Investigating the Relationship between Missed/Rationed Nursing Care and Organizational Commitment in Nurses

Abstract

Abstract Background The primary objective of the nursing profession is to deliver comprehensive and suitable nursing care that aligns with the individual requirements of patients. However, instances of missed/rationed nursing care can jeopardize the provision of complete and secure healthcare, potentially endangering patients' lives. The level of organizational commitment demonstrated by nurses is likely to impact several individual and organizational factors. This study examines the relationship between missed/rationed care and organizational commitment. Methods This is a descriptive and cross-sectional study and 300 nurses working in general and intensive critical care units of Tehran University of Medical Sciences hospitals were randomly selected in 2023. Data collection included Allen and Mayer's organizational commitment questionnaires, Kalish's missed care questionnaire, and demographic variables. A multiple linear regression model was used to analyze the prediction of missed care by commitment and other variables. Results Half of the nurses reported occasionally missing nursing care. Additionally, more than half of the nurses reported moderate organizational commitment in all dimensions. The most significant reasons identified by nurses for missed care were financial resources, human resources, and communication (p < 0.001). There was a significant relationship between missed/rationed nursing care and organizational commitment (p = 0.042). In the multiple regression equation, a significant portion of missed care due to commitment was predicted when considering demographic variables (p < 0.001). Conclusions Managers should prioritize addressing missed/rationed care to minimize its occurrence and improve healthcare quality, thereby preventing associated costs and consequences. Nursing managers should implement strategies to improve nurses' commitment status, reduce turnover rates, and enhance the quality of nursing care.