Atinga Roger A, Domfeh Kwame A, Kayi Esinam, Abuosi Aaron, Dzansi Gladys
Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana.
J Nurs Manag. 2014 Mar;22(2):159-69. doi: 10.1111/jonm.12178. Epub 2013 Dec 30.
To examine the effects of perceived workplace politics in hospitals on nurses' job satisfaction, commitment, exit intention, job neglect, absenteeism and performance.
One of the factors contributing to nurses' poor advancement in clinical practice is the existence of petty politics, which has given rise to competing self-interest. However, little evidence exists to inform policy direction on the implication of politics on nurses' behaviour.
A total of 610 nurses comprising associate and nursing professionals completed a structured questionnaire modelled on workplace politics and its outcome variables. Descriptive statistics and mean comparisons were used to analyse data. A multivariate regression model was computed to examine association between perceived politics and nurses' behavioural intentions.
Perceived politics potentially leads to decline in job satisfaction, commitment and work performance. However, perceived workplace politics is associated with high intention to leave, negligent behaviour and absenteeism.
Measures aimed at improving nursing management and health-care delivery should be directed at minimising the use of politics to promote self-interest.
Evidence-based best practices in nursing management centred on the creation of an enabling environment for nurses to participate in decision-making should be given critical attention.
探讨医院中感知到的职场政治对护士工作满意度、职业承诺、离职意愿、工作疏忽、旷工及工作表现的影响。
职场中存在的小团体政治导致个人利益冲突，这是护士在临床实践中职业发展不佳的因素之一。然而，关于政治对护士行为影响的政策指导方面的证据很少。
共有610名助理护士和专业护士完成了一份基于职场政治及其结果变量的结构化调查问卷。采用描述性统计和均值比较分析数据。计算多元回归模型以检验感知到的政治与护士行为意向之间的关联。
感知到的政治可能导致工作满意度、职业承诺和工作表现下降。然而，感知到的职场政治与高离职意愿、疏忽行为和旷工有关。
旨在改善护理管理和医疗服务的措施应致力于尽量减少利用政治来谋取私利的情况。
应以证据为基础的护理管理最佳实践应受到高度重视，这些实践应以营造有利于护士参与决策的环境为核心。
