Thesis Work Commitment and Job Satisfaction
Thesis Work Commitment and Job Satisfaction
Proposal Defence
Submitted by:
Khalil Gibran J. Amilhamja, RN
October 2023
TABLE OF CONTENTS
LIST OF TABLES
CHAPTER 1
Introduction
The nursing manpower comprises the majority of workforce in the health system.1 From
the World Health Organization statistics, there is an estimated 19.3 million nurses out of a total
of 43.5 million health workers worldwide.2 In addition to being the major workforce, nurses also
contribute crucial roles as they serve as the primary patient health contact. Thus, the effectivity
With the apparent importance of nursing workforce contribution in the health system,
however, there still has been limited attention paid to strategic workforce growth and evaluation
of workforce issues in this setting, leading to nursing turnovers with national average of 8.8 % to
Job satisfaction has been cited as an important factor contributing to the turnover of
nurses and as an antecedent to nursing retention. Therefore, understanding factors that impact on
job satisfaction is important to inform recruitment and retention strategies. 3 In relation to this,
work commitment, which usually refers to the relative strength of an individual’s identification
encourages employees to stay with the organization and participate wholeheartedly in its work as
their ‘side-bet’.4
In Sulu, as of September 2023, there are approximately 160 nurses under the Nurse
program goals and objectives of Department of Health and the health sector.5 As with the global
nursing issues, our local nurses also face organizational and work-related concerns leading to
burnout and job turnovers. Numerous studies have been made regarding job satisfaction and
others that relate to it, in national workforce, however, none was yet to be done among nurses
under the Nurse Deployment Program in Sulu, despite the apparent unjustness in their
employment system. Hence, this study, with the intention to measure the extent of work
commitment and job satisfaction among nurses under the nursing deployment program in Sulu.
This study seeks to measure the extent of the work commitment and level of job
satisfaction among nurses under the Nurse Deployment Program in Sulu. The study aims to
1.1. Age;
2. What is the extent of work commitment among nurses under the Nurse Deployment
3. What is the level of job satisfaction among nurses under the Nurse Deployment Program
3.2. Co-workers;
4. Is there a significant difference in the extent of work commitment among nurses under
the Nurse Deployment Program in Sulu in terms of a.) Affective commitment; b.)
4.1. Age;
5. Is there a significant difference in the extent of work commitment among nurses under
the Nurse Deployment Program in Sulu in terms of a.) Family and work-life balance; b.)
Co-workers; c.) Praise and recognition, when data are classified according to their
5.1. Age;
6. Is there a significant correlation among the sub-categories sub served under work
commitment and job satisfaction among nurses under the Nurse Deployment Program in
Sulu?
7. Is there a significant correlation between work commitment and job satisfaction among
The goal of this study is to measure the extent of the work commitment, in terms of
satisfaction, in terms of Family and work-life balance; Co-workers; and Praise and recognition
among nurses under the Nurse Deployment Program in Sulu. Further, it also aims to determine
Hypotheses
H1. There is no significant difference in the extent of work commitment among nurses
under the Nurse Deployment Program in Sulu in terms of a.) Affective commitment; b.)
H2. There is a significance difference in the extent of work commitment among nurses
under the Nurse Deployment Program in Sulu in terms of a.) Family and work-life
balance; b.) Co-workers; c.) Praise and recognition, when data are classified according to
H3. There is a significant correlation among the sub-categories sub served under work
commitment and job satisfaction among nurses under the Nurse Deployment Program in
Sulu.
H4. There is a significant correlation between work commitment and job satisfaction
Department of Health
As the head unit for human resource for health deployment program, the result of the
study will provide them basic information regarding the level of work commitment and job
satisfaction of the nurses under the Nurse Deployment Program in Sulu. Such information will
help them come up with a more comprehensive plan on how to increase the level of job
satisfaction and work commitment of the study respondents and eventually increase quality of
This study shall provide them with an update regarding how satisfied the nurses working
with them and to what extent is the level of the commitment of these nurses have towards their
organization as this will help to increase the effectiveness in reaching the organization’s vision
and mission.
