Exploring Factors Affecting Employees' Organizational Commitment And Performance in A Hospital Located in Southern Iran: A mixed-method study

Abstract

Background: Organizational commitment, as a significant motivator, plays a crucial role in delivering high-quality healthcare services. This study was conducted to investigate the factors affecting the organizational commitment of hospital staff in the southern region of Iran and to evaluate its impact on employees' performance in delivering quality healthcare services.

Methods: This is mixed methods study (quantitative and qualitative) conducted in 2023. In the quantitative phase, 103 personnel with using census method selected. The Allen and Meyer questionnaire was distributed among them and analyzed using the Smart PLS-3 software. In the qualitative phase, 11 hospital employees were purposefully interviewed to investigate the factors influencing their organizational commitments. Qualitative data analysis was performed using a content analysis.

Results: The results indicate that emotional commitment with a path coefficient of 0.61 and a t-value of 80.5, continuous commitment with a path coefficient of 0.68, a t-value of 75.6, normative commitment with a path coefficient of 0.66, and a t-value of 6.32, have a positive and significant relationship with employee performance. Finally, participants mentioned individual, emotional, job-related, social, and economic factors as the most significant reasons for organizational commitment.

Conclusion: Organizational commitment has a significant positive relationship with employee performance. Hospitals need to implement organizational reforms to fulfill employees' organizational commitment. It is suggested that hospital managers take effective steps towards improving employees' organizational commitment by creating communication networks and using motivational methods.