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Affective Organizational Commitment in Swiss Nursing Homes: A Cross-Sectional Study
Elisabeth Graf1, Eva Cignacco1, Karin Zimmermann1
1Institute of Nursing Science, University of Basel, Switzerland.
The Gerontologist
|June 3, 2015
Summary
Affective organizational commitment (AOC) in nursing homes is linked to better staff outcomes. Improving leadership may reduce staff turnover and absenteeism, benefiting both personnel and care quality.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Nursing Home Administration
Background:
- Affective organizational commitment (AOC) is crucial for healthcare staff retention.
- Understanding factors influencing AOC in nursing homes is vital for improving workforce stability and patient care.
Purpose of the Study:
- To explore relationships between affective organizational commitment (AOC) and characteristics of nursing home organizations and personnel.
- To examine the impact of AOC on care personnel outcomes, including intention to leave, health complaints, presenteeism, and absenteeism.
Main Methods:
- A cross-sectional study of 5,323 care personnel across 163 Swiss nursing homes.
- Data collected via questionnaires for personnel, facilities, and units, supplemented by resident data.
- Generalized estimating equations (GEEs) used to analyze relationships between AOC, antecedents, and outcomes.
Main Results:
- Mean AOC was 3.86 (SD=0.81); variations by personnel/organizational characteristics were statistically significant but small.
- Positive correlates of AOC included strong leadership, job satisfaction, quality of care, and collaboration with directors.
- Higher AOC was associated with reduced intention to leave, fewer health complaints, less presenteeism, and lower absenteeism.
Conclusions:
- Leadership emerged as a key factor influencing affective organizational commitment (AOC).
- Developing leadership skills in nursing homes could significantly improve staff retention and reduce absenteeism.
- Enhancing AOC may lead to improved overall nursing home operational efficiency and care quality.
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