title: Key organizational commitment antecedents for nurses, paramedical professionals and non-clinical staff.
abstract: OBJECTIVE
  The purpose of this paper is to develop a causal model that explains the antecedents and mediating factors predicting the organizational commitment of healthcare employees in different work roles.
  
  
  METHODS
  This study tests an integrative causal model that consists of a number of direct and indirect relationships for antecedents of organizational commitment. It is proposed that the relationship between job satisfaction and organizational commitment is best understood by focusing on the three interrelated facets of job satisfaction, i.e. satisfaction with career advancement, satisfaction with supervisor, and satisfaction with co-workers. However, the model also advances that these job satisfaction facets have different mediating effects for other antecedents of organizational commitment.
  
  
  RESULTS
  The Structural Equation Modeling (SEM) path analysis showed that the job satisfaction facets of career advancement and satisfaction with supervisor had a direct impact on organizational commitment. Employee empowerment, job-motivating potential, effective leadership, acceptance by co-workers, role ambiguity and role conflict were also important determinants of organizational commitment. Interestingly, post hoc analyses showed that satisfaction with co-workers only had an indirect impact on organizational commitment.
  
  
  CONCLUSIONS
  While there has been extensive research on organizational commitment and its antecedents in healthcare organizations, most previous studies have been limited either to a single employee group or to a single time frame. This study proposes a practical causal model of antecedents of organizational commitment that tests relationships across time and across different healthcare employee groups.
authors.affiliation: Faculty of Business Administration, Simon Fraser University, Burnaby, Canada. scaykoyl@sfu.ca
authors.forename: Sinan
authors.initials: S
authors.lastname: Caykoylu
authors.forename: Carolyn P
authors.initials: CP
authors.lastname: Egri
authors.forename: Stephen
authors.initials: S
authors.lastname: Havlovic
authors.forename: Christine
authors.initials: C
authors.lastname: Bradley
mesh_terms: D000328:Adult; D000488:Allied Health Personnel / Q000523:psychology*; D002170:Canada; D003625:Data Collection; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009042:Motivation; D009726:Nurses / Q000523:psychology*