Hekimlerin ve Hemşirelerin Örgütsel Bağlılıklarını Artırmayı Sağlayan Faktörler

Yıl 2011, Cilt: 13 Sayı: 3, 49 - 64, 01.09.2011

Doç.dr.serap Benligiray Yrd.doç.dr.harun Sönmez

Öz

Örgütsel bağlılığın arttırılabilmesi için, bağlılığı etkileyen faktörlerin bilinmesi ve ona uygun önlemlerin alınması büyük önem taşır. Çünkü örgütsel bağlılığı etkileyen çok sayıda faktör vardır; daha kısa zamanda, daha az maliyetle, en iyi sonuca ulaşabilmek için en etkili faktörü/faktörleri saptamak ve buna/bunlara ilişkin düzenlemeler yapmak gerekir. Bu araştırmanın amacı, hekimlerin ve hemşirelerin örgüte bağlılıklarını etkileyen faktörleri tespit etmek ve bu faktörler dikkate alınarak örgütsel bağlılıklarının artırılması için yapılabilecekler konusunda öneriler sunmaktır. Bu amaca ulaşmak için Ankara’da 500 yatak ve üzeri büyüklükteki yedi devlet hastanesi ile üç tıp fakültesi hastanesinde çalışan 766 katılımcıdan (411 hekim ve 355 hemşire) elde edilen verilere faktör analizi uygulanmıştır. Ayrıca hekimlerin ve hemşirelerin örgüte duygusal, devamlılık ve normatif bağlılıklarını en iyi açıklayan faktör ile yaş, cinsiyet, eğitim durumu, kıdem, çalışılan kurum ve meslek arasındaki ilişkiler analiz edilmiştir.

Anahtar Kelimeler

Örgütsel bağlılık, Duygusal bağlılık, Devamlılık bağlılığı, Normatif bağlılık, Faktör analizi

Increasing Factors of Organizational Commitment of Medical Doctors and Nurses

Öz

In order for organizational commitment to be increased, it is vital to know the factors that affect commitment and to take measures accordingly. Because there are numerous factors that affect organizational commitment, it is needed to determine the most effective factor(s) and to set relevant regulations in order to reach the optimum result in shorter time and with less cost. The aim of this study is to determine the factors that affect medical doctors’ and nurses’ commitment to the organization and to present suggestions on what can be done so as to increase their organizational commitment by considering the factors. With this aim, factor analysis has been applied to the data gathered from 766 participants (411 md.s and 355 nurses) who work at seven public and three medicine faculty hospitals with a capacity of 500 beds+ in Ankara. Also relationships between the best explanatory factor, associated with affective commitment, continuance commitment, and normative commitment of medical doctors and nurses, with some variables such as age, gender, education, seniority, studied institutions, and profession are analyzed.

Anahtar Kelimeler

Organizational commitment, Affective Commitment, Continuance Commitment, Normative Commitment, Factor analysis

