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Research Article | DOI: https://doi.org/10.31579/2693-2156/123
*Corresponding Author: Cruz García Lirios, Universidad Autónoma de la Ciudad de México
Citation: Cruz G. Lirios, Gilberto B. Ruiz, Arturo S. Sanchez, (2025), Work Commitment in the COVID-19 Era, J Thoracic Disease and Cardiothoracic Surgery, 6(1); DOI:10.31579/2693-2156/123
Copyright: © 2025, Cruz García Lirios. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 30 December 2024 | Accepted: 09 January 2025 | Published: 20 January 2025
Keywords: covid-19; labor commitment; factorial model; collaborative work
Labor commitment is an observable process in crisis or labor instability. Since the structure of work commitment obeys a series of observable dimensions in the pandemic, the objective was to demonstrate its structure of mediating relationships. For this purpose, an exploratory, cross-sectional and psychometric work was carried out with a sample of 100 students. Once the factorial structure had been explored, a second study was carried out to confirm the structure with another sample of students. The selection criteria were related to inclusion in professional practices and social service in community centers. The results show that the adjustment and residual parameters suggest the non-rejection of the null hypothesis regarding the significant differences between the theoretical structure and the empirical observations. In relation to the paradigms, the relevance of extending the model in order to predict job performance is assumed.
The COVID-19 pandemic strained labor relations to the point where health professionals were exposed to forced labor to reduce the number of intubated patients and guarantee the greatest possible availability (Carreón Guillén et al., 2020). In this sense, work commitment has been observed as an emerging variable in risk situations. In fact, the differences between health professionals are explained by the degree of exposure to risk.
The sociocultural approach indicates that values, norms and beliefs coexist and prevail among health professionals that generate significant observable differences in service quality indicators (García, 2021). The values considered as principles that guide decisions and behavior are factors that foster a propensity for risk or high commitment to the profession or vocation.
However, the socioeconomic perspective has advanced towards the prediction of commitment, decision-making and behavior in risk scenarios (Sanchez Sanchez et al., 2020). While the work culture demands a climate of relationships, tasks and innovations in stable situations, socioeconomic theory has discovered that greater risk increases work commitment. In this sense, the factors of income, compensation, stimuli and benefits configure a system of extrinsic motivation that anticipates a propensity for risk.
Both risk and stability scenarios often converge in a sustainable system in finance (Athar, 2020). The socio-psychological approach of perceptions, motivations, dispositions and intentions explains the risks and stabilities of a system that is neither sustainable nor bankable. This is the case of the health system that increased its hospitalization in the pandemic with limited financial and human capital. Work commitment observable in these systems and situations is distinguished by intrinsic motivation. That is, health professionals are exposed to risks for personal reasons rather than economic or cultural ones.
The origins of this intrinsic commitment are found in the organizational culture (Chanana, 2021). Even the intrinsic commitment alludes to an educational part because it derives from an academic legacy. In this way, the history of the health professions is littered with principles that guide the ethics and conduct of professionals. Another origin is found in family history. The socio-educational theory indicates that human capital is inherited. In this sense, if an ancestor instructed the talent, then the health professional will act in accordance with his family legacy.
The intrinsic commitment is also observed in the leadership exercised by the health professional in a union, organization, sector or team (Chauhan, Howe & Nachmias, 2022) . The hegemony of a knowledge or skill, transferred in professional practice, also suggests a scenario in which commitment emerges as a distinctive feature of collaborative work. In fact, this type of introspective commitment is combined with extrinsic motivation consisting of prizes and rewards for high performance or work efficiency.
However, the intrinsic commitment is appreciated in a risk scenario such as the pandemic (Sokal, Trudel & Babb, 2021). Faced with the stigma towards health professionals that emerged after the increase in deaths from COVID-19, work commitment was replacing prejudice with recognition of health work. In this way, the balance of cases of contagion, disease and death can be explained by immunization, but also by intrinsic commitment.
Although intrinsic commitment has been identified as a job performance factor, the determinants have not been revealed (Li et al., 2021). Institutional leadership, understood as the influence of the State on the health sector, influences decisions and actions imposed by a vertical chain of command. The autocratic system explains the behavior of health professionals based on a guideline to the epidemic traffic light. Non-alignment to the institutional mandate implies a position of labor responsibility.
Institutional leadership is supported by the care climate in order to reinforce the institutional guidelines for social distancing (Su, Wichaikhum & Abhicharttibutra, 2023). Although the traffic light indicates a restriction or clearance of areas and resources, the welfare climate refers to a policy of openness to those who request public service. As institutional leadership and the care climate intensify, job satisfaction emerges. The demand for anti-COVID-19 tests, intubation and consultations means exhaustion due to overtime. In this risk scenario, institutional leadership relies on the healthcare environment to guide motivation towards those who are satisfied with their performance in the health crisis. In this way, the system of recognitions, stimuli and rewards are configured isomorphically.
Isomorphism alludes to the coupling between health professionals (Son et al., 2022). At the beginning of the pandemic, the lack of anti-COVID-19 devices such as masks led to a coupling of those who transport the infected, those who receive and care for them without due protection. The coupling between professions supposes additional training. Doctors who had to carry out transfer tasks, paramedics who had to supply oxygen to vulnerable groups or nurses who had to care for terminal cases indicate care-oriented training.
However, the exposed variables are insufficient without the family legacy from which the intrinsic commitment feeds (Prasetyo et al., 2022). The formation of human capital suggests that prior to entering the university, the future professional was influenced by a close relative. The family legacy materializes in medical, paramedical or psychological knowledge that defines exposure to risk. In addition to this process, intrinsic motivation or risk exposure decision for family or personal reasons, complement the structure of work commitment.
