Advanced Practice Nurses' Organization Commitment: Impact of Job Environment, Job Satisfaction, and Person-Organization Fit

Abstract

The demand for advanced practice nurses has increased globally due to a shortage of physicians and an increased demand for high-quality healthcare. Research is needed on the enhancement of advanced practice nurses' organization commitment. Organization commitment directly impacts the retention of advanced practice nurses. This study aims to identify the key factors affecting the organization commitment of advanced practice nurses. A cross-sectional survey was conducted at the largest hospital in South Korea. A total of 189 advanced practice nurses answered survey questions. A partial least squares-structural equation modeling method with a method was employed to analyze survey responses. A pay scale of advanced practice nurses is positively associated with person-organization fit. However, the effect of job location and computer self-efficacy on person-organization fit is not significant. Job satisfaction plays a salient direct role in supervision and person-organization fit. Job satisfaction is also a significant moderator in the relation between supervision and person-organization fit. Person-organization fit is significantly associated with both organization commitment and supervision. Supervision has a positive effect on organization commitment. Pay scale, job satisfaction, supervision, and person-organization-fit are significant factors affecting organization commitment. Establishing an intra-organization entity, such as APN steering committee, to ensure mutual consensus and transparent communication between administrators and advanced practice nurses would enhance person-organization fit, rating of supervision, and organization commitment.