Kaynakça

• Abdulla, Mohamed H.A. ve Shaw, Jason D. (1999), Personal factors and organiza- tional commitment: Main and interac- tive effects in the United Arab Emirates, Journal of Managerial Issues, 11:6, s. 77–93
• Al-Ajmi, Rastied (2006), The effect of gender on job satisfaction and organizational commitment in Kuwait, International Journal of Management. 23: 4, s. 838- 943. (http://www.allbusiness.com/po- pulation-demographics/demographic- groups/134779451.html)
• Allen, Nathalie J. ve Meyer, John P. (1990), The Measurement and antecedents of affective, continuance and normative commitment to the organization, Jour- nal of Occupational &Organizational Psychology, 63:1, s. 18-38.
• Aven, Forrest, Parker, Barbara ve McEvoy, Glenn M. (1993), Gender and attitudinal commitment to organizations: A meta- analysis. Journal of Business Research 26:1, s. 63-73.
• Bateman, Thomas S. ve Strasser, Stephen (1984), A longitudinal analysis of the antecedents of organizational commit- ment, Academy of Management Jour- nal, 27:1, s. 95-112.
• Ben-Bakr, Khaled A.; Al-Shammari, IDS, ve Jefri, Omara A (1994), Organizational Commitment, Satisfaction And Turno- ver İn Saudi Organizations: A Predic- tive Study, Journal of Socio-Economics, 23:4, s. 449-456.
• Benkhoff, Birgit, (1997), Ignoring commit- ment is costly: new approaches estab- lish commitment and performance, human relations, 50: 6, s. 701-726. between
• Blau, Gary (1988), An investigation of the apprenticeship organizational sociali- zation strategy, Journal of Vocational Behavior, 32: 2, s. 176-195.
• Brett, Joan F.; Cron, William L. ve Slocum, Jr John W. (1995), Economic dependency on work: A moderator of the relations- hip between organizational commit- ment and performance, The Academy of Management Journal, 38: 1, s. 261- 271.
• Bruning, Nealia S., ve Snyder, Robert A (1983), Sex and position as predictors of organizational commitment. Academy of Management Journal, 26: 3, s. 485- 491.
• Buchko, Aaron A.; Weinzimmer, Laurence G. and Sergeyev, Alexander V. (1998), Effects of cultural context on the ante- cedents, correlates and consequences of organizational commitment: A study of Russian workers. Journal of Business Research, 43: 3, 109-116.
• Cengiz, Ayşe Aytül (2001), Kişisel Özellikle- rin Örgütsel Bağlılık Üzerindeki Etkileri ve Eskişehir'de Sağlık Personeli Üze- rinde Bir Uygulama, Basılmamış yük- sek lisans tezi.
• Clugston, Michael (2000), The mediating ef- fects of multidimensional commitment on satisfaction and intent to leave. Jo- urnal of Organizational Behavior, 21: 4, s.477-486.
• Cohen, Aaron (1993), Organizational com- mitment and turnover: A meta-analysis, Academy of Management Journal, 36: 5, s. 1140-1157.
• Colarelli, Stephen M.; Dean, Roger A.; Cons- tantine, Konstans. (1987), Comparative effects of personal and situational influ- ences on job outcomes of new profes- sionals, Journal of Applied Psychology, 72: 2, s. 560.
• Colbert, Amy E. and Kwon, Gale L. (2000), Factors related to the organizational commitment of college and university auditors, Journal of Managerial Issues, 12 :4, s. 484-501.
• DeConinck, James B. ve Bachmann, Duane P. (1994), organizational commitment and turnover ıntentions of marketing managers., Journal of Applied Business Research, 10: 3, s. 87-95.
• Decotiis, Thomas A. ve Summers, Timothy P. (1987), A path analysis of a model of the antecedents and consequences of or- ganizational commitment, Human Re- lations, 40: 1, s. 445-470.
• Deery, Margaret A. ve Iverson, Rick (1996), Enhancing productivity: ıntervention strategies for employee turnover, in Productivity Management in Hospita- lity and Tourism, N. Johns (Ed.), Lon- don: Cassell, 68-95.
• Dick Gavin ve Metcalfe, Beverly (2001), Ma- nagerial factors and organisational commitment - A comparative study of police officers and civilian staff, The In- ternational Journal of Public Sector Ma- nagement, 14: 2, s.111-128.
• Eby, Lillian T., Freeman, Deena M., Rush, Michael C. ve Lance, Charles E., (1999), Motivational bases of affective organi- zational commitment: a partial test of an integrative theoretical model, Jour- nal of Occupational and Organizational Psychology, 72: 4, s. 463-483.
• Gümüş, Murat; Hamarat, Bahattin ve Erdem, Haluk (2003). Örgütsel bağlılı- ğın iş mükemmelliği ile ilişkisinin otel işletmelerinde belirlenmesine yönelik bir araştırma, 11. Yönetim ve Organi- zasyon Kongresi, 22-24 Mayıs, Afyon, Kocatepe Üniversitesi, Bildiriler Kitabı, s. 987-998.
• Hrebiniak, Lawrence G. ve Alutto, Joseph A. (1972), Personal and role-related factors in the development of organizational commitment, Administrative Science Quarterly, 17: 4, s. 555-573.
• Huselid, Mark A. ve Nancy, E. Day (1991:380), Organizational commit- ment, job ınvolvement, and turnover: a substantive and methodological analy- sis, Journal of Applied Psychology , 76: 3, 380–391.
