A Study on the Effect of Role Stress, LMX and TMX on Organisational Citizenship Behaviour of Nurses and Their Mediation by Team Commitment

Abstract

Nurses’ job of caring for critically ill patients requires demonstration of behaviour some of which may not be there in their job description. These voluntary behaviours without expectation of reward or favour are referred to as Organisational Citizenship Behaviour (OCB). Patient care is a teamwork, close and cooperative interaction for work within the team and with team leaders, that is, TMX (team-member exchange) and LMX (leader-member exchange), leads to a feeling of commitment known as team commitment and nurses are expected to display OCB to maintain their team membership. Job of nursing imbibes several factors that cause stress to the nurses; these stressors eventually lead to burnout. Stress and burnout harm patient care and particularly on their OCB. In total, 506 nurses from 5 hospitals of Kolkata participated in the study. Result showed that LMX and TMX significantly relate to OCB and nurses’ role stress negatively relates to the OCB of nurses. Team commitments fully mediate effect of nurses’ role stress on OCB of nurses and partially mediates the relationship between LMX and TMX with OCB. This study may be helpful to Healthcare Managers to devise appropriate strategies to enhance the OCB of nurses. Shortcomings of the study and scope for further research discussed.