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Impact of professional commitment on professional capability improvement and care quality dimensions: A multi-wave
Hao-Yuan Chang1,2, Tzu-Ling Huang3, I-Chen Lee4,5
1School of Nursing, National Taiwan University, Taipei, Taiwan.
Journal of Clinical Nursing
|January 26, 2021
Summary
Affective professional commitment drives nurses to improve skills, enhancing care quality. This commitment positively influences assurance, reliability, responsiveness, and empathy in patient care.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- Professional commitment is crucial for nurse retention.
- The specific impact of its three dimensions (affective, continuance, normative) on care quality dimensions remains unclear.
- Understanding these links can optimize nursing practice and patient outcomes.
Purpose of the Study:
- To investigate the relationship between the three dimensions of professional commitment and improvements in professional capabilities.
- To examine how these commitment dimensions influence five key dimensions of care quality: assurance, reliability, responsiveness, empathy, and tangibles.
Main Methods:
- A three-wave, follow-up study design was employed.
- Data were collected from 430 nurses in a Northern Taiwan medical center (2017-2019).
- Validated scales for Professional Commitment and Care Quality were utilized, adhering to STROBE guidelines.
Main Results:
- Affective professional commitment demonstrated a positive association with the intention and action to improve professional capabilities.
- This commitment also positively correlated with four care quality dimensions: assurance, reliability, responsiveness, and empathy.
- Continuance and normative commitment did not show significant direct relationships with the studied outcomes.
Conclusions:
- The study presents a model illustrating how professional commitment dimensions contribute to enhanced care quality.
- Findings underscore the significant role of nurses' actions in improving professional capabilities as a mediator to better care quality.
- Nursing managers can foster affective commitment through positive feedback, thereby encouraging skill development and improving patient care quality.
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