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Investigating the Relationship of Organizational Commitment and Clinical Competence (Case study: Nurses Working in Montazeri Hospital, City of Najafabad, Iran, 2015)

Authors: Neda Khodadadei, Behrooz Rezaei and Shayesteh Salehi

Int J Med Res Health Sci.308-316 | pdf PDF Full Text

Human resources committed to the organization not only reduces absence, delay, and replacement, but also causes
the increase of organizational performance, employees’ mental freshness, better attainment to organizational
excellent goals, and achieving individual’s objectives. Hence, organizational commitment has special importance
among the employees of hospital. The nurses’ competence is an important criterion required for providing patients’
health-cares. The change in nurses’ roles and duties has changed the job to a complicated one and requires having
various skills, and has caused the clinical competence to be considered more. The present study was performed with
the aim of investigating the relationship of organizational commitment and clinical competence in nurses. The
research was descriptive correlation type, and the statistical population was all nurses (176 persons) working in
Montazeri Hospital, Najafabad city, selected by Census method and 135 persons were investigated. The data
collection tool included three questionnaires of personal information, Allen and Meyer’s questionnaire of
organizational commitment, and questionnaire of clinical competence, that their validity and reliability were
confirmed. Data was analyzed with independent t-test, ANOVA, Mann-Whitney, and Pearson’s correlation
coefficient using the software SPSS 17. The average score of organizational commitment was 91± 10.76, and at
medium level. The average score of clinical competence was 74.42±11.69, and at good level. There was no
significant relationship between organizational commitment and clinical competence in the nurses. Only, the
emotional commitment dimension had significant relationship with the quality assurance area of clinical
competence (P<0.05). Organizational commitment of nurses did not have significant relationship with demographic
variables under investigation, while their clinical competence had significant relationship with age, general work
experience, monthly salary, job category, location of work and type of employment. This study showed that nurse
managers should try to promote organizational commitment, particularly emotional commitment of nurses, so that
while increasing trust, durability, and the promotion of nurses’ clinical competence, qualified cares are offered to
the patients.
Keywords: Organizational Commitment, Clinical Competence, Nursing staff.

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