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The Role of Professional Competency in Influencing Job Satisfaction and Organizational Citizenship Behavior Among Palliative Care Nurses

Biagioli, Valentina, PhD, MSN, RN; Prandi, Cesarina, PhD, MSN, RN; Nyatanga, Brian, PhD, MSc, RN; Fida, Roberta, PhD, MA, BA, CPsychol

Journal of Hospice & Palliative Nursing: August 2018 - Volume 20 - Issue 4 - p 377–384
doi: 10.1097/NJH.0000000000000454
Feature Articles

It is crucial that palliative care nurses feel competent to practice their profession in accordance with ethical principles, to personalize care, to remain sensitive, to ensure respect, and to communicate effectively. The aim of this study was to verify that higher levels of perceived professional competency predict better individual and organizational outcomes, such as job satisfaction and organizational citizenship behavior. An online cross-sectional survey was conducted with 107 Italian palliative care nurses. Structural equation modeling technique was used for data analysis. The model fitted the data well. Professional competency was positively associated with both job satisfaction (β = 0.39) and organizational citizenship behavior (β = 0.53). The more confidence palliative care nurses have in their professional competency, the more they are satisfied with their job and engage in organizational citizenship behavior. Fostering professional competency in palliative nursing can help not only patients and their families but also the nurses themselves, the organization, and their coworkers.

Valentina Biagioli, PhD, MSN, RN, is research fellow, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.

Cesarina Prandi, PhD, MSN, RN, is professor, Department of Health Sciences, University of Applied Sciences and Arts of Southern Switzerland, Manno.

Brian Nyatanga, PhD, MSc, RN, is senior lecturer, Academic Lead for Centre for Palliative Care, Institute of Health and Society, University of Worcester, United Kingdom.

Roberta Fida, PhD, MA, BA, CPsychol, is lecturer in organisational behaviour, Norwich Business School, University of East Anglia, United Kingdom.

Address correspondence to Valentina Biagioli, PhD, MSN, RN, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy (

The authors have no conflicts of interest to disclose.

© 2018 by The Hospice and Palliative Nurses Association.