The Role of Moral Competence in Enhancing Work Engagement among Nurses

Document Type: Original Research

Authors

1 Othman Yeop Abdullah Graduate School of Business, Universiti Utara Malaysia, Sintok, Malaysia

2 School of Business Management, Universiti Utara Malaysia, Sintok, Malaysia

Abstract

The purpose of this study is to investigate the role of moral competence in enhancing work engagement among nurses. A quantitative correlational research and survey method is applied in this study. Staff Nurses of public hospitals in Malaysia were chosen as statistical population and 364 of them were selected as sample through multistage sampling. Data were analyzed by using SPSS and Smart-PLS. The assessment of the measurement model and the assessment of the estimation of the structural model were conducted to test the hypothesis. The result shows a positive and significant relationship between moral competence and work engagement. The findings of this study have posted an important message to healthcare institutions to play a greater role in coordinating and providing nurses a training relating to nurses’ moral competence as an effort as an effort to facilitate nurses to be more resilient in dealing with high job demands and job complexity of nursing tasks, which in turn it will enhances the level of work engagement among nurses.

Keywords


Al-Homayan, A. M. (2013). The Mediating-Moderating Effects of Job Stress and Organizational Support on the Relationship between Job Demands Resources and Nurses' Job Performance in Saudi Public Hospitals (Doctoral dissertation, Universiti Utara Malaysia).
Antoinette-Bargagliotti, L. (2012). Work engagement in nursing: a concept analysis. Journal of advanced nursing68(6), 1414-1428.
Bakker, A. B., Hakanen, J. J., Demerouti, E., & Xanthopoulou, D. (2007). Job resources boost work engagement, particularly when job demands are high. Journal of educational psychology99(2), 274.
Breevaart, K., Bakker, A. B., & Demerouti, E. (2014). Daily self-management and employee work engagement. Journal of Vocational Behavior84(1), 31-38.
Carayon, P., & Gurses, A. P. (2008). Nursing workload and patient safety—a human factors engineering perspective.
Corley, M. C. (2002). Nurse moral distress: a proposed theory and research agenda. Nursing ethics9(6), 636-650.
Countries with the Best Healthcare in the World. (2016). International Living Magazine, 2016: The 2016 Annual Global Retirement Index Retrieved from: https://internationalliving.com/countries-best-healthcare-world/
Fiorilli, C., Albanese, O., Gabola, P., & Pepe, A. (2017). Teachers’ emotional competence, moral competence, and social support: Assessing the mediating role of teacher burnout. Scandinavian Journal of Educational Research61(2), 127-138.
Fornell, C., & Larcker, D. F. (1981). Structural equation models with unobservable variables and measurement error: Algebra and statistics. Journal of marketing research, 382-388.
Freeney, Y. M., & Tiernan, J. (2009). Exploration of the facilitators of and barriers to work engagement in nursing. International Journal of Nursing Studies46(12), 1557-1565.
Freeney, Y., & Fellenz, M. R. (2013). Work engagement as a key driver of quality of care: a study with midwives. Journal of Health Organization and Management27(3), 330-349.
Graban, M. (2016). Lean hospitals: improving quality, patient safety, and employee engagement. CRC press.
Hair, J. F .. Black, W. C., Babin, B. J. & Anderson, R. E. (20 1 0). Multivariate data analysis: A global perspective. (7th ed.). Upper Saddle River, NJ: Pearson.
Hair, J. F., Ringle, C. M., & Sarstedt, M. (2013). Partial least squares structural equation modeling: Rigorous applications, better results and higher acceptance.
Hair, J.F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. Journal of Marketing theory and Practice19(2), 139-152.
Harrison, S., Dowswell, G., & Wright, J. (2002). Practice nurses and clinical guidelines in a changing primary care context: an empirical study. Journal of advanced nursing39(3), 299-307.
Hee, O. C., Kamaludin, N. H., & Ping, L. L. (2016). Motivation and Job Performance among Nurses in the Health Tourism Hospital in Malaysia. International Review of Management and Marketing6(4), 668-672.
Jenaro, C., Flores, N., Orgaz, M. B., & Cruz, M. (2011). Vigour and dedication in nursing professionals: towards a better understanding of work engagement. Journal of advanced nursing67(4), 865-875.