As respondents of this study, they can have a fuller understanding of their own selves as
this can help them assess as to how they are satisfied with their job and to help them realize their
The result of this study will be to their advantage as the end-receiver of health care
services because the level of job satisfaction and organizational commitment of the nurses, when
increased can help nurses have more effectiveness in their work delivery, thereby increasing the
Researcher
The findings of this study can be a significant contribution to serve as a baseline data for
geographical challenges, the study can only cater Nurses under Nurse Deployment Program who
are assigned in Sulu area. Nurses under Nurse Deployment Program are usually assigned on
primary health care facilities, hence, nurses in hospitals and other health settings are also not
Age
Gender
Length of stay
Theoretical Framework
Job satisfaction has been widely research and researcher vary in their definition to the
concept. Smith (1996) defines it as the feelings of individuals about their jobs and Cumbey and
Alexander (1998) consider it as “an effective feeling that depends on the interaction of
employees, their personal characteristics, values, and expectations with work environment and
the organization.
While increasing the satisfaction felt by the employees in the work place employees’
feeling of commitment towards their work and to the organization that they are working in also
increases and there are studies that reflect the strong association between job satisfaction and
Generally, commitment has been defined as the psychological attachment felt by the
person for the organization, a predisposition which reflects the degree to which the person
internalizes or adopts the characteristics or perspectives of the organization. Organizational
commitment according to Balu and Boal in 1987 refers to the identification with and loyalty to
the organization and its goal. It is also defined as the relative strength of an individual’s
The following terms has been defined operationally. It describes how the terms are being
Age refers to the length of existence extending from the beginning of life to present.
Gender refers to the biological sexual characteristics of an individual, either male or female.
Job Satisfaction refers to how nurses are satisfied with their work. It can be described using a
Length of Service refers to the extent of time from the beginning of appointment as nurse under
Nurses in this study is referred as registered nurses who are employed under the Nurse
Work Commitment refers to the extent of how the nurses under the Nurse Deployment Program
are committed to the job they perform. It can be measured using a scale ranging from very
Work commitment
Work commitment is defined as the level of identification that employees feel within their
organization in which they work, which determines their level of commitment and inversely
affects their intention to leave their job.6 On a deeper context, work commitment has been
defined by Porter (1968), who holds that it consists of “(a) a willingness of employees to exert
high levels of effort on behalf of the organization, (b) a strong desire to remain in the
organization, and (c) an acceptance of the organization’s major goals and values.” 7
commitment with the Mayer and Allen (1991) organizational commitment model as it classify in
terms of continuance, affective and normative commitment. There are two dominant
employee’s loyalty towards the organization and an employee’s intention to stay with the
organization. Loyalty is an affective response to, and identification with, an organization based
on a sense of duty and responsibility.7 From the study of Meyer and Allen ( 1987 & 1991), there
continuance commitment is based on the individual’s recognition of costs associated with leaving
commitment.7
Job Satisfaction
psychological perceptions of the work environment and the work itself6. It is commonly defined
as a “pleasurable or positive emotional state resulting from the appraisal of one’s job or job
Connell (2003), job satisfaction comprises of five factors, which are satisfaction with the work
itself, salary, opportunity for promotion, supervision, and relationship with colleagues. Moreover,
according to McCann (2002) various demographic factors such as age and gender will also affect
job satisfaction among the employees. For example, the productivity of the workers whose age
