Psychological Well-Being, Organizational Commitment, and Intention to Stay Among Staff Nurses
DOI:
https://doi.org/10.5281/zenodo.21429324Keywords:
Intention to stay, nurses, organizational commitment, psychological well-being, retentionAbstract
Nurse retention remains a major challenge for healthcare systems, particularly in public hospitals where heavy workloads, workforce shortages, and limited resources contribute to high turnover. Although psychological well-being and organizational commitment have been recognized as important determinants of retention, evidence on their combined influence on nurses' intention to stay in rural public hospitals remains limited.This study examined the influence of psychological well-being and organizational commitment on the intention to stay among staff nurses at Bukidnon Provincial Hospital–Maramag. A descriptive-correlational design was utilized, involving 118 staff nurses selected through total enumeration sampling. Data were collected using standardized questionnaires measuring psychological well-being, organizational commitment, and intention to stay. Descriptive statistics, Pearson correlation, and multiple regression analysis were employed. Findings revealed that psychological well-being, organizational commitment, and intention to stay were all at high levels. Correlation analysis showed that most variables were significantly related to intention to stay, except for personal growth. Multiple regression analysis identified enthusiasm to work hard as the only significant predictor of intention to stay. The results highlight that motivation and work engagement are critical determinants of nurse retention. It is recommended that healthcare institutions implement wellness programs, recognition systems, and supportive work environments to enhance nurse retention.
References
Abd-Alazim, M. (2024). Psychometric properties of the Arabic version of the Organizational Commitment Questionnaire-Revised (OCQ-R) in educational settings. Academic International Journal of Social Sciences and Humanities, *2*(2), 1–10. https://doi.org/10.59675/S221
Al-Hussami, M. (2008). A study of nurses' job satisfaction: The relationship to organizational commitment, perceived organizational support, transactional leadership, transformational leadership, and level of education. European Journal of Scientific Research, *22*(2), 286–295. https://www.europeanjournalofscientificresearch.com
Alibudbud, R. C. (2023). Addressing nurse burnout and shortages in the Philippines: The critical role of supportive work culture. International Nursing Review, *70*(1), 12–20. https://doi.org/10.1111/inr.12807
Bakker, A. B., & Demerouti, E. (2007). The Job Demands–Resources model: State of the art. Journal of Managerial Psychology, *22*(3), 309–328. https://doi.org/10.1108/02683940710733115
Berdida, D. J. E., & Grande, R. A. N. (2023). Academic stress, COVID-19 anxiety, and quality of life among nursing students: The mediating role of resilience. International Nursing Review, *70*(1), 34–42. https://doi.org/10.1111/inr.12774
Cowden, T. L., & Cummings, G. G. (2015). Nursing theory and concept development: A theoretical model of clinical nurses' intentions to stay in their current positions. Journal of Advanced Nursing, *71*(7), 1646–1657. https://doi.org/10.1111/jan.12640
Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, *11*(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01
Diana, M. P. L. J., Cercado, F. G., Chiu, P. Z., De Justo, P. A., De Silva, A. R., & Oducado, R. M. F. (2023). Filipino nursing students' health-promoting behaviors during the pandemic. Nurse Media Journal of Nursing, *13*(1), 1–11. https://doi.org/10.14710/nmjn.v13i1.49896
Dyrbye, L. N., Johnson, P. O., Johnson, L. M., Satele, D., & Shanafelt, T. D. (2020). Efficacy of the Well-Being Index to identify distress and stratify well-being in nurses and other health care workers. Journal of Nursing Administration, *50*(10), 531–537. https://doi.org/10.1097/NNA.0000000000000930
Hayes, L. J., O'Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Laschinger, H. K. S., North, N., & Stone, P. W. (2012). Nurse turnover: A literature review—An update. International Journal of Nursing Studies, *49*(7), 887–905. https://doi.org/10.1016/j.ijnurstu.2011.10.001
Hom, P. W., Lee, T. W., Shaw, J. D., & Hausknecht, J. P. (2017). One hundred years of employee turnover theory and research. Journal of Applied Psychology, *102*(3), 530–545. https://doi.org/10.1037/apl0000103
International Council of Nurses. (2022). The global nursing shortage and nurse retention. https://www.icn.ch
Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, *82*(6), 1007–1022. https://doi.org/10.1037/0022-3514.82.6.1007
Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2012). Authentic leadership, empowerment and burnout: A comparison in new graduates and experienced nurses. Journal of Nursing Management, *20*(3), 522–532. https://doi.org/10.1111/j.1365-2834.2011.01375.x
Meyer, J. P., & Allen, N. J. (1997). Commitment in the workplace: Theory, research, and application. Sage Publications.
