The Relationship between Nurses Job Satisfaction and Organizational Commitment

Nurses satisfaction has been linked to and impacted on many issues in the health care system, such as the outcome of care, patient satisfaction and organizational commitment. Organizational commitment and job satisfaction are attitudes related to jobs that have received considerable attention from researchers worldwide. Nurse role considered as very important to provide health care for patient with respect the improving the quality of care in health institutions. This study aimed: To assess the relationship between nurse's job satisfaction and organizational commitment in Saudi hospitals. Study design: A quantitative descriptive correlational survey of registered nurses (RNs) in Riyadh region. The data collection tools: Satisfaction Questionnaire and the Organization Commitment Questionnaire. Result: The study shows the correlations between nurse's job satisfaction and each dimension of organizational commitment were examined using the Pearson Correlation Coefficient. The correlation between nurse's job satisfaction and Affective commitment was positive and significant (r=0.636), Continue commitment (r=0.654) and Normative commitment (r=0.723) with (p<0.0) which means that nurses who are satisfied with their job have organizational commitment.


Introduction
Nurses satisfaction has been linked to and impacted on many issues in the health care system, such as the outcome of care, patient satisfaction and organizational commitment. Organizational commitment and job satisfaction are attitudes related to jobs that have received considerable attention from researchers worldwide. Nurse role considered as very important to provide health care for patient with respect the improving the quality of care in health institutions. Nurses, as the main and large group of health care providers [1][2][3][4] their job performance is affected by job satisfaction and organizational commitment, engaged and satisfied nurses usually perform highly and contribute to organizational efficiency and success [1][2][3].
Job satisfaction is important when its absence often leads to reduced organizational commitment. In the healthcare environment where nurse's satisfied is expected to increase beyond its, provide quality care and commitment, maintaining a committed staff is a strong advantage and critical to organizational success [1,2]. Job satisfaction defines as "a pleasurable or positive emotional state resulting from the appraisal of one's job or job experiences". Nurse job satisfaction is show to what extent the nurse's assurance with their job or not, such as their satisfaction with work place, nature of work or leaders [5][6][7][8]. Simply job satisfaction is how content an individual is with his or her job; whether he or she likes the job or not [9,10]. Studied show that nurses employed at magnet hospitals experienced higher levels of empowerment and job satisfaction due to greater involvement to work empowerment structures because they seeking to provide higher levels of job satisfaction and empowerment for staff nurses when compared with non-magnet hospitals [1].
A high-quality work environment for nurses described as "a place where the needs and expectations of the nurses are met as an individual and also where the patients achieve their targets regarding their own health" [11][12][13][14][15]. The Institute of Medicine highlighted that the work environment was important for nursing care quality [16]. The International Community of Nurses again identified its 2006 theme as "Safe Environment-Safe Employment" while the 2007 theme focused on "Positive Implementation-Work Environment" [17]. Nurse job satisfaction effect by many factors such as workload, incentives, job security, relationships with managers and social issues. Studies shown that these are two dimensions of satisfaction: first is extrinsic satisfaction with little aspects to do with the job tasks or content of the work itself; second intrinsic satisfaction refers to the job tasks themselves [1]. The elements accounting for differences in empowerment and job satisfaction scores included: (1) greater accessibility of magnet nurse leaders, (2) better support of clinical nurse autonomous decision making by magnet nurse leaders, and (3) greater access to work empowerment structures such as opportunity, information, and resources at magnet hospitals [12].
Organizational commitment influences the effectiveness of an organization in provides quality services [11] is having several positives in job outcomes including reduced absenteeism and turnover, work effort, and job performance [1]. There are threedimensional components of commitment [2]. First, dimension affective commitment which know as emotional attachment to an organization; Second, continuance commitment reflects the perceived costs-benefit evaluation of maintaining organizational membership; Third, normative commitment reflects the feelings of obligation to remain with the organization [1,2].
Engagement and retention of sufficient and well-committed nurses are needed for providing safe and effective health care [1]. Leaders should always take into consideration cultural differences in, job satisfaction and commitment of staff nurse while framing policies. Nursing leaders must be equipped with the information needed to contribution in making a workplace attract the new nurses, retain the nurses it already has and searching for ways to re-engineer the healthcare system particularly by providing supportive environment to staff empowerment, job satisfaction and commitment [3,4].
Challenges among nurses internationally are several such as suffering from absenteeism, high turnover rate with low commitment as well as Kingdom of Saudi Arabia. The health care organizations need to study the factors effecting on the job satisfaction to implement nurse retention plan. This study aimed to assess the relationship between nurse's job satisfaction and organizational commitment in Saudi hospitals.

