Department of Economics and Business Administration, Universidad de Málaga, 29071 Málaga, Spain.
Int J Environ Res Public Health. 2021 Feb 25;18(5):2271. doi: 10.3390/ijerph18052271.
Business organisations are subject to high pressure to ensure their sustainability and competitiveness. In the case of healthcare institutions, moreover, there are unique characteristics where human resource management is of vital importance. The workforce in these institutions is at a critical moment where the shortages of qualified staff, burnout, or job dissatisfaction represent some of the detrimental aspects for the performance of the organisation, and more importantly, they diminish the quality of patient care. The promotion of organisational commitment is positioned as one of the tools that organisations have to face this problem. This paper aims to increase knowledge about research trends that analyse organisational commitment in healthcare institutions. To this end, using bibliometric techniques, a sample of 448 publications on this subject from journals indexed in Web of Science between 1992 and 2020 is analysed. The results obtained suggest a growing interest in this subject and a visible concern for the management of human resources in these institutions. Research has focussed mainly on organisational factors related to nursing staff. The most analysed topics have been job satisfaction, the implications of stress and high turnover, burnout syndrome, and the possibility of leaving the job. On the other hand, issues emerged such as empowerment in the workplace and others related to organisational management such as quality of service or performance. Finally, there is a lack of research that deals more deeply with other groups working in health centres, such as doctors or administrative staff. There is also a need for further development in the analysis of the implications of the ideological psychological contract in relation to normative organisational commitment in the field of healthcare organisations. The contribution of this work focusses on expanding knowledge about commitment in healthcare organisations and creating points of support for future research as well as helping healthcare managers make decisions in HR management.
商业组织承受着确保其可持续性和竞争力的巨大压力。在医疗机构的情况下，人力资源管理至关重要，具有独特的特点。这些机构的劳动力正处于关键时刻，合格员工的短缺、倦怠或工作不满等问题是组织绩效的一些不利方面，更重要的是，这些问题降低了患者护理的质量。促进组织承诺被定位为组织应对这一问题的工具之一。本文旨在增加对分析医疗机构组织承诺的研究趋势的了解。为此，使用文献计量学技术，对 1992 年至 2020 年期间在科学网索引的期刊上发表的 448 篇关于该主题的出版物进行了分析。研究结果表明，人们对这个主题越来越感兴趣，并对这些机构的人力资源管理表示关注。研究主要集中在与护理人员相关的组织因素上。分析最多的主题是工作满意度、压力和高离职率的影响、倦怠综合征以及离职的可能性。另一方面，出现了一些问题，如工作场所的赋权以及与组织管理相关的其他问题，如服务质量或绩效。最后，缺乏更深入研究卫生中心其他工作群体的研究，如医生或行政人员。在医疗保健组织领域，还需要进一步发展对思想心理契约的影响与规范组织承诺之间关系的分析。这项工作的贡献在于扩展对医疗保健组织中承诺的了解，并为未来的研究提供支持点，并帮助医疗保健经理在人力资源管理方面做出决策。
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