Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review
Abstract
:1. Introduction
2. Aim and Research Questions
3. Materials and Methods
3.1. Design
3.2. Identifying Relevant Studies and Study Selection
3.3. Data Extraction
3.4. Data Synthesis
3.5. Quality Assessment
4. Results
4.1. Overview of the Selected Studies
4.2. Thematic Categories
4.2.1. Factors Related to Nurses’ Organizational and Professional Commitment
4.2.2. Transformational Leadership and Organizational and Professional Commitment
5. Discussion
Limitations and Strengths
6. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
A/A | Author | Title | Year | Country a | Aim-Variables | Sample Size (Nurses) | Study Design b | Outcomes |
---|---|---|---|---|---|---|---|---|
1. | [49] | The Impact of Transformational Leadership on Nurses’ Organizational Commitment: A Multiple Mediation Model | 2019 | Pakistan | The effect of transformational leadership on professional commitment | 299 | Descriptive | Transformational leadership practices enhance higher professional commitment through increased psychological empowerment. |
2. | [36] | Factors affecting nurses’ professional commitment during the COVID-19 pandemic: A cross-sectional study | 2021 | Turkey | Factors affecting nurses’ professional commitment | 389 | Cross-sectional | The factors affecting nurses’ professional commitment were intention to leave the job, choice of profession, family support, supporting leadership style, job satisfaction, and educational status. |
3. | [37] | Factors predicting organizational commitment of nurses in general hospitals: A descriptive-predictive study | 2022 | Myanmar | Factors predicting nurses’ professional commitment | 234 | Descriptive–predictive, cross-sectional | Working experience, level of education, position, perceived organizational support, and work–life balance were strong predictors of professional commitment levels. |
4. | [38] | A multisite survey of managerial competence and organizational commitment among nurses working at public hospitals in Saudi Arabia | 2021 | Saudi Arabia | Managerial competence and professional commitment in the clinical practice | 226 | Cross-sectional | Managerial competence, interpersonal relationships, organizational support, teamwork, and training are important to enhance organizational commitment among nurses. |
5. | [40] | Predictors of organizational commitment among Chinese nurses during the COVID-19 pandemic | 2022 | China | Predictors of nurses’ organizational commitment | 330 | Cross-sectional | Effective nursing leadership, stable income, social recognition, sense of responsibility, staffing, adequate resources, and teamwork influence organizational commitment. |
6. | [39] | Job satisfaction and commitment among Registered Nurses employed in selected private hospitals in Malaysia | 2023 | Malaysia | The relationship between nurses’ job satisfaction and their professional commitment | 150 | Cross-sectional | Job satisfaction is positively related to the nurses’ professional commitment. Career advancement opportunities, promotion, and innovation are suggested as means to increase nurses’ job satisfaction and subsequently their professional commitment levels. |
7. | [44] | Influence of toxic and transformational leadership practices on nurses’ job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study | 2020 | Philippines | The influence of leadership practices and toxic leadership on the nurses’ job satisfaction and commitment | 770 | Cross-sectional | Transformational leadership practices increase nurses’ job satisfaction and organizational commitment factors, whereas toxic practices cause distress and turnover. |
8. | [46] | Improving Organizational Commitment among Healthcare Employees in Angola: The Role of Psychological Capital and Perceived Transformational Leadership | 2024 | Angola | The relationship between psychological capital and organizational commitment through the mediating role of the perceived transformational leadership | 342 | Descriptive/cross-sectional | The mediating role of the perceived transformational leadership is indirect but crucial in the relationship between psychological capital and affective commitment. To enhance nurses’ affective organizational commitment, leaders should provide inspirational motivation, intellectual stimulation, and share their vision. |
9. | [50] | Transformational leadership practices of nurse managers: the effects on the organizational commitment and job satisfaction of staff nurses | 2022 | Turkey | Nurse leaders’ transformational leadership practices and organizational commitment of the nurses | 17 nurse managers 136 staff nurses | Cross-sectional, descriptive | Organizational commitment of nurses increases with the increase in the use of transformational leadership practices. |
10. | [51] | The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: a cross-sectional study | 2016 | Saudi Arabia | Leadership style and their impact on organizational commitment among nurses working in an acute healthcare setting | 332 | Cross-sectional | Transformational leadership has a marginal effect on nurses’ organizational commitment. Transactional leadership earns nurses’ trust and makes them feel empowered. |
