.proquest.com/pqdtglobal/docview/304781399/fulltextPDF/20FB0939856B404EPQ/1?accountid=37552. Retrieved on: 30/11/2014.
Lorber, M., & Skela-Savič, B. (2014). Factors affecting nurses' organizational commitment. Obzornik zdravstvene nege, 48(4): 294–301. Available at: http://www.obzornikzdravstvenenege.si/2014.48.4.294. Retrieved on: 15/4/2017.
Lutter, S. (2011). An exploration of registered nurses' intentions to leave the profession. (Doctoral thesis, College of Behavioral Sciences and Education, Pennsylvania University, Pennsylvania). Availableat:http://search.proquest.com.ugrade1.eul.edu.eg:2048/pqdtglobal/docview/887709426/6ACA66B4088342C8PQ/1?accountid=37552. Retrieved on: 19/4/2017.
Mabrouk, R. (2004). The relationship between healthcare organizational culture and nurses commitment to work (Unpublished Master Thesis, Faculty of Nursing, Alexandria University, Egypt).
Meyer, P., & Allen, J.  (1990). The measurement and antecedents of affective, continuance and normative commitment to the organization. Journal of Occupational Psychology, 63: 1-18.
Meyer, P., Allen, J. (1993). Commitment to organizations and occupations: Extension and test of a three-component conceptualization. Journal of Applied Psychology, 78: 538-551.
Meyer, J, & Herscovitch, L. (2001). Commitment in the workplace toward a general model, Human Resource Management Review, 11 (3): 299-326.
Palumbo, M., Rambur,R., McIntosh, B., & Naud, S. (2010). Registered Nurses’ Perceptions of health and safety related to their Intention to Leave. American Association of Occupational Health Nurses. 58 (3): 95-103.
Rae, K. (2013). How perceptions of empowerment and commitment affect job satisfaction: a study of managerial-level effects. Accounting, Accountability & Performance, 18(1): 35.
Schudrich, W., Auerbach, C., Liu, J., Fernandes, G., McGowan, B., & Claiborne, N. (2012). Factors impacting intention to leave in social workers and child care workers employed at voluntary agencies. Children and Youth Services
Review, 34(1): 84-90.
Tella A. (2007). Work Motivation, Job Satisfaction, and Organizational Commitment of Library Personnel in Academic and Research Libraries in Oyo State, Nigeria.
Tourangeau, E., & CranleyA. (2006). Nurse Intention to remain employed: Understanding and strengthening determinants. Journal of Advanced Nursing, 55: 497‐509.
Treacy, C. (2009). Organizational commitment of nurses in an acute-care hospital setting. (Doctoral thesis, School of Business Technology, Webster University, Missouri). Available at:http://search.proquest.com.ugrade1.eul.edu.eg:2048/pqdtglobal/docview/613689481/fulltextPDF/E8716467D8F14042PQ/2?accountid=37552. Retrieved on: 15/4/2015.
Vincent, D. (2016). Commitment to Social Justice and its Influence on Job Satisfaction and Retention of Nonprofit Middle Managers. (Doctoral thesis, Graduate School of Social Services, Fordham University, New York). Available at: http://search.proquest.com.ugrade1.eul.edu.eg:2048/pqdtglobal/docview/1836064837/9B73D26794624C9EPQ/1?accountid=37552. Retrieved on: 15/4/2015.
Wadhwa, S., & Verghese, M. (2015). Impact of employee empowerment on job satisfaction and organizational commitment: An empirical investigation with special reference to selected cement industry in Chhattisgarh. International Journal in Management and Social Science, 3(3): 280-286.