The effects of total quality management and perceived justice on organizational commitment of hospital nursing staff

This study of 507 nurses in 12 hospitals finds that perceived procedural justice mediates the relationship between perceived Total Quality Management traits and two dimensions of commitment to the organization. Affective commitment fully mediates the effects of TQM and justice on intention to remain an employee. Such intention has a negative reciprocal effect on affective commitment. The paper suggests that hospital administrators attempting to implement TQM programs would do well to project a clear vision for the TQM program and impart a sense of fairness and correct procedure if they wish to win full employee commitment to the program. The paper concludes with suggestions for further research.