A quantitative descriptive correlational survey of registered nurses (RNs) in Riyadh region
The data collection tools: Satisfaction Questionnaire developed by researcher (Crombach alpha reliability above 0.75) and the Organization Commitment Questionnaire [1]. This study aimed to assess the relationship between nurse's job satisfaction and organizational commitment in Saudi hospitals. The study conducting in five hospitals around Riyadh reign, the participant were 199 staff nurses.

Data collection procedures and ethical issues
The approvals of conduct the study were granted from the Ethical Review Committees of the Ministry of Health in Saudi Arabia. The purpose and significance of the study were explained to all participants. They were informed that their participation was voluntary, their responses were confidential, and that refusing to participate would not negatively affect them. Participants were asked to complete the questionnaires and submitted. Data analysis used the statistical package of social sciences (SPSS) version 20 for data analysis. Descriptive statistics, Pearson's correlation, and logistic regression were utilized to analyze the data. The significance level for the study variables was set at 0.05. Table 1 shows the characteristics of the sample. The total number of participants were (n=199 between 31-40 years. (78.9%) were females, and the majority (69.8%) of them were married. (72.4%) with bachelor degree and the total years of nursing experience were 54.3% from 0 to 10 years and all of participants. More than half were staff nurses and work in patient departments with full-time. Table 2 display the mean of the 4 elements that were measured through the questionnaire shows that nurses were satisfied and committed to their organization. The mean of each statement is presented in Table 2 and shows that nurses are highly satisfied with the orientation program of their hospital, the support of nursing directors and the team work. On the other hand, they face difficulties with the technology, low satisfaction about facilities and rest areas. Table 3 present the correlations between nurse's job satisfaction and each dimension of organizational commitment were examined using the Pearson Correlation Coefficient. The correlation between nurse's job satisfaction and Affective commitment was positive and significant (r=0.636), Continue commitment (r=0.654) and Normative commitment (r=0.723) with (p<0.0) which means that nurses who are satisfied with their job have organizational commitment. Table 3 displays the means of each statement in every dimension of organizational commitment. In first dimension affective communication nurses felt that their organization has a great deal of personal meaning for them but they do not feel like "part of the family" at organization. In continuous commitment nurses feel that staying with the organization is a matter of necessity as much as desire  work environment and to elevate their commitment to the organization [18][19][20][21][22].

Conclusion
Nurses who are satisfied with their job have organizational commitment. The nurses were satisfied and committed to their organization with a positive effect on job performance, Job satisfaction considered a complex and collaboration between individual nurses, their managers and others، is critical to increase nursing satisfaction through empowering and open work environment.
and that too much of their life would be disrupted if they decided to leave their organization. In normative dimension nurses owe a great deal to their organization.
This study showed that nurses were satisfied and committed to their organization with a positive correlation between job satisfaction and commitment which goes with the same line of other conducted studies that stated A strong positive correlation between job satisfaction and organizational commitment which indicate that satisfied nurses tend to have a higher degree of commitment [13]. Therefore, nurse leaders could increase commitment among nurses' staff through ensuring their satisfaction with their job. Another study results showed that affective and normative commitments are found to influence job satisfaction, whereas job satisfaction has a strong effect on job performance, which suggest that the job satisfaction of nurses plays a critical role as a mediator in the relationship between organizational commitment components and job performance. Job satisfaction considered a complex and collaboration between individual nurses, their managers and others is critical to increase nursing satisfaction through empowering and open 0.000 N 199 **Correlation is significant at the 0.01 level. Table 4 Relationship between organizational commitment and job satisfaction.