are between 59 and above are reported to be lower than those whose age are 58 and below
(Cheal, 2002). Hence, one of the demographic factors, which are age, affects the employee job
satisfaction as well.9
Job satisfaction is one of the most researched phenomena in the domain of human
resource management and organizational behavior. It is a key element of work motivation, which
is a fundamental determinant of one's behavior in an organization8. Currently, job satisfaction is
used as the best predictor to measure employees' self-fulfillment of their professional values. 10
The link between job satisfaction and work commitment has been researched relatively
frequently (Mathieu and Zajac, 1990; Martin and Bennett, 1996; Meyer et al., 2002; Falkenburg
and Schyns, 2007; Moynihan and Pandey, 2007; Morrow, 2011). The research consensus is that
the link exists, but there is controversy about the direction of the relationship. Some research
supports the hypothesis that job satisfaction predicts organizational commitment. Other studies
satisfaction, as it deals with the positive attitude that an employee has, not toward her own job,
but toward the organization. The emotions, however, are much stronger in the case of
organization and readiness to make sacrifices for the organization.11. A study that concentrated on
nurses noted that organizational commitment was a significant positive predictor of their job
is a critical determinant that affects an individual’s job satisfaction and life satisfaction. 6
When considering job satisfaction and work motivation in general, of particular interest
are the distinctive traits of these concepts in transition economies. It is believed that satisfied and
motivated employees are imperative for contemporary business and a key factor that separates
The NDP is created in year two thousand and fourteen as one of the strategies of the
Department of Health to achieve the overall goal of Universal Health Care or Kalusugang
Pangkalahatan which aims to improve health outcomes, provide financial risk protection and
provide quality access to health services especially the poor. This program is composed by
registered nurses with roles that include assisting in the implementation of various health
programs of the local Government Unit in accordance with the program goals and objectives of
Department of Health and the health sector, such as the National Immunization Program,
National Tuberculosis Control Program, and Family Planning Program. They also function as
advocates, health educators, information disseminators and perform other functions that are
anchored with the DOH.4. The program caters all of the regions in the Philippines, including
Bangsamoro Autonomous Region in Muslim Mindanao. Out of the twelve thousand one hundred
nurses under the NDP, one hundred and sixty of them are deployed in Sulu. Of which, eleven is
assigned in Hadji Panglima Tahil, twelve in Indanan, twenty, in Jolo, four in Kalingalan Caluang,
five in Lugus, seven in Luuk, six in Maimbung, six in Panamao, eight in Omar, five in Pandami,
seven in Panglima Estino, seven in Pangutaran, eleven in Parang, six in Pata, sixteen in Patikul,
nine in Siasi, ten in Talipao, four in Tapul, and six in Tongkil, as of September 30, 2023.
Altogether, these nurses comprise a huge aid in the implementation of primary health care
Deployment Program of the Department of Health” revealed that experiences of nurses under
NDP, both either positive or negative, made them stay in their chosen field. Two major factors
were identified: the intrinsic and extrinsic factors. Intrinsic factors include personal growth,
professional and career advancement, and enhanced ability to manage stress and time properly;
while extrinsic factors include fair workload and compensation, and resolution of issues related
to working experiences. On the intrinsic factors, personal growth was included. Nurses were able
to develop their interpersonal relationships since they were exposed to people of different colors
and temperatures. In terms of professional and career advancement, nurses were able to develop
and enhance their skills in assessing patients, administering vaccines, diagnosing simple
diseases, and formulating care plans. Their knowledge of various programs of the DOH was also
hastened. Development on their ability to manage stress and their time were significantly
improved. They were able to finish their tasks despite their time-consuming activities.