Jormsri, P., Kunaviktikul, W., Ketefian, S., & Chaowalit, A. (2005). Moral competence in nursing practice. Nursing Ethics12(6), 582-594.
Kälvemark Sporrong, S., Arnetz, B., Hansson, M. G., Westerholm, P., & Höglund, A. T. (2007). Developing ethical competence in health care organizations. Nursing Ethics14(6), 825-837.
Kim, T. Y., & Kim, M. (2013). Leaders’ moral competence and employee outcomes: The effects of psychological empowerment and person–supervisor fit. Journal of Business Ethics112(1), 155-166.
Lawrence, L. A. (2011, October). Work engagement, moral distress, education level, and critical reflective practice in intensive care nurses. In Nursing forum (Vol. 46, No. 4, pp. 256-268). Malden, USA: Blackwell Publishing Inc.
Luthans, F. (2002). Positive organizational behavior: Developing and managing psychological strengths. Academy of Management Perspectives16(1), 57-72.
Ma, H. K. (2006). Moral competence as a positive youth development construct: conceptual bases and implications for curriculum development. International Journal of Adolescent Medicine and Health18(3), 371-378.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American psychologist56(3), 227.
Matula, P., & Uon, V. (2016). A causal relationship model work engagement affecting organizational citizenship behavior and job performance of professional nursing. MEJSR.24, 1600-1605.
Moskoei, S., Mohtashami, J., Ghalenoeei, M., Nasiri, M., & Tafreshi, M. Z. (2017). Development and psychometric properties rating scale of “clinical competency evaluation in mental health nurses”: Exploratory factor analysis. Electronic physician9(4), 4155.
Onn, L.P. (2015). What Lies Ahead for Malaysian Healthcare? Economics Working Paper. ISEAS Yusof Ishak Institute.  
Rubel, M. R. B., & Kee, D. M. H. (2013). Perceived support and employee performance: The mediating role of employee engagement. Life Science Journal10(4), 2557-2567.
Sahoo, B. C., Sia, S. K., Sahu, N., & Appu, A. V. (2015). Psychological capital and work attitudes: A conceptual analysis. J Organ Hum Behav4(2), 18-28.
Schaufeli, W. and Bakker, A. (2003), Utrecht Work Engagement Scale: Preliminary Manual, Occupational Health Psychology Unit, Utrecht University, Utrecht.
Simpson, M. R. (2009). Predictors of work engagement among medical-surgical registered nurses. Western journal of nursing research31(1), 44-65.
Sweetman, D., & Luthans, F. (2010). The power of positive psychology: Psychological capital and work engagement. Work engagement: A handbook of essential theory and research, 54-68.
Tarlier, D. S. (2004). Beyond caring: the moral and ethical bases of responsive nurse–patient relationships. Nursing Philosophy5(3), 230-241.
Thoo, A. C., Khairuddin, A. I. N., Tat, H. H., Sulaiman, Z., Lai, L. Y., & Mas’od, A. (2018). Factors Affecting Medical Tourists to Malaysia. Asia Proceedings of Social Sciences2(3), 238-242.
Van der Colff, J. J., & Rothmann, S. (2009). Occupational stress, sense of coherence, coping, burnout and work engagement of registered nurses in South Africa. SA Journal of Industrial Psychology35(1), 1-10.
Vegsund, H. (2014). Work engagement among nurses (Master's thesis, Norges teknisk-naturvitenskapelige universitet, Fakultet for samfunnsvitenskap og teknologiledelse, Institutt for sosialt arbeid og helsevitenskap).
Vinje, H. F., & Mittelmark, M. B. (2007). Job engagement’s paradoxical role in nurse burnout. Nursing & health sciences9(2), 107-111.
Walker, A., & Campbell, K. (2013). Work readiness of graduate nurses and the impact on job satisfaction, work engagement and intention to remain. Nurse Education Today33(12), 1490-1495.
Warshawsky, N. E., Havens, D. S., & Knafl, G. (2012). The influence of interpersonal relationships on nurse managers' work engagement and proactive work behavior. The Journal of nursing administration42(9), 418.
Watson, R., Stimpson, A., Topping, A., & Porock, D. (2002). Clinical competence assessment in nursing: a systematic review of the literature. Journal of advanced nursing39(5), 421-431.
Williams, V. J., Piva, S. R., Irrgang, J. J., Crossley, C., & Fitzgerald, G. K. (2012). Comparison of reliability and responsiveness of patient-reported clinical outcome measures in knee osteoarthritis rehabilitation. Journal of orthopaedic & sports physical therapy42(8), 716-723.
Zafarnia, N., Abbaszadeh, A., Borhani, F., Ebadi, A., & Nakhaee, N. (2017). Moral competency: meta-competence of nursing care. Electronic physician9(6), 4553.