Journals A-Z
All Subjects
Free Journals
sciepub.com
American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
Issue 5, Volume 7
Article Metrics
  • 19283
    Views
  • 18713
    Saves
  • 0
    Citations
  • 0
    Likes
Export Article
American Journal of Nursing Research. 2019, 7(5), 732-750
DOI: 10.12691/ajnr-7-5-7
Open AccessArticle

The Relationship between Organisational Commitment and Burnout: A Comparative Study of Nurses from a Health Care Service

Alotni Majid Ali S1,

1Queensland University of Technology, Nursing Faculty

Pub. Date: July 11, 2019
View Full Text Full Text PDF (601 KB) Full Text ePUB(1273 KB)

Cite this paper:
Alotni Majid Ali S. The Relationship between Organisational Commitment and Burnout: A Comparative Study of Nurses from a Health Care Service. American Journal of Nursing Research. 2019; 7(5):732-750. doi: 10.12691/ajnr-7-5-7

Abstract

Purpose: this study examined the correlation between the burnout and organisational comment in nurses working in health services in different sites. The research would fill a gap in the global literature review by enhancing a perspective of Australian nurses who work in hospitals. Background: low commitment to the organisation and the level of burnout that staff experience would cause absenteeism which then lead to turnover, thereby exacerbating the problems related to recruitment and retention. Research design: This dissertation is based on secondary data that was collected to measure the burnout using MBI scale, and organisational commitment, using OCQ scale of 150 nurses in different six hospitals. Method: Confirmatory Factor Analysis and Cronbach Alpha tests were applied to the OCQ followed by Bivariate Analysis to discover the relationship between organisational commitment measured by OCQ and Burnout measured by MBI. Result: two-dimensions for the Organisational Commitment Questionnaire was obtained: value Commitment & Commitment to stay, with acceptable internal consistency and reliability measurement. A correlations among OCQ subscales and MBI scales was revealed. Discussion: the study rejects the claim of first developer and confirmed the multidimensionality of OCQ and compatibility of this result to AL-Yami et al and Angle and Perry Organisational commitment and burnout are reversely related despite of the Personal Accomplishment subscale is ineffective. Practical and managerial implications: This will help create understanding of nurses’ needs and make use of the findings to minimize negative outcomes. Outcomes from this study provide further support for nursing managers to understand the organisational factors that influence the level of burnout in nurses.

Keywords:
organisational commitment nurses organization australia burnout relationship comparative

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Al-Yami, M., Galdas, P., & Watson, R. (2018). Factor analysis and Mokken scaling of the Organisational Commitment Questionnaire in nurses. International nursing review.
 
[2]  Angle, H. L., & Perry, J. L. (1981). An Empirical Assessment of Organisational Commitment and Organisational Effectiveness. Administrative Science Quarterly, 26(1), 1-14.
 
[3]  Karami, A., Farokhzadian, J., & Foroughameri, G. (2017). Nurses' professional competency and organisational commitment: Is it important for human resource management?. PLoS ONE, 12(11), e0187863.
 
[4]  Kunaviktikul, W., Wichaikhum, O., Nantsupawat, A., Nantsupawat, R., Chontawan, R., Klunklin, A., . . . Sirakamon, S. (2015). Nurses' extended work hours: Patient, nurse and organisational outcomes. International Nursing Review, 62(3), 386-393.
 
[5]  Goodare, P. (2017). Literature review: Why do we continue to lose our nurses? The Australian Journal of Advanced Nursing, 34(4), 50-56.
 
[6]  Hughes, R. G. (2008). Nurses at the “sharp end” of patient care. Retrieved from https://scholar.google.com.au.
 
[7]  Brunetto, Y., & Teo, S. (2013). Retention, burnout and the future of nursing. Journal of Advanced Nursing, 69(12), 2772-2773.
 
[8]  Shacklock, K., Brunetto, Y., Teo, S., & Farr-Wharton, R. (2014). The role of support antecedents in nurses' intentions to quit: the case of Australia. Journal of Advanced Nursing, 70(4), 811-822.
 
[9]  Damart, S., & Kletz, F. (2016). When the management of nurse absenteeism becomes a cause of absenteeism: a study based on a comparison of two health care facilities. Journal of Nursing Managememnt, 24(1), 4-11.
 
