metricas
Enfermería Clínica (English Edition) Engagement in nursing: Differences by sector and level of responsibility
Journal Information
Vol. 36. Issue 5.
(September - October 2026)
Cite
Cite
Share
Download PDF
More article options
Visits
487
Vol. 36. Issue 5.
(September - October 2026)
Original Article

Engagement in nursing: Differences by sector and level of responsibility

Compromiso organizacional en enfermería: diferencias según sector y nivel de responsabilidad
Visits
487
José Ramón Sanchez-Islaa, Diana Ochoa-Tamayoa, Fernando Díez-Ruizb, Elene Igoa-Iraolac, Karmele Araujo-Díeza, Ángela González-Barbadilloa,
Corresponding author
angela.gonzalez@deusto.es

Corresponding author.
a Departamento de Enfermería, Universidad de Deusto, Bilbao, Spain
b Departamento de Educación, Universidad de Deusto, Bilbao, Spain
c Departamento de Psicología, Universidad de Deusto, Bilbao, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Abstract
Objective

To describe the level of work commitment of nursing professionals in the Basque Country.

Methodology

Descriptive cross-sectional study, conducted among a population of 182 professionals currently practising nursing in different health areas, both in the public and private sectors. These professionals completed the Spanish version of the UWES-9 (Utrecht questionnaire Work Engagement Scale in its short version) in a self-reported manner. The Ethics Committee of the University of Deusto approved the study.

Results

Non-parametric tests were used to establish significant correlations between the different dimensions studied in the reference scale with respect to the demographic and professional conditioning factors of the participants. The results indicated that professionals in the private sector show higher levels of commitment than those in the public sector. In addition, professionals in managerial positions showed higher levels of organisational commitment.

Conclusions

These results suggest that, beyond job stability, factors such as leadership and organisational support may be associated with higher work engagement levels. Promoting a positive work environment could increase staff satisfaction and improve the quality of healthcare.

Keywords:
Work engagement
Nursing
Burnout
Job satisfaction
Healthcare management
Engagement
Resumen
Objetivo

Describir el nivel de compromiso laboral de los profesionales de la Enfermería en el País Vasco.

Metodología

Estudio transversal descriptivo, realizado entre una población de 182 profesionales que ejercen actualmente la Enfermería en diferentes áreas sanitarias, tanto del sector público como privado. Dichos profesionales completaron de manera autoinformada la versión corta española del cuestionario Utrecht Work Engagement Scale (UWES-9). El estudio obtuvo el visto bueno del Comité de Ética de la Universidad de Deusto.

Resultados

Se utilizaron pruebas no paramétricas para establecer correlaciones significativas entre las diferentes dimensiones estudiadas en la escala de referencia respecto de los condicionantes demográficos y profesionales de los participantes. Los resultados indicaron que los profesionales del sector privado presentan mayores niveles de compromiso que los del sector público. Además, los profesionales en puestos directivos mostraron un mayor compromiso organizacional.

Conclusiones

Estos resultados sugieren que, más allá de la estabilidad laboral, factores como el liderazgo y el apoyo organizacional podrían estar asociados a mayores niveles de compromiso laboral. La promoción de un entorno laboral positivo podría aumentar la satisfacción del personal y mejorar la calidad de la asistencia sanitaria.

Palabras clave:
Compromiso laboral
Enfermería
Burnout
Satisfacción laboral
Gestión sanitaria
Engagement

