Original Article
Status and relationship of nursing work environment and nurses' occupational commitment in eastern, middle and western China
Hu Huixiu, Sun Chao, Sun Ke, Wang Lei, Wang Xia
Published 2020-12-06
Cite as Chin J Mod Nurs, 2020, 26(34): 4748-4755. DOI: 10.3760/cma.j.cn115682-20200401-02393
Abstract
ObjectiveTo understand the status quo of nursing work environment and nurses' occupational commitment in eastern, middle and western China and further analyze the effect of nursing work environment on nurses' occupational commitment.
MethodsFrom March to December 2020, the convenient sampling method was adopted to select 3 142 nurses from 11 tertiary and 6 secondary hospitals in 8 provinces/municipalities/autonomous regions in the eastern, middle and western China as research objects. The general information questionnaire, Chinese version of Practice Environment Scale and Chinese version of Nurses' Occupational Commitment Scale were used for questionnaire surveys.
ResultsA total of 3 142 questionnaires were collected and 124 invalid questionnaires were excluded, and 3 018 valid questionnaires were collected. The total mean score of Nurses' Occupational Commitment Scale was (3.54±0.67) . From highest to lowest, scores of each dimension were normative commitment (3.83±0.84) , emotional commitment (3.78±0.87) , economic cost commitment (3.67±0.81) , emotional cost commitment (3.40±0.94) and opportunity commitment (2.88±0.85) . The total mean score of Practice Environment Scale was (3.02±0.49) . The scores of Nurse's Occupational Commitment Scale of nurses with different hospital levels, departments, working years, professional titles, educational backgrounds, employment forms, average monthly night shifts and average monthly income showed statistically significant differences (P<0.05) . Moreover, the score of Nurses' Occupational Commitment Scale for specialist nurses was higher than that of non-specialist nurses, and the difference was statistically significant (P<0.01) . The results of multiple stratified regression showed that low hospital levels (β'=-0.058) , specialized nurses (β'=0.069) and fewer average monthly night shifts (β'=-0.194) were influencing factors that affected nurses' occupational commitments. After controlling for general data, nurses' participation in hospital affairs (β'=0.301) , adequate human and material resources (β'=0.260) and medical cooperation (β'=0.132) in the nursing environment were the influencing factors of nurses' occupational commitment (P<0.01) .
ConclusionsThe overall occupational commitment of nurses in eastern, middle and western China is at a medium level, which is affected by whether they are specialist nurses, average monthly night shifts, levels of hospitals and the working environment of nursing. Managers should conduct scientific guidance and management for these influencing factors to improve nurses' occupational commitment.
Key words:
Nurses; Occupational commitment; Nursing work environment; Influencing factors; Nursing management
Contributor Information
Hu Huixiu
Nursing Department, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, Beijing 100730, China
Sun Chao
Nursing Department, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, Beijing 100730, China
Sun Ke
Dean's Office, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, Beijing 100730, China
Wang Lei
Nursing Department, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, Beijing 100730, China
Wang Xia
Nursing Department, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, Beijing 100730, China
