Nurse Work Attitude and Personal Organizational Commitment in a Quaternary Hospital in Makkah, Saudi Arabia

Abstract

Nursing leaders and administrators are persistently facing issues on high turnover rate, retention, absenteeism, and poor work performance which are all related to organizational commitment. There is scarce and less comprehensive evidence on the understanding of the significant relationship between work attitude and personal organizational commitment among nurses. This is a descriptive correlational research study that aims to determine the relationship between work attitude and personal organizational commitment among staff nurses in King Abdullah Medical City in Makkah, Saudi Arabia. The consenting participants were selected through non-probability convenience sampling technique. Approval from KAMC Institutional Review Board was sought prior to the commencement of online survey. 298 staff nurses participated in the study, however only 275 were eligible and completed the online survey. The Practice Environment Scale-Nursing Work Index was utilized to measure nurses' work attitude while the Revised Three Component Model Employee Commitment Survey Tool was used to assess their organizational commitment levels, both tools were on a 5-point Likert scale for scoring. Descriptive statistics showing frequencies, means and standard deviations demonstrated work attitude and personal organizational commitment profiles of the respondents. Pearson R-values shown correlations between independent variable work attitude and dependent variable personal organizational commitment. Corresponding p-values were indicated to express significance of the correlations. SPSS version 21 was utilized for statistical data analysis. This study has shown significant positive correlation between work attitude and personal organizational commitment among staff nurses in KAMC, with R-value of 0.393; having high statistical significance with p-value of 0.00 at 0.05 significance level. The highest correlation was between work attitude and normative commitment. Work attitude can positively influence the development of personal organizational commitment in terms of affective, normative and continuance commitment. The more positive the work attitude, the greater the chance of developing higher personal organizational commitment. Thus, work attitude could be a basis whether staff nurses will continue to work at certain organization for a given period of time and therefore influence retention. Further, the study demonstrated how work environment can be a good measure of work attitude among staff nurses in KAMC.