title: Perceptions of internal marketing and organizational commitment by nurses.
abstract: OBJECTIVE
  This paper is a report of a study to determine whether a favourable perception of internal marketing is associated with increased organizational commitment.
  
  
  BACKGROUND
  The role of nurses in healthcare treatment is expanding, and becoming more important as time progresses. Therefore, the primary concern of business of health care is to use internal marketing strategies effectively to enhance and develop nurses' organizational commitment and reduce turnover to promote competitive advantages for the organization.
  
  
  METHODS
  A cross-sectional design was used. Questionnaires were distributed in 2006 to a convenience sample of 450 Registered Nurses in two teaching hospitals in Taiwan, and 318 questionnaires were returned. Eighteen were excluded because of incomplete answers, which left 300 usable questionnaires (response rate 66.7%). Validity and reliability testing of the questionnaire proved satisfactory and Structural Equation Modeling was used to analyse the data.
  
  
  RESULTS
  A favourable perception of internal marketing was associated with increased organizational commitment. Communication management had the greatest influence on organizational commitment and external activity had the smallest impact.
  
  
  CONCLUSIONS
  Hospital managers need to recognize the importance of internal marketing for staff retention and the survival of their organizations as competitive pressure increases. As a great deal of time and costs are involved in educating nurses, the best way to retain outstanding nurses and reduce turnover costs and personnel problems is for employers to understand the needs and expectations of their nursing staff.
authors.affiliation: Department of Business Administration, National Cheng Kung University, Tainan, Taiwan. arthur0660@yahoo.com.tw
authors.forename: Ching Sheng
authors.initials: CS
authors.lastname: Chang
authors.forename: Hae Ching
authors.initials: HC
authors.lastname: Chang
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D040541:Marketing / Q000379:methods*; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D010558:Personnel Loyalty; D010563:Personnel Turnover; D013223:Statistics as Topic; D011795:Surveys and Questionnaires; D013624:Taiwan; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000523:psychology; D055815:Young Adult