The Impact of Missed Nursing Care on Organisational Commitment

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2023-05-19

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Saudi Digital Library

Abstract

Missed 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.

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Keywords

Missed Nursing Care, organisational commitment, work meaning, professional identity, job stress, longitudinal design

Citation

Alsubhi, H.M.Saeid. (2023) The Impact of Missed Nursing Care on Organisational Commitment.

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