Saudi Cultural Missions Theses & Dissertations
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Item Restricted The Impact of Missed Nursing Care on Organisational Commitment(Saudi Digital Library, 2023-05-19) Alsubhi, Hattan; Meskell, Pauline; O’Shea, Deirdre; Doody, OwenMissed Nursing Care has been described as a global problem for nursing practice, potentially affecting numerous nursing outcomes. The overall aim of this study was to investigate the psychological mechanisms through which missed nursing care impacts organisational commitment. A quantitative, longitudinal survey design was implemented with data collected using an online survey across four-time points from nurses working in Saudi hospitals across the five regions of the Kingdom of Saudi Arabia (N= 1,905 at time 1; N= 176 at time 4). Descriptive, correlation, ANOVA, and regression statistics were performed in SPSS 26. In addition, Hayes’ PROCESS Macro was used to perform a sequential mediation analysis of the relationship between missed nursing care and organisational commitment mediated by work meaning, professional identity and job stress. The findings showed that missed nursing care did not impact organisational commitment directly (LLCI = -0.11, ULCI = 0.11) and neither were they significantly correlated. In addition, work meaning (BootLLCI = -0.01, BootULCI = 0.01), professional identity (BootLLCI = -0.03, BootULCI = 0.012), and job stress (BootLLCI = -0.08, BootULCI = 0.02) did not mediate the relationship between organisational commitment and missed nursing care. Similar results were realised for work meaning and job stress (BootLLCI = -0.01, BootULCI = 0.00). However, professional identity impacted on job stress significantly (LLCI = -0.70, ULCI = -0.12) and could explain a 6 percent variance in job stress (ΔR2 = .06), while job stress impacted on organisational commitment negatively (LLCI = -0.48, ULCI = -0.14) and could explain 12 percent variance (ΔR2 = .12). Other results showed that nurses working in the general medical surgical nursing reported higher missed nursing care than nurses working in either emergency or critical care nursing or daycare/operation theatre nursing/obstetrics and labour room. Therefore, it can be concluded that job stress is one of the most critical factors for achieving organisational commitment among Saudi nurses. Although the prevalence of missed nursing care is not very high among Saudi nurses in general, nurses working in units associated with higher work meaning and professional identity based on clearly defined roles tend to have comparatively lower missed nursing care.20 0Item Restricted Examining the Effects of Leader-Member Exchange Comparison on Employee Work Attitudes(2023) Alzunaydi, Najd Ahmed; Allan, LeeGuided by a more complex integration between leader-member exchange (LMX) and comparison theories, the main aim of this thesis is to enhance the understanding of employees’ LMX comparisons and their impact on work attitudes. Despite the increased recognition that employees innately and constantly engage in LMX social comparisons, employees’ LMX social comparisons beyond the immediate workgroup have been unexplored. This thesis expands the scope of LMX comparisons by introducing two novel constructs, LMX comparisons with significant others (LMXSOC) and LMX temporal comparisons (LMXTPC). Across two time-lagged studies, two distinct conceptual models were examined, one relating to LMXSOC and one relating to LMXTPC. In both studies, evidence was found for the indirect effects of both LMXSOC and LMXTPC on employee attitudinal outcomes via felt obligation and relative deprivation. Overall, the findings of the thesis suggest that understanding LMX comparisons within this broad perspective represents an important step in the advancement of LMX theory by offering a more nuanced view of the LMX comparison process and furthering the understanding of employee outcomes.11 0