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Official websites use. Share sensitive information only on official, secure websites. Physician and nursing shortages in acute and critical care settings require research on factors which might drive their commitment, an important predictor of absenteeism and turnover.
However, the degree to which the commitment of a physician or a nurse is driven by individual or organizational characteristics in hospitals remains unclear.
In addition, there is a need for a greater understanding of how antecedent-commitment relationships differ between both occupational groups. Moreover, our aim is to examine the different antecedent-commitment relationships across the occupational groups of nurses and physicians. Information about individual factors affecting organizational commitment was derived from self-administered staff questionnaires, while additional information about organizational structures was taken from hospital quality reports and a self-administered survey completed by hospital department heads.
Overall, nurses and physicians from 66 Neonatal Intensive Care Units participated in the study. We used multilevel modeling to account for different levels of analysis. Regarding occupational differences in antecedent-commitment relationships, more specific management actions should be undertaken to correspond to different needs and aspirations of nurses and physicians.
Keywords: Organizational commitment, Work experiences, Organizational structures, Occupational group, Critical care. In particular, employees with low commitment to their organization have, e.