With unfolding human resource challenges in health care, little is known of the impact of changing work patterns and employment relationships on the organization and the nursing profession. Social Exchange Theory (perceived organizational support (POS) and psychological contracts) was used to gain understanding of the influence of nurse's employment patterns on employment relationships and individual, organizational and professional outcomes. The sample consisted of 650 randomly selected nurses employed in full-time, part-time, and casual positions across healthcare settings in Ontario, Canada. A cross-sectional survey design explored demographics, volition, POS, psychological contract, job satisfaction, career commitment, and job and career withdrawal. Work patterns and employment relationships are complex and cannot be examined in isolation of other variables such as volition and work congruence. Full-time nurses were found to have more of a relational psychological contract than part-time or casual nurses. The hypothesis was supported that the psychological contract has a direct effect on nurses’ job satisfaction, job withdrawal, career commitment, and career withdrawal. Nurses want to work different work patterns depending on their age and work-life demands. The importance of fostering strong employment relationships and relational psychological contracts to address such issues as an ageing workforce, nursing shortages, and economic demands is highlighted.
AselageJEisenbergerRPOS and psychological contracts: A theoretical integration. Journal of Organizational Behavior (2003) 24: 491–509.
2.
BlauPMExchange and Power in Social Life. (1964) New York: Wiley & Sons.
3.
BlauGJThe measurement and prediction of career commitment. Journal of Occupational Psychology (1985) 58: 277–288.
4.
BlauGJJob, organizational and professional context antecedents as predictors of intent for interrole work transitions. Journal of Vocational Behavior (2000) 56: 330–345.
5.
BuerhausPIAuerbackDIStaigerDOThe recent surge in nurse employment: Causes and implications. Health Affairs (2009) 28: w657–w668.
6.
BurkeRJGreenglassEREffects of hospital restructuring on full time and part time nursing staff in Ontario. International Journal of Nursing Studies (2000) 37: 163–171.
7.
Canadian Nurses AssociationTested Solutions for Eliminating Canada's Registered Nurse Shortage. (2009) Ottawa, ON: Canadian Nurses Association.
8.
College of Nurses of OntarioInstruction Guide: 2010 Annual Membership Renewal Instruction Guide. (2010) Toronto: College of Nurses of Ontario.
9.
Coyle-ShapiroJPsychological Contracts: What Are the Measurement Trade-Offs and Are They Worth It? (2000) Toronto: Paper presented at the Annual Meeting of the Academy of Management.
10.
Coyle-ShapiroJPsychological Contracts and POS: What is Their Relationship? (2001) Washington, DC: Paper presented at the Annual Meeting of the Academy of Management.
11.
Coyle-ShapiroJKesslerIConsequences of the psychological contract for the employment relationship: A large scale survey. Journal of Management Studies (2000) 37: 903–930.
12.
CraigDDTetrickLEPsychological Contract Breach and Violation: The Role of the Employment Exchange Relationship and Organizational Justice (2001) Washington, DC: Paper presented at the Annual Meeting of the Academy of Management.
13.
DavidsonHFolcarelliPHCrawfordSDupratLJCliffordJCThe effects of health care reforms on job satisfaction and voluntary turnover among hospital-based nurses. Medical Care (1997) 35: 634–645.
14.
DillmanDAMail and internet Surveys: The tailored design method 2007 update with new internet, visual and mixed mode guide (2007) Toronto: Wiley & Sons.
15.
DottyHDGlickWHCommon method bias: Does common methods variance really bias results?. Organizational Research Methods (1998) 1: 374–406.
16.
EisenbergerRHuntingtonRHutchisonSSowaDPOS. Journal of Applied Psychology (1986) 71: 500–507.
17.
EisenbergerRArmeliSRexwinkelBLynchPDRhoadesL (2001) Reciprocation of perceived organizational support. Journal of Applied Psychology, 86: 42–51.
18.
GakovicATetrickLEPerceived organizational support and work status comparison of the employment relationships of part-time and full-time employees attending university classes. Journal of Organizational behavior (2003) 24: 649–666.
19.
GuzzoRANoonanKAHuman resource practices as communications and the psychological contract. Human Resource Management (1994) 33: 447–462.
