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

Karoline Grødal; Siw Tone Innstrand; Gørill Haugan; Beate André

doi:10.1002/nop2.338

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

Nurs Open. 2019 Jul 29;6(4):1414-1423. doi: 10.1002/nop2.338. eCollection 2019 Oct.

Authors

Karoline Grødal^{1

2}, Siw Tone Innstrand^{1

2}, Gørill Haugan^{1

2}, Beate André^{1

2}

Affiliations

¹ Department of Public Health and Nursing, Faculty of Medicine and Health Science NTNU - Norwegian University of Science and Technology Trondheim Norway.
² NTNU Center for Health Promotion Research Trondheim Norway.

Abstract

Aim: To 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.

Design: This 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.

Methods: Structural equation modelling was used to analyse the longitudinal data (N = 166) and cross-sectional data from the first time point (N = 558).

Results: The 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.

Keywords: affective organizational commitment; eldercare; emotional demands; health care; job demands; job resources; nursing; nursing homes; work‐related sense of coherence.