On the extrinsic factors per se, nurses were compensated well. They were able to receive
adequate amounts of salary and were given fair workloads since the population of their areas was
equally divided. They were also given privileges to experience holidays. Most importantly, they
were also able to resolve issues regarding work-related experiences. Whenever they encountered
such conflicts, they acted professionally and dealt with clients with humility. If a problem arose,
Another study which explore the Relationship between Job Satisfaction and Job
Retention among Registered Nurses under the Nurse Deployment Program in Southern
Philippines revealed that job satisfaction is influenced by various factors. The research is focused
on the seven domains of Job Satisfaction postulated by Traynor and Wade (2013) as measures of
job satisfaction among the nurses employed in the Nurse Deployment Project (NDP). These
of Care. The results show there is satisfaction in terms of standards of care, workload,
professional support, and personal satisfaction, but "neither satisfied nor dissatisfied" in terms of
prospects and training and dissatisfied with their pay. Collectively, the findings reveal that the
Methodology
This chapter includes descriptions of the method used, the data gathering instruments,
Research Design
The conduct of this study will use a descriptive – correlational design. According to
Estolas and Boquiren (1997), descriptive research is a study that can obtain facts about existing
interprets prevailing condition that exists or does not exist, beliefs or point of view or attitude
that are held, processes that are going on or otherwise, effects that are being felt, or trends that
are developing. Correlational studies can help to determine how much variation is cause by one
Research Locale
The setting of the study will be held on each Rural Health Unit of the 19 municipalities in
Sulu, namely: Jolo, Indanan, Patikul, Maimbung, Parang, Taliapao, Panglima Estino, Panamao,
Kalingalan Caluang, Omar, Luuk, Lugus, Hadji Panglima Tahil, Pangutaran, Siasi, Pata, Tongkil,
The respondents of the study are the Nurses employed under the Nurse Deployment
Sampling Design
The sampling technique that will be used is the Simple Random Sampling. Names
Method Used. The researcher will acquire the complete list of population and from this list, the
researcher will draw a random sample using a computer generated random list.
Research Instrument
The instrument that will be used in this study will be compose of 3 parts. The first part
will ask for the demographic profile of the respondents, in terms of age, gender, and length of
stay. The second part will include the the job satisfaction which will be measured using
components with 5 items each that described how individuals feel about their job in terms of life
and work-balance, co-workers, and praise and recognition. The response categories are four,
which range from (1) very dissatisfied to (4) very satisfied eliminating the neutral response
option to encourage participants to make a decision regarding their thoughts and feelings as
opposed to indicating that they had no opinion. Questions in this study were developed from a
previous study with Cronbach’s alpha of 0.95.14. The third part deals with work commitment
measured with Mowday and Steer’s scale: The Organizational Commitment Questionnaire
(OCQ). It is a 15-item scale and uses a 5-point Likert type response format ranging from strongly
agree (5) to strongly disagree (1), with 3 factors that can describe this commitment: willingness
organizational values.9
To collect the needed data for this study, several steps will be done by the researcher.
First step is to search for literatures that are related to the study. The survey questionnaire that
will be used to measure the job satisfaction was developed by Brayfield and Rothe’s and for the
developed by Mowday and Steer’s. Both of these scales of measurements were already used in
Before launching the questionnaire to the participants of the study, a letter from the
researcher will be sent to the heads of unit of each respective Rural Health Unit in Sulu: Jolo,
Indanan, Patikul, Maimbung, Parang, Taliapao, Panglima Estino, Panamao, Kalingalan Caluang,
Omar, Luuk, Lugus, Hadji Panglima Tahil, Pangutaran, Siasi, Pata, Tongkil, Tapul, and Pandami,
requesting for a permission to conduct the study. When the request will be granted, the researcher
will then be able to administer the survey questionnaire to the nurses working in said facilities. A
letter from the researcher explaining the purpose of the study, data confidentiality and how the
questionnaire should be filled out will be attached to the survey questionnaire of the respondents.
After data gathering, the data that will be gathered will be tallied and presented to the chosen
Frequency – count and percentage will be used to determine the demographic characteristics of
the respondents. To determine the study question relevant to the level of job satisfaction and
work commitment for nurses under the Nurse Deployment Program in Sulu, Mean and Standard
Deviation will be used. To assess for presence of significant differences of each variable when
grouped according to demographic profile, the study will use Analysis of Variance. To analyze
the relationship between the study variables, the correlational coefficients among variables will
a. Age;
b. Gender; and
c. Length of service?
2. What is the extent of work commitment among nurses under Mean and Standard
c. Normative commitment?
