Effectiveness of total quality management intervention on nursing job performance and commitment in government hospitals in Irbid, Jordan

Background: There is a consensus among hospitals management, health professionals, and policy makers that hospitals and nursing services from the government hospitals are lagging behind in terms of performance and good commitment due to their nurse’s poor performance, and several studies have cited this current problem in Jordan. Total Quality Management implementation helps hospitals to identify and eliminate areas generating the most waste and to improve department workflows, thereby increasing overall service quality by using the strategies for quality improvement. Objective: The aim of this study is to develop, implement and assess the effect of TQM intervention on nurse’s Job performance and nurse’s commitment among Jordanian nurses in Government hospitals. Method: A quasi-experimental multiple time series was conducted with a control group in secondary hospitals within the Irbid Region for eight months starting from September 2017 and in the duration of nine months ending in June 2018. Two out of eight hospitals were selected, where participants one hospital was taken as an intervention group and the other hospital was considered as the control group. Stratification and a subsequent simple random sampling technique was utilized to select 70 respondents for each group. Pre-post intervention, and follow-up phases were conducted to determine the socio-demographics and nursing job performance and commitment. A multiple linear regression, one-way MANOVA, and repeated MANOVA and MANCOVA were utilized to analyze the data uses IBM SPSS 25. Results: Out of 70 respondents in each group, 65 (93%) respondents in the control group and 67 (96%) respondents in the intervention group were remained and analyzed. There were no significant differences between the two groups (the control and intervention) on nurses’ job performance and nurses’ commitment. A repeated measure MANOVA test for both groups revealed that the interaction between group and time was statistically significant (F (4, 127) = 144.841; p < 0.001; Wilk's Λ = 0.180; η2=.820) which means groups had a significantly different pattern over time regarding on job performance and commitment. A repeated measure MANCOVA test for both groups across the timeframe showed that there were significant differences between the two groups (control and intervention) regarding nurses’ job performance and nurses’ commitment at 0.05 level of significance (F (2,127) = 320.724; p < 0.001; Wilk's Λ = 0.165; η2 = 0.835) and the overall effect of time was also significant for all dependent variables (F (4,125) = 36.879; p < 0.001; Wilk's Λ = 0.459; η2= 0.541. Conclusion: The educational intervention conducted in this study was found to be effective in enhancing nursing job performance among the sample of the study. The change in job performance was attributed to the enhanced commitment of respondents in the intervention group.

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