Meyer, J. P., Stanley, D. J., Herscovitch, L., & Topolnytsky, L. (2002). Affective, continuance, and normative commitment to the organization: A meta-analysis of antecedents, correlates, and consequences. Journal of Vocational Behavior, *61*(1), 20–52. https://doi.org/10.1006/jvbe.2001.1842
Oducado, R. M. F., Rabacal, J. S., Moralista, R. B., & Tamdang, K. A. (2021). Perceived stress due to the COVID-19 pandemic among employed professional teachers. International Journal of Educational Research and Innovation, (15), 305–316. https://doi.org/10.46661/ijeri.5284
Penconek, T., Ralph, E., & Fernandez, M. (2024). A systematic review of factors influencing nurse retention and intention to stay. Journal of Nursing Scholarship, *56*(4), 445–463. https://doi.org/10.1111/jnu.12962
Pressley, T. D., Chen, S., & McCarthy, M. (2023). Predictors of nurses' intention to stay: A systematic review and meta-analysis. International Journal of Nursing Studies, *145*, 104623. https://doi.org/10.1016/j.ijnurstu.2023.104623
Pu, J., Xie, H., & Yuan, S. (2024). Psychological resilience and intention to stay among nurses: The mediating role of perceived organizational support. Frontiers in Psychology, *15*, Article 1407206. https://doi.org/10.3389/fpsyg.2024.1407206
Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, *61*, 101860. https://doi.org/10.1016/j.cedpsych.2020.101860
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, *57*(6), 1069–1081. https://doi.org/10.1037/0022-3514.57.6.1069
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, *69*(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719
Sapar, L. C., & Oducado, R. M. F. (2021). Revisiting job satisfaction and intention to stay: A cross-sectional study among hospital nurses in the Philippines. Nurse Media Journal of Nursing, *11*(2), 133–143. https://doi.org/10.14710/nmjn.v11i2.33898
Shanafelt, T. D., & Noseworthy, J. H. (2019). Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings, *92*(1), 129–146. https://doi.org/10.1016/j.mayocp.2016.10.004
Tang, J. H.-C., & Hudson, P. (2019). Evidence-based practice guideline: Nurse retention for nurse managers. Journal of Gerontological Nursing, *45*(11), 11–19. https://doi.org/10.3928/00989134-20191011-03
Van Bogaert, P., Kowalski, C., Weeks, S. M., Van Heusden, D., & Clarke, S. P. (2013). The relationship between nurse practice environment, nurse work characteristics, burnout, and job outcome and quality of nursing care: A cross-sectional survey. International Journal of Nursing Studies, *50*(12), 1667–1677. https://doi.org/10.1016/j.ijnurstu.2013.05.010
Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Predictors of burnout, work engagement, and nurse-reported job outcomes and quality of care: A mixed-method study. BMC Nursing, *16*, Article 5. https://doi.org/10.1186/s12912-016-0200-4
Wang, H., Liu, Y., Hu, K., Zhang, M., Du, M., Huang, H., & Yue, X. (2020). Healthcare workers' stress when caring for COVID-19 patients: An altruistic perspective. Nursing Ethics, *27*(7), 1490–1500. https://doi.org/10.1177/0969733020934146
World Health Organization. (2022). State of the world's nursing 2022: Investing in education, jobs and leadership. https://www.who.int/publications
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 International Journal of Research on Multidisciplinary Studies
This work is licensed under a Creative Commons Attribution 4.0 International License.
