The Relationship of Nurses’ Professional Commitment with Patient Safety and Patient Satisfaction at a Malaysian University Teaching Hospital

@#Introduction: Professional commitment encompasses affirmation of profession goals and values and a strong sense of profession loyalty. Nurses’ professional commitment is important as nurses represent the majority of healthcare professionals. Nurses play an essential role in maintaining patient safety and offering high care quality. This study aimed to examine the relationship of nurses’ professional commitment with patient safety and patient satisfaction about care quality in the Malaysian healthcare context. Methods: A cross-sectional design with a questionnaire was adopted using pairs of nurse and in-patient from a Malaysian university teaching hospital. The questionnaire measuring nurses’ professional commitment from Meyer and Allen’s organizational commitment scale was used. The nurses’ questionnaire also incorporated the Teng, Chang and Hsu’s patient safety scale of six adverse actions to assess the patient safety level among nurses. The questionnaire for patients utilized the Service Quality Scale by Teng, Shyu and Chang to measure the patient satisfaction about care quality. Using the online survey channel to administer the questionnaires, 170 questionnaires were filled by nurses and this was matched by 170 questionnaires being completed by patients. Pearson correlation coefficient was used for the analysis. Results: The results show that nurses’ professional commitment has a positive relationship with the patient satisfaction (r= 0.225, p= 0.003) while no significant relationship was found between nurses’ professional commitment and patient safety. Conclusion: Efforts could be made to incorporate elements of professional commitment into nursing quality training programs. Managing patient safety and service quality across ward specialties may require tailoring of service provision aspects in line with different levels of patient care needs and complexity.

Mediating Role of Job Satisfaction in the Relationship between Job Performance and Organizational Commitment Components: A Study among Nurses at One Public University Hospital in Malaysia

@#Introduction: In light of the importance of the nurses’ performance in health services, this study was established to examine the relationship of job performance with organizational commitment components and job satisfaction among nurses. It is also, to examine the mediating effect of job satisfaction in the relationship between organizational commitment components and job performance among nurses. Methods: This was a cross-sectional study conducted among nurses at Hospital Universiti Sains Malaysia. A sample size of 192 staff was selected using stratified and systematic random sampling methods. The study data were collected using a questionnaire consists of three scales: the organizational commitment scale of Allen and Meyer, the job satisfaction scale of Van Wood, and the task performance scale of Williams and Anderson. Besides, respondents were asked about their demographic profiles. The response rate was 92% (n= 176). Regression analysis according to Baron and Kenny technique and Pearson correlation were conducted to get the study results. Results: The study results showed that all organizational commitment components positively and significantly correlated with job satisfaction and job performance. Further, there is a positive relationship was found between job satisfaction and job performance. Moreover, findings of regression analysis showed that job satisfaction partially mediates the relationship between all organizational commitment components and job performance. Conclusion: Improving organizational commitment and job satisfaction among nurses could increase their performance. Nurses’ managers should create suitable approaches and strategies to promote the organizational commitment and job satisfaction of nurses to the highest level, which in turn enhancing their job performance and the quality of care.