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      Relationship between Family-Work and Work-Family Conflict with Organizational Commitment and Desertion Intention among Nurses and Paramedical Staff at Hospitals

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          Abstract

          Background:

          High turnover intention rate is one of the most common problems in healthcare organizations throughout the world. There are several factors that can potentially affect the individuals’ turnover intention; they include factors such as work-family conflict, family-work conflict, and organizational commitment. The aim of this research was to determine the relationship between family-work and work-family conflicts and organizational commitment and turnover intention among nurses and paramedical staff at hospitals affiliated to Shiraz University of Medical Sciences (SUMS) and present a model using SEM.

          Methods:

          This is a questionnaire based cross-sectional study among 400 nurses and paramedical staff of hospitals affiliated to SUMS using a random-proportional (quota) sampling method. Data collection was performed using four standard questionnaires. SPSS software was used for data analysis and SmartPLS software for modeling variables.

          Results:

          Mean scores of work-family conflict and desertion intention were 2.6 and 2.77, respectively. There was a significant relationship between gender and family-work conflict (P=0.02). Family-work conflict was significantly higher in married participants (P=0.001). Based on the findings of this study, there was a significant positive relationship between work-family and family-work conflict (P=0.001). Also, work-family conflict had a significant inverse relationship with organizational commitment (P=0.001). An inverse relationship was seen between organizational commitment and turnover intentions (P=0.001).

          Conclusion:

          Thus, regarding the prominent and preventative role of organizational commitment in employees’ desertion intentions, in order to prevent negative effects of staff desertion in health sector, attempts to make policies to increase people’s organizational commitment must be considered by health system managers more than ever.

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          Most cited references39

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          Work-family conflict and burnout among Chinese doctors: the mediating role of psychological capital.

          The aim of this study was to investigate the relation between work-family conflict and burnout, and the mediating role of psychological capital (PsyCap) in the relation between work-family conflict and burnout, among Chinese doctors. This cross-sectional study was performed during the period of September/October 2010. A questionnaire that comprised work-family conflict assessed by the work-family conflict scale, PsyCap assessed by the PCQ-24 scale and burnout assessed by the Maslach Burnout Inventory-General Survey (MBI-GS), as well as age and gender, was distributed to 1,300 doctors in Liaoning Province, China. A total of 1,011 effective respondents became our final study subjects. Hierarchical linear regression analyses were performed by using SPSS 17.0 to explore the mediating role of PsyCap in the relation between work-family conflict and burnout. Both work interfering family conflict (WIF) and family interfering work conflict (FIW) were positively related with emotional exhaustion and cynicism among both male and females doctors. However, WIF was positively related with professional efficacy only among male doctors, whereas FIW was negatively related with professional efficacy among both male and female doctors. PsyCap partially mediated the relation between WIF and professional efficacy among male doctors and partially mediated the relations of FIW with emotional exhaustion, cynicism and professional efficacy among female doctors. Work-family conflict was associated with burnout among Chinese doctors. PsyCap was a mediator between work-family conflict and burnout. PsyCap might be a positive resource to reduce the negative effect of work-family conflict on burnout of doctors, especially female doctors, in China.
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            Work–family conflict, perceived supervisor support and organizational commitment among Brazilian professionals

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              The relationship between work arrangements and work-family conflict.

              A review of the literature determined that our understanding of the efficacy of flexible work arrangements (FWA) in reducing work-family conflict remains inconclusive.
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                Author and article information

                Journal
                Int J Community Based Nurs Midwifery
                Int J Community Based Nurs Midwifery
                International Journal of Community Based Nursing and Midwifery
                Shiraz University of Medical Sciences (Iran )
                2322-2476
                2322-4835
                April 2016
                : 4
                : 2
                : 107-118
                Affiliations
                [1 ]Community Based Psychiatric Care Research Center, Department of Health Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
                [2 ]Student Research Committee, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
                [3 ]Anesthesiology and Critical Care Research Center, Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
                [4 ]Department of Health Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
                Author notes
                Corresponding author: Mehrdad Askarian, MD, MPH; Department of Community Medicine, School of Medicine, Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, P.O. Box: 71345-1737, Shiraz, Iran Tel\Fax: +98 71 32354431; askariam@ 123456sums.ac.ir
                Article
                IJCBNM-4-107
                4876779
                27218108
                e99e124a-5ba0-4d6b-827a-6ce48218d17b
                Copyright: © International Journal of Community Based Nursing and Midwifery

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 27 April 2015
                : 26 September 2015
                : 01 October 2015
                Categories
                Original Article

                family-complications,job satisfaction,personnel turnover,workload

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