11. | [52] | Organizational commitment of health professionals and associated factors in primary healthcare facilities of Addis Ababa, Ethiopia: A multi-center cross-sectional study | 2022 | Ethiopia | Factors affecting organizational commitment among health professionals working at primary health facilities in Addis Ababa, Ethiopia. | 459 | Cross-sectional | Transformational leadership behavior, age, and job satisfaction are significant predictors of organizational commitment in the primary healthcare sector. |
12. | [43] | Affective Organizational Commitment in Swiss Nursing Homes: A Cross-Sectional Study | 2016 | Switzerland | The relationship between affective organizational commitment levels and organizational, situational and care personnel characteristics | 5323 | Cross-sectional | Supportive leadership and job satisfaction are positively related to organizational commitment. |
13. | [45] | Leadership style and organizational commitment among nursing staff in Saudi Arabia | 2018 | Saudi Arabia | Leadership styles’ contribution to nurses’ organizational commitment | 219 Nurses and nurse managers | Transformation leadership practices (inspirational motivation) are more likely to ensure organizational commitment than transactional and passive-avoidant leadership styles. | |
14. | [47] | Predicting nurses’ occupational commitment and turnover intention: The role of autonomous motivation and supervisor and coworker behaviors | 2021 | Canada | Transformational leadership and autonomy supportive behaviors and occupational commitment | 387 | Longitudinal | Establishment of transformational (supportive) leadership practices by leaders and co-workers provides a well-rooted workforce in the profession. |
15. | [48] | The impact of organizational commitment and leadership style on job satisfaction of nurse practitioners in acute care practices | 2022 | Taiwan | Nurses’ job satisfaction, organizational commitment and leadership style | 1205 | Cross-sectional | Transformational leadership practices (idealized influence and individual consideration) increase nurses’ organizational commitment through incresed job satisfaction. |
16. | [42] | Predictors of Organizational Commitment in Nursing: Results from Portugal | 2018 | Portugal | Predictors of organizational commitment in nurses | 215 | Cross-sectional | Supportive leadership increases work engagement which increases organizational commitment. |
17. | [41] | Quality of the leader-member relationship and the organizational commitment of nurses | 2017 | Portugal | leadership relationships and the organizational commitment of nurses | 408 | Cross-sectional | The level of organizational commitment depends on the quality of the relationship between the nurse leader and the nurse. |
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Term | Boolean Operator | Term | Boolean Operator | Term |
---|---|---|---|---|
Professional Commitment | AND | Nursing | ||
Professional Commitment | AND | Nursing | AND | Leadership |
Professional Commitment | AND | Transformational Leadership | AND | Nursing |
Nursing Leadership | AND | Transformational Leadership | AND | Organizational Commitment |
Nursing Leadership | AND | Transformational Leadership | AND | Professional Commitment |
Transformational Leadership | AND | Professional Commitment | OR | Organizational Commitment |
Nursing Leadership | OR | Professional Commitment | NOT | Organizational Commitment |
Transformational Leadership | OR | Organizational Commitment | NOT | Professional Commitment |
Characteristics | Studies n (%) |
---|---|
Era of studies | |
Europe | 4 (23.5) |
Asia | 11 (64.7) |
USA | 1 (5.9) |
Africa | 1 (5.9) |
Year of publication | |
2016–2018 | 5 (29.4) |
2019–2021 | 5 (29.4) |
2022–2024 | 7 (41.2) |
Type of studies | |
Descriptive study | 1 (5.9) |
Longitudinal study | 1 (5.9) |
Cross-sectional study | 12 (70.6) |
Mixed-methods | 3 (17.6) |
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Tsapnidou, E.; Katharakis, G.; Kelesi-Stavropoulou, M.; Rovithis, M.; Koukouli, S.; Sigala, E.; Moudatsou, M.; Papageorgiou, D.; Stavropoulou, A. Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review. Hospitals 2025, 2, 10. https://doi.org/10.3390/hospitals2020010
Tsapnidou E, Katharakis G, Kelesi-Stavropoulou M, Rovithis M, Koukouli S, Sigala E, Moudatsou M, Papageorgiou D, Stavropoulou A. Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review. Hospitals. 2025; 2(2):10. https://doi.org/10.3390/hospitals2020010
Chicago/Turabian StyleTsapnidou, Eleni, Georgios Katharakis, Martha Kelesi-Stavropoulou, Michael Rovithis, Sofia Koukouli, Evangelia Sigala, Maria Moudatsou, Dimitrios Papageorgiou, and Areti Stavropoulou. 2025. "Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review" Hospitals 2, no. 2: 10. https://doi.org/10.3390/hospitals2020010
APA StyleTsapnidou, E., Katharakis, G., Kelesi-Stavropoulou, M., Rovithis, M., Koukouli, S., Sigala, E., Moudatsou, M., Papageorgiou, D., & Stavropoulou, A. (2025). Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review. Hospitals, 2(2), 10. https://doi.org/10.3390/hospitals2020010