[10]  Sellgren, S. F., Kajermo, K. N., Ekvall, G., & Tomson, G. (2009). Nursing staff turnover at a Swedish university hospital: an exploratory study. J Clin Nurs, 18(22), 3181-3189.
 
[11]  Cooper, C., & Dewe, P. (2008). Well-being--absenteeism, presenteeism, costs and challenges. Occupational Medicine (London), 58(8), 522-524.
 
[12]  Sagie, A. (1998). Employee absenteeism, organisational commitment, and job satisfaction: Another look. Journal of vocational behavior, 52(2), 156-171.
 
[13]  Craft, J., Christensen, M., Wirihana, L., Bakon, S., Barr, J., & Tsai, L. (2017). An integrative review of absenteeism in newly graduated nurses. Nursing Management (Harrow), 24(7), 37-42.
 
[14]  Mehta, D. H., Perez, G. K., Traeger, L., Park, E. R., Goldman, R. E., Haime, V., . . . Jackson, V. A. (2016). Building Resiliency in a Palliative Care Team: A Pilot Study. Journal of Pain and Symptom Management, 51(3), 604-608.
 
[15]  Gokenbach, V. (2004). The effects of an empowerment model intervention on registered nurse turnover and absenteeism. On: ProQuest Dissertations Publishing.
 
[16]  Markis, C. (2013). The Impact of Mandated Staffing Ratios on Occupational Back Injuries among Registered Nurses in California. On: ProQuest Dissertations Publishing.
 
[17]  Malach-Pines, A., & Keinan, G. (2006). Stress and Burnout in Israeli Border Police. International Journal of Stress Management, 13(4), 519-540.
 
[18]  Meyer, J. P., Stanley, D. J., Herscovitch, L., & Topolnytsky, L. (2002). Affective, Continuance, and Normative Commitment to the Organisation: A Meta-analysis of Antecedents, Correlates, and Consequences. Journal of Vocational Behavior, 61(1), 20-52
 
[19]  Shoorideh, F. A., Ashktorab, T., Yaghmaei, F., & Alavi Majd, H. (2015). Relationship between ICU nurses’ moral distress with burnout and anticipated turnover. Nursing Ethics, 22(1), 64-76.
 
[20]  Al Mamun, C. A., & Hasan, M. N. (2017). Factors affecting employee turnover and sound retention strategies in business organisation: a conceptual view. Management (open-access), 15(1), 63-71.
 
[21]  Mowday, R. T., Steers, R. M., & Porter, L. W. (1979). The measurement of organisational commitment. Journal of Vocational Behavior, 14(2), 224-247.
 
[22]  Zangaro, G. A. (2001). Organisational Commitment: A Concept Analysis. Nursing Forum, 36(2), 14-21.
 
[23]  Spence Laschinger, H. K., Finegan, J., & Wilk, P. (2009). Context Matters: The Impact of Unit Leadership and Empowerment on Nurses' Organisational Commitment. Journal of Nursing Administration, 39(5), 228-235.
 
[24]  Wagner, C. M. (2007). Organisational commitment as a predictor variable in nursing turnover research: literature review. Journal of Advanced Nursing, 60(3), 235-247.
 
[25]  Carman-Tobin, M. (2011). Organisational commitment among licensed practical nurses: Exploring associations with empowerment, conflict, and trust. On: ProQuest Dissertations Publishing. Retrieved from www.proquest.com.
 
[26]  De Gieter, S., Hofmans, J., & Pepermans, R. (2011). Revisiting the impact of job satisfaction and organisational commitment on nurse turnover intention: An individual differences analysis. International Journal of Nursing Studies, 48(12), 1562-1569.
 
[27]  Meyer, J. P., & Allen, N. J. (1991). A three-component conceptualization of organisational commitment. Human Resource Management Review, 1(1), 61-89.
 
[28]  Watkins, M. W. (2018). Exploratory Factor Analysis: A Guide to Best Practice. Journal of Black Psychology, 44(3), 219-246.
 
