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    This study adapted the Workplace Affective Commitment Multidimensional Questionnaire (WACMQ) for healthcare settings. The modified WACMQ better reflects the complex commitments of healthcare workers, including to patients and diverse leadership.

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    Area of Science:

    • Healthcare Management
    • Organizational Psychology
    • Psychometrics

    Background:

    • Affective commitment is crucial for extra-role behaviors in healthcare systems.
    • The Workplace Affective Commitment Multidimensional Questionnaire (WACMQ) was originally developed for the business sector.
    • Healthcare contexts involve multiple commitment targets for providers.

    Purpose of the Study:

    • To content validate the WACMQ for healthcare settings.
    • To adapt the WACMQ to reflect the multi-target nature of commitment in healthcare.
    • To ensure the questionnaire captures the complex attitudes of healthcare workers.

    Main Methods:

    • Conducted two focus groups with nurses in Ontario acute care and emergency hospitals.
    • Employed linguistic validation and cognitive debriefing techniques.
    • Modified items on the original WACMQ questionnaire.

    Main Results:

    • A total of 14 modifications were made to the WACMQ item wording.
    • The revised questionnaire acknowledges diverse commitment targets relevant to healthcare.
    • Identified potential influences like union membership on commitment.

    Conclusions:

    • The modified WACMQ is suitable for assessing healthcare worker commitment.
    • Recognizes the complexity of healthcare environments and worker attitudes.
    • Future research will establish psychometric properties and explore relationships with other factors.