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The boundary-spanning behavior of nurses: The role of support and affective organizational commitment.
Health Care Manage Rev. 2020 Apr/Jun; 45(2):130-140.HC

Abstract

AIM

The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships.

BACKGROUND

Registered nurses play a key role in hospitals, as they have an important impact on the quality of the services delivered. For nurses to perform at their best, they need organizational, leader, and coworker support. To date, few studies have explored the link between nurses' perceived support, affective organizational commitment, and boundary-spanning behaviors.

METHODS

This cross-sectional research used a questionnaire survey to explore the hypothesized relationships in a sample of 273 nurses from a hospital in Belgium. Structural equation modeling was used for statistical analysis of the mediation model.

RESULTS

One hundred forty-seven (53.5%) nurses responded to the survey. Perceived support from the organization, supervisors, and coworkers positively influences nurses' boundary-spanning behaviors. Affective organizational commitment was found to mediate the positive relationship between perceived organization support, perceived coworker support, and boundary-spanning behaviors. Perceived supervisor support and boundary-spanning behaviors showed a direct relationship not mediated by affective organizational commitment.

CONCLUSIONS

Perceived support has an important influence on the boundary-spanning behavior of nurses. This study emphasizes the importance on how support exerts an influence on boundary-spanning behavior and underscores the importance of affective organizational commitment. Health care organizations, supervisors, and coworkers are essential in fostering boundary-spanning behaviors of nurses, both directly and through the development of affective organizational commitment. These actors should therefore be aware of the way they behave and the implications their behavior may have.

Authors+Show Affiliations

Melissa De Regge, RN, MSc, PhD, is Visiting Professor, Department of Innovation, Entrepreneurship and Service Management, Ghent University, and is University Expert, Strategic Policy Cell, Ghent University Hospital, Belgium. E-mail: Melissa.deregge@ugent.be. Freek Van Baelen, MSc, is Lecturer, Department of Commercial Economics and Entrepreneurship, University College Ghent, Belgium. Sander Aerens, RN, MSc, is Advanced Nurse Practitioner, Department of Geriatrics, Ghent University Hospital, Belgium. Tine Deweer, RN, MSc, is Assistant Head Nurse, General Hospital Glorieux, Ronse, Belgium. Jeroen Trybou, MSc, PhD, is Assistant Professor of Health Care Management & Policy, Department of Public Health, Ghent University, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30045100

Citation

De Regge, Melissa, et al. "The Boundary-spanning Behavior of Nurses: the Role of Support and Affective Organizational Commitment." Health Care Management Review, vol. 45, no. 2, 2020, pp. 130-140.
De Regge M, Van Baelen F, Aerens S, et al. The boundary-spanning behavior of nurses: The role of support and affective organizational commitment. Health Care Manage Rev. 2020;45(2):130-140.
De Regge, M., Van Baelen, F., Aerens, S., Deweer, T., & Trybou, J. (2020). The boundary-spanning behavior of nurses: The role of support and affective organizational commitment. Health Care Management Review, 45(2), 130-140. https://doi.org/10.1097/HMR.0000000000000210
De Regge M, et al. The Boundary-spanning Behavior of Nurses: the Role of Support and Affective Organizational Commitment. Health Care Manage Rev. 2020 Apr/Jun;45(2):130-140. PubMed PMID: 30045100.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The boundary-spanning behavior of nurses: The role of support and affective organizational commitment. AU - De Regge,Melissa, AU - Van Baelen,Freek, AU - Aerens,Sander, AU - Deweer,Tine, AU - Trybou,Jeroen, PY - 2018/7/26/pubmed PY - 2021/6/16/medline PY - 2018/7/26/entrez SP - 130 EP - 140 JF - Health care management review JO - Health Care Manage Rev VL - 45 IS - 2 N2 - AIM: The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. BACKGROUND: Registered nurses play a key role in hospitals, as they have an important impact on the quality of the services delivered. For nurses to perform at their best, they need organizational, leader, and coworker support. To date, few studies have explored the link between nurses' perceived support, affective organizational commitment, and boundary-spanning behaviors. METHODS: This cross-sectional research used a questionnaire survey to explore the hypothesized relationships in a sample of 273 nurses from a hospital in Belgium. Structural equation modeling was used for statistical analysis of the mediation model. RESULTS: One hundred forty-seven (53.5%) nurses responded to the survey. Perceived support from the organization, supervisors, and coworkers positively influences nurses' boundary-spanning behaviors. Affective organizational commitment was found to mediate the positive relationship between perceived organization support, perceived coworker support, and boundary-spanning behaviors. Perceived supervisor support and boundary-spanning behaviors showed a direct relationship not mediated by affective organizational commitment. CONCLUSIONS: Perceived support has an important influence on the boundary-spanning behavior of nurses. This study emphasizes the importance on how support exerts an influence on boundary-spanning behavior and underscores the importance of affective organizational commitment. Health care organizations, supervisors, and coworkers are essential in fostering boundary-spanning behaviors of nurses, both directly and through the development of affective organizational commitment. These actors should therefore be aware of the way they behave and the implications their behavior may have. SN - 1550-5030 UR - https://www.unboundmedicine.com/medline/citation/30045100/The_boundary_spanning_behavior_of_nurses:_The_role_of_support_and_affective_organizational_commitment_ DB - PRIME DP - Unbound Medicine ER -