The seven variables exposed have been appreciated as determinants of labor collaboration in exceptional situations. The increase in institutional
A cross-sectional, correlational and psychometric study was carried out with a sample of 100 students (M = 24.1 SD = 2.3 age and M = 8'906.00 SD = 453.45 monthly income) from a public university in central Mexico.
The determinants of commitment were measured with the Multifactorial Scale of Work Commitment (Aminizadeh et al., 2022). The scale includes seven dimensions related to institutional leadership (“Management of COVID-19 requires strict commitment”), Care environment (“Caring for COVID-19 requires exceptional commitment”), Job satisfaction (“COVID-19 is an opportunity for personal growth”), Labor isomorphism (“The epidemiological traffic light will guide our efforts in the face of COVID-19”), Supplementary training (“COVID-19 will require learning preventive skills”), Family Legacy (“COVID-19 is an exceptional challenge that requires a supportive response”), Intrinsic motivation (“The recognition of those who overcome COVID-19 is what the pandemic leaves me”) and Collaboration (“I promote the use of anti-COVID-19 devices to attend a number greater than cases"). Each item includes five response options ranging from 0 = “not at all agree” to 5 = “quite agree”.
The psychometric properties of the instrument indicate a reliability ranging from .762 to .784 for the general scale and from .745 to .779 for the other subscales. The adequacy and sphericity suggest the validity that includes factorial weights which range from .465 to .672
Respondents were contacted through institutional mail indicating that they will not receive any payment for their responses, although confidentiality and anonymity are guaranteed. The guidelines of the American Psychological Association for studies with people in stressful situations were followed. The purpose of the study and those responsible for it were reported. Once the confidentiality agreement was signed, the questionnaire was sent via email. The homogenization of the concepts was established with a focus group prior to the pilot survey.
The data were captured in Excel and processed in JASP version 14. Cronbach's alpha was estimated for the consistency of the instrument and the Bartlett KMO test for the sphericity and adequacy of the instrument to the exploratory factor analysis of principal axes with promax rotation. In a second study, the structure of eight factors that explained 78% of the variance was confirmed with a sample of 86 students (M = 24.3 DE 2.3 age and M = 7'982.00 DE = 456.45 monthly income). The model of mediating factors was estimated using the fit and residual coefficients with the same version of the software used in the first study.
The relationships between the established factors. It can be seen that the sum of the direct and indirect effects indicates spurious relationships between the determinants of collaborative commitment. It means then that the sample surveyed seems to reflect a commitment focused on collaboration, but without connection to the determinants reported in the literature.
In fact, the only value that suggests a low relationship is that of isomorphism with collaboration. In other words, the pandemic reduced to a minimum the commitment originated by the union, the academy or the organization and the collaborative commitment. In this sense, a consequence of the pandemic in the workplace is the reduction of work commitment. In its intrinsic dimension, work commitment supposes a disinterested response from health professionals to the exceptional situation [Multivariate = 7,272; Bootstrap = .000; Alpha = .673; KMO = .875; X2 = 12,156; 11gl; _ p = .000; Normality (kurtosis = 7.272), reliability (alpha = .673) and validity (KMO = .875; X 2 = 12.156; 11gl; p = .000) (β = .91) (GFI = .975; NFI = .975, CFI = .985, RMSEA = .009)].
However, work commitment is a complex process of extrinsic and intrinsic motivation. Due to such a structure, work commitment is affected by the health crisis in its intrinsic dimension more than in its extrinsic dimension. In the case of professional practices and social service, work commitment is an added value of the academy that was affected by COVID-19.
The fit and residual parameters suggest non-rejection of the null hypothesis regarding the significant differences between the structure reported in the literature with respect to the observed reading. In other words, the work commitment reported in the literature indicates that the determinant of collaboration is intrinsic motivation, although in the present work the isomorphism had a greater impact on collaboration.
The contribution of this work to the state of the art lies in the contrast of a factorial model of mediation where isomorphism affected collaboration. That is, the work commitment is anticipated by the asymmetric relations between management and students (Boonsiritomachai & Sud-On, 2022). Labor isomorphism has been related to collaborative work in situations of stability, but in the present work a direct relationship was found between both variables.
Relative to studies that explain collaborative work with respect to sociocultural variables such as values, beliefs, and norms, the present study indicates that isomorphic beliefs explain collaborative engagement. The values or principles that guide decisions and behaviors, as well as the beliefs or surrounding information in socio-digital networks have been identified as determinants of collaboration (Ingsih, Suhana & Ali, 2021). It is recommended to extend the study towards sociocultural variables in order to predict behavior in risk scenarios.
The socioeconomic approach that alludes to extrinsic motivation as a dimension of work commitment indicates that greater compensation produces maximum dedication, even when the work involves exposure to significant risks (To & Huang, 2022). In the present study, intrinsic motivation was associated with family legacy, but both variables do not explain collaboration. This finding makes it possible to establish that extrinsic motivation does not reflect work commitment in the sample.
Regarding the socio-educational perspective, where labor skills and supplementary training are predictors of collaboration, the present study indicates that both variables were decreased by the pandemic. In the case of additional training, the skills acquired during the pandemic indicate a scenario that inhibited the formation of human capital (Faramawy & Abd El Kader, 2022). It is advisable to include the factor related to performance in the model in order to be able to identify the degree of impact of the pandemic where commitment is a mediating factor.
The objective of the study consisted in the demonstration of a factorial model of mediating relationships between the determinants of collaborative commitment. The results indicate that the relationships between the dimensions are significant so as not to reject the hypothesis of significant differences between the structure reported in the literature with respect to the structure observed in the present work. In relation to the sociocultural, socioeconomic and socio-educational frameworks that highlight determinants of collaborative commitment, the present study corroborates relationships that indicate a reduction in these dimensions due to the pandemic.
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