Painter J, Akroyd D
East Carolina University, Occupational Therapy Department, Belk Building, Greenville, NC, 27858.
Occup Ther Health Care. 1998;11(2):1-15. doi: 10.1080/J003v11n02_01.
Organizational commitment may have an important influence on work related outcomes (attrition, absenteeism, burnout, tardiness, and job performance) particularly during times of health care organizational turmoil and change. This study used a correlational research design with multiple regression analysis to determine the predictive power of extrinsic and intrinsic rewards as determinants of organizational commitment among occupational therapists (OTRs) working full-time in ambulatory care and hospital settings. Task involvement was a significant predictor of OTRs' commitment in both ambulatory care and hospital settings. General working conditions and task autonomy were significant determinants of commitment among OTRs working in ambulatory care settings. Salary and supervision were significant predictors of commitment among hospital OTRs. Given the demand for OTRs in ambulatory care and hospital settings, a better understanding of significant determinants that influence organizational commitment among OTRs could prove beneficial in developing recruitment and retention job design strategies.
组织承诺可能对与工作相关的结果（人员流失、旷工、倦怠、迟到和工作绩效）产生重要影响，尤其是在医疗保健组织动荡和变革时期。本研究采用相关研究设计和多元回归分析，以确定外在和内在奖励作为在门诊护理和医院环境中全职工作的职业治疗师（OTR）组织承诺决定因素的预测能力。任务参与是门诊护理和医院环境中OTR承诺的重要预测因素。一般工作条件和任务自主性是门诊护理环境中工作的OTR承诺的重要决定因素。薪资和监督是医院OTR承诺的重要预测因素。鉴于门诊护理和医院环境对OTR的需求，更好地理解影响OTR组织承诺的重要决定因素可能有助于制定招聘和留用工作设计策略。