20.
GuzzoRANoonanKAElronEExpatriate managers and the psychological contract. Journal of Applied Psychology (1994) 79: 617–626.
21.
HalferDGrafEGraduate nurse perceptions of the work experience. Nursing Economics (2006) 24: 150–155.
22.
HoltomBCLeeTWTiddSTThe relationship between work status congruence and work-related attitudes and behaviors. Journal of Applied Psychology (2002) 87: 903–915.
23.
KallebergALNonstandard employment relations: Part time, temporary and contract work. Annual Review of Sociology (2000) 26: 341–366.
24.
KaneDJob sharing: A retention strategy for nurses. Canadian Journal of Nursing Leadership (1999) 12: 16–22.
25.
KlineRBPrinciples and Practice of Structural Equation Modeling, (2011) 3rd ednNew York: Guilford Press.
26.
LoweGSSchellenbergGWhat's a Good Job? The Importance of Employment Relationships. (2001) Ottawa, Canada: Canadian Policy Research Networks.
27.
MastersonSSLewisKGoldmanMTaylorSIntegrating justice and social exchange: The differing effects of fair procedures and treatment on work relationships. Academy of Management Journal (2000) 43: 738–748.
28.
McClean ParksJKidderDLGallagherDGFitting square pegs into round holes: Mapping the domain of contingent work arrangements onto the psychological contract. Journal of Organizational Behavior (1998) 19: 697–730.
29.
McGillis HallL (2001) Nursing outcome: Nursing Job Satisfaction. Doran IrvineDSidaniSMcGillis HallLWatt WatsonJMalletteCSpence LaschingerH. An Analysis on Nurse-Sensitive Patient Outcomes: Functional Status, Self-Care, Symptom Management, Patient Satisfaction, and Nurse Satisfaction. Report to the Expert Panel on Nursing and Health Outcomes. Toronto: Ontario Ministry of Health and Long-Term Care.
30.
MillwardLMBrewertonPMCooperCLRobertsonITPsychological contracts: Employee relations for the twenty-first century?International Review of Industrial and Organizational Psychology (2000) Vol 15Chichester, England: Wiley, 1–62.
31.
MillwardLJHopkinsLJPsychological contracts and job commitment. Journal of Applied Social Psychology (1998) 28: 1530–1556.
32.
NoreauNLongitudinal aspect of involuntary part-time employment. Income Statistics Division: Statistics Canada. (2000) Ottawa, ON: Minister of Industry.
33.
Registered Nurses of Ontario (2003) Survey of causal and part-time registered nurses in Ontario. Toronto, Canada: Authors.
34.
RhoadesLEisenbergerRPOS: A review of the literature. Journal of Applied Psychology (2002) 8: 698–714.
35.
RousseauDMPsychological Contracts in Organizations: Understanding Written and Unwritten Agreements. (1995) Thousand Oaks, Ca: Sage Publications.
36.
RousseauDMMcLean ParksJThe contracts of individuals and organizations. Research in Organizational Behavior (1993) 15: 1–43.
37.
SchellenbergGThe Changing Nature of Part-Time Work. (1997) Social Research Series Paper No. 4. Ottawa, ON: Canadian Council on Social Development.
38.
ShoreLMTetrickLELynchPBarksdaleKSocial and Economic Exchanges as Mediators between Commitment and Performance. (2001) Washington, DC: Paper presented at the Annual Meeting of the Academy of Management.
39.
SightlerKWAdamsJSDifferences between stayers and leavers among part-time workers. Journal of Managerial Issues (1999) 11: 110–125.
40.
TekleabAGChiaburuDSSocial exchange: Empirical examination of form and focus. Journal of Business Research (2011) 64: 460–466.
WebsterJRAdamsGAOrganizational support and contract fulfillment as moderators of the relationship between preferred work status and performance. Journal of Business Psychology (2010) 25: 131–138.
43.
ZeytinogluIUMuteshiJKZeytinogluIUChanging work relationships: Enacting gender, race ethnicity and economic class. Changing Work Relationships in Industrialized Economies. (1999) Philadelphia, PA: John Benjamin Publishers, 1–13.
