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Introduction: Determining the effect and relation of organizational commitment on organizational effectiveness in nurses is essential and important. By determining the relationship between the various variables involved in organizational effectiveness, it is possible to provide the necessary platform for planning to increase and improve organizational effectiveness in order to develop the quality of educational and therapeutic services. The aim of this study was to measure the correlation of organizational commitment as a predictor effect with organizational effectiveness in nurses of intensive care units of Hamadan therapeutic and educational centers. Methodology: A cross-sectional descriptive and analytical study was carried out on 277 nurses of intensive care units in Hamadan University of Medical Sciences in 2017. Data gathering tool was included 24- question Allen & Meyer` organizational commitment and 20- question Taylor & Bower` Organizational Effectiveness in 5 point Likert scale. Data were analyzed by SPSS software (Version 18) using descriptive and inferential statistics. Findings: Intensive care nurses had a mean age of 32 years old, 83.4% female, 67.1% married, 71.47% less than 10 years of work experience and 97.8% bachelor of nursing. Mean score of organizational commitment (75.65±10.87) and organizational effectiveness (57.22±15.80) were, that were interpreted in the moderate level. The correlation between organizational effectiveness and organizational commitment was positive and significant, which was interpreted in moderate level (0.575). From the dimensions, the organizational climate had the highest correlation with organizational commitment (0.595), and the normative dimension of organizational commitment had the highest correlation with organizational effectiveness (0.518). (P ≤ 0.01) Conclusion:
organizational commitment can be viewed as an important antecedent factor for the organizational effectiveness of intensive care units nurses. The implementation of single nurses, women, higher education and the informal employment status are more appropriate and recommended to work in intensive care units.
Nurses, Intensive Care Units, Organizational Effectiveness, Organizational Commitment
The health and medical system is a large and complex social organization with many processes and components that play an important role in maintaining and improving the health of the community (1). With the advancement of science and technology, population changes and the diversification of health needs in society has undergone significant changes in recent decades in different countries of the world (2). Some developing countries such as Iran have made good progress in changing their healthcare system and restructuring public hospitals in the form of the therapeutic and educational centers (3, 4). These centers are delivering their updated services effectively as a key health, treatment and educational delivering organization by training medical group human resources and bridging theory and practice gap (5). These educational and therapeutic centers with academic commitment and accountability have fundamentally roles to maintain and promotion of physical, mental, and spiritual health of individuals of community by scientific, research-based, updated and optimal health, therapeutic and educational services (6). Moreover, staff of these centers especially nurses occupy a substantial role to maintain and promotion of quality of educational and therapeutic services with patients’ satisfaction (7).
Organizational commitment can be viewed as an important antecedent factor for the organizational effectiveness of intensive care units nurses. The implementation of single nurses, women, higher education and the informal employment status are more appropriate and recommended to work in intensive care units.
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