The impact of organizational blindness on nurses' commitment in healthcare settings

Abstract

Purpose-This study investigates the relationship between organizational blindness and organizational commitment among nurses, exploring how demographic and professional factors shape affective, normative and continuance commitment. By emphasizing workforce well-being, organizational transparency and sustainable healthcare management, the study supports the United Nations Sustainable Development Goals of Decent Work and Economic Growth. Design/methodology/approach-A cross-sectional design was used with 269 nurses employed in a private hospital in T & uuml;rkiye. Data were collected using a Demographic Information Form, the Organizational Commitment Scale and the Organizational Blindness Scale. Descriptive statistics, t-tests, ANOVA, Pearson correlation, linear regression and logistic regression were conducted. Assumptions of normality, homoscedasticity, autocorrelation, and outlier independence were confirmed. Findings-Nurses reported moderate levels of organizational blindness and commitment. Blindness was significantly and negatively but low correlated with commitment (r = -0.266, p < 0.001), explaining 7.1% of the variance (R-2 = 0.071). Being married (OR = 2.05, p = 0.031) and having longer professional experience (p = 0.045) predicted higher commitment, whereas male gender and rotating shifts were linked to greater blindness. Research limitations/implications-The single-site, cross-sectional design limits causal inference and generalizability. Future multi-center and longitudinal studies are recommended. Practical implications-Healthcare leaders should promote open communication, fair scheduling, mentorship and professional development to enhance commitment and reduce blindness. Social implications-Addressing organizational blindness and strengthening commitment can improve nurse retention, organizational culture and patient care quality. Originality/value-A focused literature search (PubMed, Scopus and Web of Science; 2000-2025) revealed no prior Turkish empirical study on this link