[29]  Akhtar, S., & Tan, D. (1994). Reassessing and reconceptualizing the multidimensional nature of organisational commitment. Psychological Reports, 75(3), 1379-1390.
 
[30]  Tett, R. P., & Meyer, J. P. (1993). Job satisfaction, organisational commitment, turnover intention, and turnover: path analyses based on meta-analytic findings. Personnel Psychology, 46(2), 259-293.
 
[31]  Fields, D. L. (2002). Taking the measure of work: a guide to validated scales for organisational research and diagnosis. Thousand Oaks, California: Sage.
 
[32]  Wang, Y. (2004). Observations on the organizational commitment of Chinese employees: comparative studies of state-owned enterprises and foreign-invested enterprises. International Journal of Human Resource Management, 15(4), 649-669.
 
[33]  Chang, H. Y., Shyu, Y. I. L., Wong, M. K., Chu, T. L., Lo, Y. Y., & Teng, C. I. (2017). How does burnout impact the three components of nursing professional commitment? Scandinavian Journal of Caring Sciences, 31(4), 1003-1011.
 
[34]  Fedele, R (2017). The rise of burnout: An emerging challenge facing nurses and midwives. Australian Nursing and Midwifery Journal, 25(5), 18-23. Retrieved from www.proquest.com.
 
[35]  Borritz, M., Rugulies, R., Bjorner, J. B., Villadsen, E., Mikkelsen, O. A., & Kristensen, T. S. (2006). Burnout among employees in human service work: design and baseline findings of the PUMA study. Scand J Public Health, 34(1), 49-58.
 
[36]  Nantsupawat, A., Nantsupawat, R., Kunaviktikul, W., Turale, S., & Poghosyan, L. (2016). Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals: Nurse Burnout and Patient Outcomes. Journal of Nursing Scholarship, 48(1), 83-90.
 
[37]  Fradelos, E., Mpelegrinos, S., Mparo, C., Vassilopoulou, C., Argyrou, P., Tsironi, M., . . . Theofilou, P. (2014). Burnout syndrome impacts on quality of life in nursing professionals: the contribution of perceived social support. Progress in Health Sciences, 4(1), 102. Retrieved from https://search-proquest-com.
 
[38]  Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress, 19(3), 192-207.
 
[39]  Shirom, A., & Melamed, S. (2006). A comparison of the construct validity of two burnout measures in two groups of professionals. International Journal of Stress Management, 13(2), 176.
 
[40]  Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organisational Behavior, 2(2), 99-113.
 
[41]  Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career development international, 14(3), 204-220.
 
[42]  Enginyurt, O., Cankaya, S., Aksay, K., Tunc, T., Koc, B., Bas, O., & Ozer, E. (2015). Relationship between organisational commitment and burnout syndrome: a canonical correlation approach. Australian Health Review, 40(2), 181-187.
 
[43]  Child, D. (2006). Essentials of factor analysis (3rd ed.). New York: Continuum.
 
[44]  Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
 
[45]  Harrington, D. (2009). Confirmatory factor analysis. Oxford: Oxford University Press.
 
[46]  Floyd, F. J., & Widaman, K. F. (1995). Factor Analysis in the Development and Refinement of Clinical Assessment Instruments. Psychological Assessment, 7(3), 286-299.
 
[47]  Shek, D. T., & Yu, L. (2014). Confirmatory factor analysis using AMOS: a demonstration. International Journal on Disability and Human Development, 13(2), 191-204.
 
[48]  Santor, D. A., Haggerty, J. L., Levesque, J. F., Burge, F., Beaulieu, M. D., Gass, D., & Pineault, R. (2011). An overview of confirmatory factor analysis and item response analysis applied to instruments to evaluate primary healthcare. Healthc Policy, 7 (Spec Issue), 79-92.
 
[49]  Cortina, J. M. (1993). What Is Coefficient Alpha?: An Examination of Theory and Applications. Journal of Applied Psychology, 78(1), 98-104.
 
[50]  Montshiwa, V. T., & Moroke, N. D. (2014). Assessment of the Reliability and Validity of Student-Lecturer Evaluation Questionnaire: A Case of North West University. Mediterranean Journal of Social Sciences, 5(14), 352. Retrieved from https://search-proquest.com.
 
