Universität zu Köln

Miedaner, Felix ORCID: 0000-0003-2337-9722, Kuntz, Ludwig ORCID: 0000-0002-4083-4574, Enke, Christian, Roth, Bernhard and Nitzsche, Anika (2018). Exploring the differential impact of individual and organizational factors on organizational commitment of physicians and nurses. BMC Health Serv. Res., 18. LONDON: BIOMED CENTRAL LTD. ISSN 1472-6963

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Abstract

Background: Physician and nursing shortages in acute and critical care settings require research on factors which might drive their commitment, an important predictor of absenteeism and turnover. However, the degree to which the commitment of a physician or a nurse is driven by individual or organizational characteristics in hospitals remains unclear. In addition, there is a need for a greater understanding of how antecedent-commitment relationships differ between both occupational groups. Based on recent findings in the literature and the results of a pilot study, we investigate the degree to which selected individual and organizational characteristics might enhance an employee's affective commitment working in the field of neonatal intensive care. Moreover, our aim is to examine the different antecedent-commitment relationships across the occupational groups of nurses and physicians. Methods: Information about individual factors affecting organizational commitment was derived from self-administered staff questionnaires, while additional information about organizational structures was taken from hospital quality reports and a self-administered survey completed by hospital department heads. Overall, 1486 nurses and 540 physicians from 66 Neonatal Intensive Care Units participated in the study. We used multilevel modeling to account for different levels of analysis. Results: Although organizational characteristics can explain differences in an employee's commitment, the differences can be largely explained by his or her individual characteristics and work experiences. Regarding occupational differences, individual support by leaders and colleagues was shown to influence organizational commitment more strongly in the physicians' group. In contrast, the degree of autonomy in the units and perceived quality of care had a larger impact on the nurses' organizational commitment. Conclusions: With the growing number of hospitals facing an acute shortage of highly-skilled labor, effective strategies on the individual and organizational levels have to be considered to enhance an employee's commitment to his or her organization. Regarding occupational differences in antecedent-commitment relationships, more specific management actions should be undertaken to correspond to different needs and aspirations of nurses and physicians.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Miedaner, Felix UNSPECIFIED orcid.org/0000-0003-2337-9722 UNSPECIFIED Kuntz, Ludwig UNSPECIFIED orcid.org/0000-0002-4083-4574 UNSPECIFIED Enke, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Roth, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Nitzsche, Anika UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-192713
DOI:	10.1186/s12913-018-2977-1
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	18
Date:	2018
Publisher:	BIOMED CENTRAL LTD
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language LATENT SOCIAL ROLES; NORMATIVE COMMITMENT; DESIGN QUESTIONNAIRE; JOB-SATISFACTION; WORK; METAANALYSIS; ANTECEDENTS; BIAS; PERFORMANCE; COSMOPOLITANS Multiple languages Health Care Sciences & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19271