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Affective Organizational Commitment in Swiss Nursing Homes: A Cross-Sectional Study
Journal
The Gerontologist
Volume
56
Number
6
Pages / Article-Number
1124-1137
Keywords
Analysis-regression model, Long-term care, Management, Survey design, Workforce issues
Mesh terms
Absenteeism; Adult; Attitude of Health Personnel; Cooperative Behavior; Cross-Sectional Studies; Female; Health Personnel; Humans; Job Satisfaction; Leadership; Male; Middle Aged; Nursing Homes; Nursing Staff; Object Attachment; Personnel Loyalty; Presenteeism; Professional Autonomy; Quality of Health Care; Surveys and Questionnaires; Switzerland
Abstract
This substudy of the Swiss Nursing Homes Human Resources Project (SHURP) explored the relationships between affective organizational commitment (AOC) levels and organizational, situational, and care personnel characteristics, and between AOC and care personnel outcomes.; SHURP was a representative national cross-sectional study in 163 Swiss nursing homes. Its data sources were: (a) a care personnel questionnaire, (b) a facility questionnaire, (c) a unit questionnaire, and (d) administrative resident data. Generalized estimating equations (GEEs) were applied to examine AOC's relationships with selected antecedents and care personnel outcomes.; Data were collected from 5,323 care personnel in 163 nursing homes (return rate: 76%). On a scale from 1 to 5, the mean level of AOC was 3.86 (standard deviation = 0.81). Variations in AOC regarding care personnel characteristics (age, education, and experience in nursing home) and organizational characteristics (size, profit status) were statistically significant with minimal effect sizes. The main factors positively related to AOC were leadership, job satisfaction, quality of care, and collaboration with the nursing home director. Care personnel outcomes significantly related to higher AOC were reduced intention to leave, health complaints, presenteeism, and absenteeism.; As leadership is a crucial factor of AOC, its development might improve care personnel outcomes such as intention to leave or absenteeism.