[51]  Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. Int J Med Educ, 2, 53-55.
 
[52]  Duhachek, A., Coughlan, A., & Iacobucci, D. (2005). Results on the Standard Error of the Coefficient Alpha Index of Reliability. Marketing Science, 24(2), 294-301.
 
[53]  Sherry, A., & Henson, R. K. (2005). Conducting and Interpreting Canonical Correlation Analysis in Personality Research: A User-Friendly Primer. Journal of Personality Assessment, 84(1), 37-48.
 
[54]  Mercurio, Z. A. (2015). Affective Commitment as a Core Essence of Organisational Commitment: An Integrative Literature Review. Human Resource Development Review, 14(4), 389-414.
 
[55]  Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55.
 
[56]  D'Amico, D., & Barbarito, C. (2015). Health & physical assessment in nursing: Prentice Hall.
 
[57]  Lee, B. H., & Jamil, M. (2016). An empirical study of organisational commitment: A multi-level approach. Journal of Behavioral and Applied Management, 4(3), 1074. Retrieved from https://scholar.google.com.au.
 
[58]  Mowday, R. T., Porter, L. W., & Steers, R. M. (1982). Employee—organisation linkages: The psychology of commitment, absenteeism, and turnover: Academic press.
 
[59]  Tarigan, V., & Ariani, D. (2015). Empirical Study Relations Job Satisfaction, Organisational Commitment, and Turnover Intention. Advances in Management and Applied Economics, 5(2), 21-42.
 
[60]  Lee, T. W., & Steers, R. M. (2017). Facilitating effective performance appraisals: The role of employee commitment and organisational climate. In Performance measurement and theory (pp. 75-93): Routledge.
 
[61]  Gao-Urhahn, X., Biemann, T., & Jaros, S. J. (2016). How affective commitment to the organisation changes over time: A longitudinal analysis of the reciprocal relationships between affective organisational commitment and income. Journal of Organisational Behavior, 37(4), 515-536.
 
[62]  Wood, V. R., & Wilberger, J. S. (2015). Globalization, cultural diversity and organisational commitment: Theoretical underpinnings. World, 6(2), 154-171.
 
[63]  Yahaya, R., & Ebrahim, F. (2016). Leadership styles and organisational commitment: literature review. Journal of Management Development, 35(2), 190-216.
 
[64]  Nishat Faisal, M., & A. Al-Esmael, B. (2014). Modeling the enablers of organisational commitment. Business Process Management Journal, 20(1), 25-46.
 
[65]  Bullis, R. C., Finch, J. F., Payne, S. C., & Tremble, T. R. (2017). Opening Organisational Archives to Research: Analog Measures of Organisational Commitment. In Organisational Commitment in the Military (pp. 167-190): Psychology Press.
 
[66]  Kim, K. Y., Eisenberger, R., & Baik, K. (2016). Perceived organisational support and affective organisational commitment: Moderating influence of perceived organisational competence. Journal of Organisational Behavior, 37(4), 558-583.
 
[67]  Albdour, A., & Altarawneh, I. (2014). Employee Engagement and Organisational Commitment: Evidence from Jordan. International Journal of Business, 19(2), 192-212.
 
[68]  Yousef, D. A. (2017). Organisational Commitment, Job Satisfaction and Attitudes toward Organisational Change: A Study in the Local Government. International Journal of Public Administration, 40(1), 77-88.
 
[69]  Xu, X., & Payne, S. C. (2018). Predicting Retention Duration From Organisational Commitment Profile Transitions. Journal of Management, 44(5), 2142-2168.
 
[70]  Imen, K. (2014). Relationship between leadership styles and dimensions of employee organisational commitment: A critical review and discussion of future directions. Intangible Capital, 10(1), 26-51.
 
[71]  Pradhan, S., & Pradhan, R. K. (2015). An Empirical Investigation of Relationship among Transformational Leadership, Affective Organisational Commitment and Contextual Performance. Vision: The Journal of Business Perspective, 19(3), 227-235.
 
[72]  Dhar, R. L. (2015). Service quality and the training of employees: The mediating role of organisational commitment. Tourism Management, 46(C), 419-430.
 
