Effects of Mental Health on Organizational Commitment Among Hospital Nurses

Friday, July 15, 2011: 3:45 PM

Ayami Tateishi, PhD
School of Health Care and Nursing, Juntendo University, Chiba, Japan

Learning Objective 1: The learner will be able to know the relationships between different aspects of mental health and organizational commitment among hospital nurses in Japan.

Learning Objective 2: The learner will be able to know the relationships between the process of burnout and organizational commitment amomg nurses.

Background:In recent years, mental health problems among working people, including nurses, have been increasing in Japan. Poor mental health often decreases one’s affective attachment to and sense of unity with one’s organization, resulting in increased turnover.

Objectives:The purpose of this research was to explore the relationship between different aspects of mental health (general mental health and burnout) and 3 components of organizational commitment (affective, continuance, and normative commitment) in nurses at hospitals in Japan.

Methods: This cross-sectional study sent questionnaires to 817 nurses from 3 general hospitals in Japan in 2004. The questionnaires included demographic characteristics, the Allen & Meyer’s organizational commitment scale, the General Health Questionnaire(GHQ), the Maslach Burnout Inventory-General Survey (MBI-GS, assessing exhaustion, cynicism, and professional efficacy), and the Job Content Questionnaire. Data from the 528 respondents (64.6%) who answered all questions of analysis were analyzed using multiple regression analysis.

Results: Affective commitment scores had significant negative correlations with the GHQ, exhaustion, and cynicism scores and had significant positive correlations with professional efficacy scores. Normative commitment scores did not have significant correlations with the GHQ and exhaustion, but had significant negative correlations with cynicism scores and significant positive correlations with professional efficacy scores. Continuance commitment scores did not have significant correlations with the GHQ or MBI-GS scores. Among the GHQ and the MBI-GS subscales, cynicism had the highest correlations with affective commitment and normative commitment.

Discussion:In the process of burnout, exhaustion increases first and cynicism increases second. It is possible that the more burnout advances, the more affective attachment to the organization and the feeling that one should continue working at the hospital decrease. It is also possible that when nurses’ general mental health worsens, negative feelings towards the organization increase, and affective attachment and a sense of unity with the organization decrease.