Occupational commitment and job satisfaction are major predictors of the intention to continue nursing. This study's purpose was to verify the mediating effects of job satisfaction and three components of occupational commitment on the relationship between effort-reward imbalance and the intention to continue nursing. A self-report questionnaire was distributed to 3977 nurses by the nursing department of 12 hospitals in the Tohoku and Kanto districts of Japan in 2013. Of these, 1531 (response rate: 38.5%) nurses returned the questionnaire by mail and the complete data that were provided by 1241 nurses (valid response rate: 31.2%) were analyzed. Structural equation modeling showed that the effort-reward ratio had negative effects on job satisfaction and affective and normative occupational commitment. Job satisfaction and affective and normative occupational commitment had positive effects on the intention to continue nursing, whereas the effort-reward ratio had no direct effect on the intention to continue nursing. Continuance occupational commitment was not a mediator, but it positively influenced the intention to continue nursing. (東北および関東地方の病院に勤務する看護師を対象に、職業コミットメント、職務満足感、努力－報酬不均衡、職業継続意向の関連について調査した。1241名の回答より、職務満足感、情緒的職業コミットメント、規範的職業コミットメントを高めることは、職掌ストレスと職業継続意思との間の緩衝効果を高めるために重要であることが明らかとなった。)
p.49-60
Miho Satoh
Ikue Watanabe
Kyoko Asakura
