Precursors and outcomes of work engagement among nursing professionals-a cross-sectional study

Background Health services organizations must understand how best to lower nursing professionals' turnover intentions, and increase their job satisfaction and the quality of care provided to patients. This study aims to examine whether work engagement (WE) is a significant predictor of the achievement of these preferred organizational goals. The study also aims to examine whether organizational culture and organizational climate can manage the WE of nursing professionals and indirectly contribute to the accomplishment of the preferred organizational goals. Methods In detail, a cross-sectional questionnaire survey study was conducted through a convenience sampling of a total of N = 164 nurses, from four Norwegian public hospitals. Structural equation modeling was employed in testing the hypothesis in the conceptual model, using Stata software. Furthermore, mediation analyses were achieved through use of the medsem package in the Stata software, in testing whether the proposed direct and indirect effects were statistically significant, and the type of mediation found. Results The three key findings from this study are: i) WE of nursing professionals was found to be positively related to service quality of care (beta = 0.551) and job satisfaction (beta = 0.883). Job satisfaction fully mediates the relationship between WE and turnover intention and in itself explains almost 60% (R-2 = 0.59) of turnover intention; ii) nursing professionals' perception of organizational culture (beta = 0.278) and collaboration climate (beta = 0.331) were both directly related to their WE; and iii) WE fully mediates the relationship between organizational culture/climate and service quality of care and job satisfaction. Moreover, WE partially mediates the relationship between collaborative climate and job satisfaction. Conclusions The WE of nursing professionals is highly correlated to their job satisfaction. WE and turnover intentions are (fully) mediated by job satisfaction. Employers should therefore focus on improving the job satisfaction of nursing professionals. The WE of nursing professionals is a common key factor for such improvement. Consequently, leaders and managers should continuously manage nursing professionals' WE, focusing on such areas as organizational culture and climate, because WE is an effective means of enabling multiple desirable outcomes for hospital organizations.

Automated summary

This study examines the impact of work engagement on the achievement of organizational goals in the healthcare industry. The results show that work engagement is positively related to service quality and job satisfaction, and job satisfaction fully mediates the relationship between work engagement and turnover intentions. The perception of organizational culture and collaboration climate directly affects the level of work engagement among nursing professionals. Work engagement also mediates the relationship between organizational culture/climate and service quality and job satisfaction.