ปัจจัยเชิงเหตุพหุระดับความยึดมั่นผูกพันในวิชาชีพพยาบาล ผลการปฏิบัติงาน และความตั้งใจในการออกจากวิชาชีพของพยาบาลวิชาชีพ โรงพยาบาลรัฐ กรุงเทพมหานคร

Abstract

Multilevel Antecedents of Professional Engagement, Job Performance and Intention to Leave the Nursing Profession, among Governmental Hospital Registered Nurses in the Bangkok Metropolitan AreaAbstract The purposes of this research were: (1) to study the patterns of the direct effect of environmental and psychological characteristics factors on professional engagement, (2) to study the patterns of the direct effect of professional engagement on job performance and intention to leave the nursing profession, (3) to study the patterns of the indirect effect of the environmental factor and psychological characteristics factor on job performance and intention to leave the nursing profession, (4) to study the patterns of the direct cross-level effect of environmental  factor  functions  of  the group-level  variable  on  professional  engagement and (5) to study the patterns of the indirect cross-level effects of environmental factor functions of the group-level variable on job performance and intentions to leave the nursing profession. The sample was composed of 535 nurses from 111 workgroups who were working in the Bangkok metropolitan area. The sampling method was multi-stage sampling. Eleven questionnaires were used for data collecting. The research findings were as follows: the causal model of professional engagement, job performance and intention to leave the nursing profession is valid and well-fitted to the empirical data (x2=461.629, df=156, CFI=0.962, TLI=0.947, RMSEA=0.061). At the individual level, only person-profession fit had a direct effect on professional engagement.  At the group level, team cohesion functions of the group-level variable had a direct cross-level effect on professional engagement, person-profession fit and positive psychological capital, as functions of group-level variables. Team cohesion functions of the group-level variable had an indirect influence on the intention to leave the nursing profession through organizational justice. According to the study, team cohesion functions of the group-level variable had an indirect influence on job performance through nurses’ self-concepts, as functions of group-level variables. Keywords: Professional engagement, Intention to leave the nursing profession