3. What is the level of job satisfaction among nurses under the Mean and Standard
b. Co-workers;
terms of:
a. Age;
b. Gender; and
c. Length of service?
a. Age;
b. Gender; and
c. Length of service?
1. Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R.
(2021, July 12). Factors influencing nurses participation in the health policy-making
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8273557/
Workforce.https://www.who.int/hrh/statistics/en/https://www.who.int/health-topics/
3. Halcomb, E., Smyth, E., & McInnes, S. (2018, August 7). Job satisfaction and career
https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-018-0819-1
https://hhrdb.doh.gov.ph/nhwss/
https://www.scribd.com/doc/268119022/Ndp-Roles-and-Responsibilities
6. A study of affective, continuance and normative commitments and its ... (n.d.-a).
https://www.irmbrjournal.com/papers/1513074286.pdf
Association. https://psycnet.apa.org/doiLanding?doi=10.1037%2F10370-000
8. Lai Chai Hong, Nik Intan, Norhan Abd Hamid, and Norliza Mohd Salleh (2013, July). A
https://citeseerx.ist.psu.edu/document?
repid=rep1&type=pdf&doi=a59aa14350c38342792f473db9b8660f6beb9703
9. Ćulibrk, J., Delić, M., Mitrović, S., & Ćulibrk, D. (2018, February 16). Job
satisfaction, organizational commitment and job involvement: The mediating role of job
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820360/
10. Yi, M., Jiang, D., Wang, J., Zhang, Z., Jia, Y., Zhao, B., Guo, L., & Chen, O. (2022,
June 7). Relationships among thriving at work, organisational commitment and job
satisfaction among Chinese front-line primary public health workers during COVID-19
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174534/
11. Gregoriou, I., Papastavrou, E., Charalambous, A., Economidou, E., Soteriades, E. S.,
& Merkouris, A. (2023, May 23). Organisational Commitment, job satisfaction and
intention to leave among physicians in the public health sector of cyprus: A cross-
12. Barrios J., (April, 2022). Co-writing the Lives of Registered Nurses Employed under the
file:///C:/Users/Marvin/Downloads/1008611020212315.pdf
13. View of exploring the relationship between job satisfaction and job retention among
registered nurses under the Nurse Deployment Program in Southern Philippines. (n.d.).
https://ejournal.lucp.net/index.php/mjn/article/view/1611/2090
14. Fort, A. L., Deussom, R., Burlew, R., Gilroy, K., & Nelson, D. (2017, July 19). The
Human Resources for Health Effort index: A tool to assess and inform Strategic Health
resources-health.biomedcentral.com/articles/10.1186/s12960-017-0223
SURVEY QUESTIONNAIRE
INSTRUCTION: Please put a corresponding check to your response on the box provided after
each statement. Scores and descriptions are provided.
Affective Commitment 1 2 3 4 5
1. I really care about the fate of this organization.
2. I talk up this organization to my friends as a great
organization to work for.
3. This organization really inspires the very best in
me in the way of job performance.
4. I would accept almost any type of job assignment
in order to keep working for this organization.
5. I am proud to tell others that I am part of this
organization.
Continuance Commitment
1. It would take very little change in my present
circumstances to cause me to leave this
organization. (R)
2. I am extremely glad that I chose this organization
to work for over others I was considering at the
time I joined.
3. There’s not too much to be gained by sticking with
this organization indefinitely. (R)
4. For me this is the best of all possible organizations
for which to work.
5. Deciding to work for this organization was a
definite mistake on my part. (R)
Normative Commitment
1. I find that my values and the organization’s values
are very similar.
2. I am willing to put in a great deal of effort beyond
that normally expected in order to help this
organization be successful.
3. I feel very little loyalty to this organization. (R)
4. I could just as well be working for a different
organization as long as the type of work was
similar. (R)
5. Often. I find it difficult to agree with this
organization’s policies on important matters
relating to its employees. (R)