Affective organizational commitment among nursing home employees: A longitudinal study on the influence of a health‐promoting work environment

Abstract

AimTo investigate whether affective organizational commitment (AOC) among nursing home employees is enhanced by a health‐promoting work environment, conceptualized as high levels of job resources, work‐related sense of coherence (work‐SOC) and low levels of job demands.DesignThis study used a longitudinal design. Survey data were collected with a 1‐year interval between 2015/2016–2016/2017 among nursing home employees in Norway.MethodsStructural equation modelling was used to analyse the longitudinal data (N = 166) and cross‐sectional data from the first time point (N = 558).ResultsThe results supported that work‐SOC was strongly and positively related to AOC. Job resources and job demands were positively and negatively related, respectively, to work‐SOC but were not related to future AOC. The indirect effects of autonomy and supervisor support on AOC, via work‐SOC, were significant. The indirect effects regarding social community at work, emotional demands and role conflict were unclear.

How implementation of “Joy of Life” are experienced by the employees: A qualitative study

“…The implementation does not only relate to change in the documentation system but does also connect to activities and nursing interventions. When health care personnel experience a heavy workload the importance of experiencing control over the situation is importance (3,25,26), as one informant stated," you don't have to tidy up right away". This informant describes that she takes control over the situation by making priorities, while another informant feels overwhelmed and "have to sacri ce my lunchbreak".…”

“…In overcome resistance interventions targeting the work environment must be inserted Employees in nursing homes (NH) are under strong pressure to provide good care to the patients (1,2). It is di cult to recruit and retain quali ed workers (3,4). The focus on professional development and attitudes is therefore of great importance for NHs to appear as an attractive workplace for health professionals (1).…”

“…Earlier research has described workloads, stress and job satisfaction among employees working in NHs (1,(22)(23)(24) and the importance of control over their own work (3,25,26). Several studies have looked at the connection between employees' work situation and its signi cance for patients (27,28) and the experiences of health professionals in Norwegian NHs (1,27,29,30).…”

How implementation of a national strategy for nursing homes is experienced by the healthcare personnel: A qualitative study with content analysis of interviews.

“…The implementation does not only relate to change in the documentation system but does also connect to activities and nursing interventions. When health care personnel experience a heavy workload the importance of experiencing control over the situation is important (3,36,37), as one informant stated," you don't have to tidy up right away". This informant describes that she takes control over the situation by making priorities, while another informant feels overwhelmed and "have to sacri ce my lunchbreak".…”

“…Healthcare personnel working in nursing homes (NH) are under strong pressure to provide good care to the residents (1,2). It is di cult to recruit and retain quali ed workers (3,4). The focus on professional development and attitudes is therefore of great importance for NHs to appear as an attractive workplace for health professionals (1).…”