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Organizational Commitment and Intention to Leave of Nurses in Portuguese Hospitals

Author

Listed:
  • Teresa Neves

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Pedro Parreira

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Vitor Rodrigues

    (Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal)

  • João Graveto

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

Abstract

Intention to leave is influenced by the commitment and individual and structural factors. It is a critical dimension in health systems due to the shortage of professionals and the potential impact on the quality of care. The present paper: (i) characterizes organizational commitment and intention to leave; (ii) analyzes the relationship between structural factors (such as, work environment and nurse staffing), individual factors (age), and nurses’ organizational commitments and intention to leave; and (iii) analyzes the differences in the intention to leave and in the organizational commitment according to service specialty, nurses’ specialization, and contractual relationship in Portuguese public hospitals. A cross-sectional study was conducted with a sample of 850 nurses from 12 public hospitals units. The results show a high affective and continuance commitment of nurses with the hospital, and a reduced tendency of the intention to leave. A significant positive association was also found between the intent to leave and individual/structural factors. Organizational commitment and intention to leave levels are satisfactory, despite the influence of several factors, such as nurse staffing, work environment, or other opportunities for professional development. The results identify particularly sensitive areas that, through adequate health and management policies, can reduce nurses’ intentions to leave and promote the sustainability of the health system.

Suggested Citation

  • Teresa Neves & Pedro Parreira & Vitor Rodrigues & João Graveto, 2022. "Organizational Commitment and Intention to Leave of Nurses in Portuguese Hospitals," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2470-:d:754386
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    References listed on IDEAS

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    1. Mercedes Rodríguez-Fernández & Juan Herrera & Carlos de las Heras-Rosas, 2021. "Model of Organizational Commitment Applied to Health Management Systems," IJERPH, MDPI, vol. 18(9), pages 1-21, April.
    2. Legido-Quigley, Helena & Karanikolos, Marina & Hernandez-Plaza, Sonia & de Freitas, Cláudia & Bernardo, Luís & Padilla, Beatriz & Sá Machado, Rita & Diaz-Ordaz, Karla & Stuckler, David & McKee, Martin, 2016. "Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal," Health Policy, Elsevier, vol. 120(7), pages 833-839.
    3. Carlos de las Heras-Rosas & Juan Herrera & Mercedes Rodríguez-Fernández, 2021. "Organisational Commitment in Healthcare Systems: A Bibliometric Analysis," IJERPH, MDPI, vol. 18(5), pages 1-21, February.
    4. Yukari Hara & Kyoko Asakura & Takashi Asakura, 2020. "The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses’ Intention to Leave: A Two-Wave Longitudinal Study in Japan," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    5. Julio Suárez-Albanchez & Juan Jose Blazquez-Resino & Santiago Gutierrez-Broncano & Pedro Jimenez-Estevez, 2021. "Occupational Health and Safety, Organisational Commitment, and Turnover Intention in the Spanish IT Consultancy Sector," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
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    7. Yi-Chuan Chen & Yue-Liang Leon Guo & Wei-Shan Chin & Nai-Yun Cheng & Jiune-Jye Ho & Judith Shu-Chu Shiao, 2019. "Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction," IJERPH, MDPI, vol. 16(23), pages 1-14, November.
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