Abstract
The aim of this study was to study how organizational engagement (OE) of nurses is related to the congruence with the work settings as described by the Worklife Model (Leiter ? Maslach 2004) and how the perceived lack of support in the relational aspect of the nurses’ professional role (PRF) is related to the value-fit with the organization. Our concept of OE is concerned more with the employees’ involvement in organizational goals than with their psychological state of mind. A non-experimental survey design was used to test the hypothetical relationships. From the population of 836 nurses at a Czech district hospital, 411 nurses were chosen by stratified selection. A response rate 83% was achieved with respect to the administered questionnaires.There is a strong relationship between OE and total AWS score (0.373, p < 0.01), which supports our hypothesis. The level of autonomy of nurses, expressed by feeling of control over their job activities, has a very strong relationship with OE (0.418, p < 0.01). The regression model proved the strong predictive power of value-fit and autonomy in the worklife for OE of nurses. The perceived lack of support in the relational aspect of the nurses’ professional role has the highest correlation with workload, followed by value-fit and fairness. The model did not prove that PRF is significantly contributing to the value-fit between nurse and the organization. Furthermore, there is no association between PRF and OE. The implications for the management of quality process are discussed.
Highlights
The Czech health care system has been undergoing many changes since 1990 when the communist regime ended (Kinkorová Topolčan, 2012)
Our aim is to test the hypothetical relationship between Areas of Worklife Survey (AWS) and organizational engagement (OE) as well as how the value-fit could be influenced by professional role frustration (PRF)
To test hypothesis A (“The level of organizational engagement is predicted by the level of worklife congruence, by autonomy and congruence in values”), we looked first at the bi-variate crosstabulation relationships between all factors
Summary
The Czech health care system has been undergoing many changes since 1990 when the communist regime ended (Kinkorová Topolčan, 2012). Krupková and Havrdová (2013) assessed the satisfaction of nurses in a large Czech hospital based on the possibility to fulfill their professional role Their result supports the view that Czech nurses view direct care for patients which involves a holistic approach to patients’ needs as the most important (but significantly less supported) aspect of their professional role (as related to the other attributes of professionalism, i.e., work based on standards and on the nursing plan, etc.). This can mirror the fact that the quality issues in hospitals are seen to be related much more to a standardized and evidence-based approach to patients and less to the nurturing relationship which is often expected by patients. Recognition of the importance of approaching the patient as a whole www.ccsenet.org/res
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