Objective: To investigate the links between group-level affective organizational commitment (AOC) and individual-level psychological well-being, self-reported sickness absence, and sleep disturbances.
Methods: A total of 5085 care workers from 301 workgroups in the Danish eldercare services participated in both waves of the study (T1 [2005] and T2 [2006]). The three outcomes were analyzed using linear multilevel regression analysis, multilevel Poisson regression analysis, and multilevel logistic regression analysis, respectively.
Results: Group-level AOC (T1) significantly predicted individual-level psychological well-being, self-reported sickness absence, and sleep disturbances (T2). The association between group-level AOC (T1) and psychological well-being (T2) was fully mediated by individual-level AOC (T1), and the associations between group-level AOC (T1) and self-reported sickness absence and sleep disturbances (T2) were partially mediated by individual-level AOC (T1).
Conclusions: Group-level AOC is an important predictor of employee well-being in contemporary health care organizations.
National Research Centre for the Working Environment (Dr Clausen); Department of Biostatistics (Dr Christensen), Institute of Public Health, University of Copenhagen, Denmark; and Norwich Business School (Dr Nielsen), University of East Anglia, Norwich, UK.
Address correspondence to: Thomas Clausen, PhD, National Research Centre for the Working Environment, Copenhagen, Denmark (tcl@nrcwe.dk).