[73]  Cicekli, E., & Kabasakal, H. (2017). The opportunity model of organisational commitment. International Journal of Manpower, 38(2), 259-273.
 
[74]  Carvalho, C. R. S. P., Castro, M. A. R., Silva, L. P., & Carvalho, L. O. P. (2018). The Relationship Between Organisational Culture, Organisational Commitment and Job Satisfaction. REBRAE, 11(2), 201-215.
 
[75]  Florence, S., Géraldine, M., Gaëtane, C., Donatienne, D., Isabelle, H., Dorothée, H., & Françoise, B. (2015). Employees' organisational identification and affective organisational commitment: an integrative approach. PLoS ONE, 10(4), e0123955.
 
[76]  Etzioni, A. (1975). Comparative analysis of complex organizations, rev: Simon and Schuster.
 
[77]  Lee, R., & Ashforth, B. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81(2), 123.
 
[78]  Jackson, S. E., Turner, J. A., & Brief, A. P. (1987). Correlates of burnout among public service lawyers. Journal of Organisational Behavior, 8(4), 339-349.
 
[79]  Leiter, M. P., & Maslach, C. (1988). The impact of interpersonal environment on burnout and organisational commitment. Journal of Organisational Behavior, 9(4), 297-308.
 
[80]  Kalliath, T. J., O'Driscoll, M. P., & Gillespie, D. F. (1998). The relationship between burnout and organisational commitment in two samples of health professionals. Work & Stress, 12(2), 179-185.
 
[81]  Maslach, C. (2017). Burnout: A multidimensional perspective Professional burnout (pp. 19-32): Routledge.
 
[82]  Shankar, P., & Templer, S. (2017). QI Assessment of Attending Physician Burnout at Lehigh Valley Health Network (LVHN) Using the Maslach Burnout Inventory (MBI). Retrieved from https://scholar.google.com.au.
 
[83]  Bianchi, R. (2015). What is “severe burnout” and can its prevalence be assessed? Intensive Care Medicine, 41(1), 166-166.
 
[84]  Kocak, R. (2009). Analysis of occupational burnout levels of school administrators according to various variables. Fırat Uni Journal of Social Scieinces, 19, 65-73.
 
[85]  Maslach, C., & Jackson, S. E. (1981). The Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychologists Press
 
[86]  Taris, T. W., Le Blanc, P. M., Schaufeli, W. B., & Schreurs, P. J. G. (2005). Are there causal relationships between the dimensions of the Maslach Burnout Inventory? A review and two longitudinal tests. Work & Stress, 19(3), 238-255.
 
[87]  Urbina, S. (2014). Essentials of Psychological Testing (2nd ed. ed.). Somerset: John Wiley & Sons.
 
[88]  Golembiewski, R. T., & Munzenrider, R. (1981). Efficacy of three versions of one burn-out measure: MBI as total score, sub-scale scores, or phases? Journal of Health and Human Resources Administration, 228-246.
 
[89]  Maslach, C., Jackson, S. E., Leiter, M. P., Schaufeli, W. B., & Schwab, R. L. (1986). Maslach burnout inventory (Vol. 21, pp. 3463-3464). Palo Alto, CA: Consulting Psychologists Press
 
[90]  Spooner-Lane, R., & Patton, W. (2007). Determinants of Burnout among Public Hospital Nurses. The Australian Journal of Advanced Nursing, 25(1), 8-16. Retrieved from https://search-proquest-com.
 
[91]  Pallant, J. (2010). SPSS Survival Manual A Step by Step Guide to Data Analysis Using SPSS 4th ed. Maidenhead: McGraw-Hill Education.
 
[92]  Patrick, K., & Lavery, J. F. (2007). Burnout in nursing. Australian Journal of Advanced Nursing, 24(3), 43.
 
[93]  Janssen, P. P. M., Schaufelioe, W. B., & Houkes, I. (1999). Work-related and individual determinants of the three burnout dimensions. Work & Stress, 13(1), 74-86.
 
[94]  Salkind, N. J., & Rasmussen, K. (2007). Encyclopedia of measurement and statistics Retrieved from http://gateway.library.qut.edu.au/login?url=http://sk.sagepub.com/reference/statistics.
 
Manuscript template