A Literature Review on the Determinants of Organizational Commitment in the Nursing Field

Abstract

This study aimed to systematically organize the determinants of organizational commitment (OC) among nurses and provide implications for nursing management. Literature published between 2000 and 2025 was extracted from PubMed, CINAHL, Web of Science, and Ichu-shi Web, focusing on quantitative and qualitative studies in clinical, community, and educational settings. The selection process followed PRISMA guidelines, and the quality of studies was assessed using the Mixed Methods Appraisal Tool (MMAT) when appropriate.

The analysis revealed five categories of determinants: (1) individual and psychological factors, (2) job characteristics, (3) work environment and leadership, (4) organizational factors, and (5) work–life and health-related factors. In particular, job satisfaction, fair treatment, supportive leadership, and the strengthening of professional identity were key contributors to higher OC, while heavy workloads and role conflicts were associated with lower OC. To enhance nurses’ organizational commitment, a multi-layered approach integrating psychological resource support, fair human resource management, job redesign, supportive leadership, and work–life balance initiatives was suggested as effective.