Multilevel Antecedents of Professional Engagement, Job Performance and Intention to Leave the Nursing Profession of Governmental Hospital Registered Nurses in Bangkok Metropolitan Area

Abstract

The purpose this research were: (1) to study the direct effect of environment  factor  and  psychological  characteristic  factor on professional engagement (2)  to study direct effect of professional engagement on the job performance and intention to leave the nursing profession (3)  to study the indirect effect of environmental factor and psychological characteristic factor on the job performance and intention to leave the nursing profession  (4) to study cross - level direct effect of  environmental  factor  functions  as  group-level  variable  on  professional  engagement (5) to study cross - level indirect effects of group-level environmental factors on the job performance and intentions to leave the nursing profession. The sample was composed of 535 nurses from 111 work-groups who were working in Bangkok metropolitan area. The sampling method was multi-stage sampling. The questionnaires of eleven measures were used for data collecting. The research findings were as follow: the causal model of professional engagement, job performance and intention to leave the nursing profession is valid and well fitted to empirical data ( =461.629, df=156, CFI=0.962, TLI=0.947, RMSEA=0.061). In individual level, only person-profession fit had direct effect on profession engagement.  In group level, team cohesion that functions as group level variable had cross - level direct effect on profession engagement, person-profession fit, organization justice, positive psychological capital, and nurse^, self-concept that function of group-level variables. In addition, team cohesion had an indirect influence on intention to leave the nursing profession through organization justice. Moreover, team cohesion had an indirect influence on job performance through nurses^, self-concept, that functions of group level variables.