Article

These are the options to access the full texts of the publication Enfermería Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
References
[1]
Organización Mundial de la Salud.
Situación de la enfermería en el mundo 2020: Invertir en educación, empleo y liderazgo [Internet].
[2]
M. Boniol, T. Kunjumen, S. Nair, A. Siyam, J. Campbell, K. Diallo.
The global health workforce stock and distribution in 2020 and 2030: a threat to equity and’ universal’ health coverage?.
BMJ Glob Health [Internet], 7 (2022),
[3]
Consejo Internacional de Enfermeras.
Nuestras enfermeras, nuestro futuro: el poder económico de los cuidados (Informe del Día Internacional de la Enfermera) [Internet].
[4]
M.Á. Vargas-Benítez, F.J. Izquierdo-Espín, N. Castro-Martínez, et al.
Burnout syndrome and work engagement in nursing staff: a systematic review and meta-analysis.
Front Med (Lausanne), 10 (2023),
[5]
J. Jun, M.M. Ojemeni, R. Kalamani, J. Tong, M.L. Crecelius.
Relationship between nurse burnout, patient and organizational outcomes: systematic review.
Int J Nurs Stud, 119 (2021),
[6]
A.B. Bakker.
La psicología social del compromiso laboral: estado de la cuestión.
Career Dev Int [Internet], 27 (2022),
[7]
C.C. Falguera, L.J. Labrague, C.N. Firmo, J.A.A. De Los Santos, K. Tsaras.
Relationship of work engagement with nurse work and patient outcomes among nurses in Central Philippines.
Acta Med Philipp, 57 (2023), pp. 24-31
[8]
W. Schaufeli.
Engaging leadership: how to promote work engagement?.
Front Psychol [Internet], 12 (2021),
[9]
W. Schaufeli.
What is engagement?.
Employee engagement in theory and practice, pp. 15-35
[10]
W.B. Schaufeli, A.B. Bakker, M. Salanova.
The measurement of work engagement with a short questionnaire: a cross-national study.
Educ Psychol Meas [Internet], 66 (2006),
[11]
M. Torabinia, S. Mahmoudi, M. Dolatshahi, M.R. Abyaz.
Measuring engagement in nurses: the psychometric properties of the Persian version of Utrecht work engagement scale.
Med J Islam Repub Iran, 31 (2017), pp. 15
[12]
K. Czerneck, M. Graczyk, G. Nowicki, B. Ślusarska.
Work engagement of nurses in palliative care — a validation study of the UWES scale-9 and selected socio-demographic and professional determinants.
Palliat Med Pract, 19 (2025), pp. 38-49
[13]
W.B. Schaufeli, M. Salanova, V. González–Romá, A.B. Bakker.
The measurement of engagement and burn out: a two–sample confirmatory factor analytic approach.
J Happiness Stud [Internet], 3 (2002),
[15]
J.A. García-García, A. Reding-Bernal, J.C. López-Alvarenga.
Cálculo del tamaño de la muestra en investigación en educación médica.
[16]
Scale WE. UWES. Schaufeli y Bakker. 2003 [accessed 4 Mar 2025]. Available from: https://www.wilmarschaufeli.nl/publications/Schaufeli/Test%20Manuals/Test_manual_UWES_Espanol.pdf.
[17]
J. Hinojosa-López.
El papel mediador de la satisfacción laboral entre la calidad en los factores del trabajo y el compromiso laboral.
Rev Adm Empres [Internet], 62 (2022),
[18]
T. Wonda, A. Engidaw, J. Ning, M. Kebad, N. Belay.
Does psychological contract fulfilment determine employees’ work engagement? Empirical evidence from government sector employees.
Cogent Business Manag [Internet], 11 (2024),
[19]
J. Herrera, C. De Las Heras-Rosas.
The organizational commitment in the company and its relationship with the psychological contract.
Front Psychol [Internet], 11 (2021),
[20]
S. Gulzar, K. Hussain, A. Akhlaq, Z. Abbas, S. Ghauri.
Exploring the psychological contract breach of nurses in healthcare: an exploratory study.
Asia-Pac J Bus Adm [Internet], 16 (2024),
[21]
K. Junttila, A. Heikkilä, A. Heikkilä, et al.
The impact of leadership in the autonomy and engagement of nurses: a Cross-sectional multicenter study among nurses outside the United States.
J Nurs Admin [Internet], 53 (2023), pp. 19-26
[22]
T. Ross-Pincheira, E.E. Rivas-Riveros, L.H.B. Medina.
Compromiso organizacional en enfermeras, matronas, nutricionistas, kinesiólogos y técnicos en enfermería de un hospital del sur de Chile año 2022-2023.
Horizonte Enferm, 34 (2023), pp. 447-464
[23]
S. Lee, T. Hameduddin, G.R. Lee.
Organizational image and employee engagement: exploring the inter-relationships between construed external image and perceived organizational identity.
Am Rev Public Adm [Internet], 53 (2023),
[24]
F. Şantaş, Ö. Özer, M. Saygili, Ş. Özkan.
The effect of corporate reputation on work engagement: a case study in A public hospital.
Int J Healthc Manag [Internet], 13 (2020),
[25]
K.A. Conley.
Nurse manager engagement: strategies to enhance and maintain engagement.
J Nurs Admin, 47 (2017), pp. 454-457
[26]
A. Alluhaybi, A. Wilson, K. Usher, J. Durkin.
Impact of nurse manager leadership styles on work engagement: a systematic literature review.
[27]
M. Niinihuhta, A. Häggman‐Laitila.
A systematic review of the relationships between nurse leaders’ leadership styles and nurses’ work‐related well‐being.
Int J Nurs Pract, 28.5 (2022),
[28]
D. Bárcenas-Villegas, M.S. Vázquez-Santiago.
Leadership in a hospital of the Andalusian Public Health System.
Enferm Clín (Engl Ed), 33 (2023), pp. 353-360
asdasdasd
Article options
Tools