Association Between Organizational Commitment and the Working Environment Among Care Workers in Long-Term Care Facilities: A Cross-Sectional Study

Aim: To examine the association between organizational commitment and working environment among care workers in long-term care facilities. Design: A cross-sectional study. Methods: The study was carried out on a total of 282 care workers in 22 long-term care facilities (LTCFs) in Hangzhou City, Zhejiang Province, China. The data were collected using a Demographic Questionnaire, the Organizational Commitment Questionnaire of Chinese Employees and GallupWorkplace Audit. Results: The mean organizational commitment scores of the care workers were 59.62 ± 9.34. The mean working environment scores of the care workers were 42.65 ± 5.61. A statistically significant positive relationship was found between organizational commitment scores and working environment scores (r = 0.541, P = 0.003). Furthermore, the multiple linear regression analysis indicated that the working environment was an independent factor influencing organizational commitment. Conclusions: The results of the study demonstrated a significant association between organizational commitment and the working environment of care workers. Care workers who hold a more positive perception of their working environment exhibit a higher level of organizational commitment. Implication for nursing management: LTCFs should focus on improving the working environment to enhance organizational commitment, which in turn contributes to the effective attraction and retention of care workers. Strategies to achieve this may include offering targeted training programs and providing comprehensive support systems for care workers.