• Iverson, Rick (1996), Employee acceptance of organizational change: The role of or- ganizational commitment, International Journal of Human Resource Manage- ment, 7: 1, s. 122.
• Karatepe Osman ve Halıcı Alptekin (1998), İş Tatmininin örgütsel bağlılık üzerin- deki etkilerine yönelik ampirik bir de- ğerlendirme, 6. Ulusal Yönetim ve Organizasyon Kongresi, Eskişehir, Ana- dolu Üniversitesi, Bildiriler Kitabı, s. 155.
• Kumar, B Pavan ve Giri, Vijai N. (2009), Ef- fect of age and experience on job satis- faction commitment, Journal of Organizational Behavior, 8: 1, s.28-36. organizational
• Lamsa, Anna-Maija ve Savolanien, Taina (2000), The Nature of managerial com- mitment to strategic change, Leadership & Organization Development Journal, 21: 6, s.36.
• Mathieu, John E. ve Zajac, Dennis M. (1990), A review and meta-analysis of the ante- cedents, correlates, and consequences of organizational commitment, Psycholo- gical Bulletin, 108:2, s.190.
• Meyer, John P. ve Allen, Nathalie J. (1988), Links between work experiences and organizational commitment during the first year of employment: A longitudi- nal analysis. Journal of Occupational Psychology, 61 (??), s. 195-209.
• Meyer, John P. ve Allen, Nathalie J. (1991), A three component conceptualization of organizational commitment, Human Resource Management Review, 1:1, s. 61-89.
• Meyer, John P. ve Allen, Nathalie J. (1997), Commitment in the workplace, theory, research and application. London: Sage Publications, Inc.
• Meyer, John P.; Stanley David J.; Hersco- vitch, Lynne ve Topolnytsky, Laryssa (2002), Affective, continuance and nor- mative commitment to the organiza- tion: A meta – analysis of antecedents, correlates and consequences. Journal of Vocational Behavior, 61: 1, s. 20 – 52.
• Morris, James H. ve Sherman, J.Daniel (1981), Generalizability of organisatio- nal commitment model. Academy of Management Journal, 24: 3, s. 512-526.
• Mowday, Richard T.; Porter, Lyman W. ve Dubin, R.obert (1974), Unit perfor- mance, situational factors and emplo- yee attitudes in spatially separated work units, Organizational Behavior and Human Performance, 12: 2, s. 231- 248.
• Mowday, Richard T.; Steers, Richard M. ve Porter, Lyman W. (1979), The measure- ment of organizational commitment. Jo- urnal of Vocational Behavior, 14: 2, s. 224.
• Ngo, H. Y. ve Tsang, A. W. N. (1998), Em- ployment practices and organizational commitment: Differential effects for men and women?, The International Jo- urnal of Organizational Analysis, 6: 3, s. 251-266.
• Obeng, Kofi ve Ugboro, Isaiah (2003), Orga- nizational commitment among public transit employees: An assessment study, Journal of The Transportation Research Forum, 57: 2, s. 83-98.
• Organ, Dennis W. ve Ryan, Katherine (1995), A meta-analytic review of attitudinal and dispositional predictors of organi- zational citizenship, behavior, Personel Psychology, 48: 4, s.778.
• Saygun, Meray; Çakmak, Aytül ve Köse, S.Kenan (2006), Kırıkkale ilinde üç farklı hastanede çalışan hekimlerin mesleki iş doyumu, Türkiye Klinikleri Tıp Bilimleri Dergisi, 24: 3, s. 226, http://www.tipbilimleri.com
• Sommers, S Steven M.; Bae, Seung-Hyun ve Luthans, F Fred (1996), Organizational commitment across cultures: The im- pact of antecedents of Korean emplo- yees, Human Relations, 49: 7, s. 977–993.
• Steers, Richard M. (1975), Task-goal attribu- tes, achievement, and supervisory per- formance, Organizational Behavior and Human Performance, 13: 3, s. 392-403.
• Stewart, Susan M.; Bing, M.ark N.; Gruys Melissa L. ve Helford, Michael C. (2007), Men, women and perceptions of work environments, organizational commitment and turnover intentions”, Journal of Business and Public Affairs 1: 1, Elektronik dergi: http://www.sci- entificjournals.org/journals2007/artic- les/1035.htm (Erişim: 3 Aralık 2010)
• Varoğlu, Demet (1993), Kamu sektörü çalı- şanlarının işlerine ve kuruluşlarına karşı tutumları, bağlılıkları ve değerleri, Yayınlanmamış Doktora Tezi.
• Wahn, Judy C. (1988), Sex differences in the continuance component of organizatio- nal commitment, Group & Organizatio- nal Management, 23:3, 256-268.
• Wasti, S. Arzu (2003), Organizational com- mitment, turnover ıntentions and the influence of cultural values, Journal of Occupational Psychology, 76: 3, s. 303-321. Organizational
• Yıldırım, Fatma (2002), Çalışma yaşamında örgüte bağlılık ve örgütsel adalet iliş- kisi, Basılmamış Doktora Tezi.
• ---------2002 Ankara Tabip Odası Üyelerinin Mesleki ve Sağlık Alanına Yönelik Görüş ve Tutumları Araştırması, An- kara: Ankara Tabip Odası Yayını.
• ----------(2001), International Labour Orga- nization. “What is workplace stress?”. http://www.ilo.org/safework/lang-- en/index.htm http://www.ilo.org/public/en- glish/protection/safework/stress/wha tis.htm (Ulaşım tarihi:01.04.2010). and