Skip to main content
Top
Published in: BMC Health Services Research 1/2015

Open Access 01-12-2015 | Research article

Assessing the effects of pharmacists’ perceived organizational support, organizational commitment and turnover intention on provision of medication information at community pharmacies in Lithuania: a structural equation modeling approach

Authors: Gvidas Urbonas, Loreta Kubilienė, Raimondas Kubilius, Aušra Urbonienė

Published in: BMC Health Services Research | Issue 1/2015

Login to get access

Abstract

Background

As a member of a pharmacy organization, a pharmacist is not only bound to fulfill his/her professional obligations but is also affected by different personal and organizational factors that may influence his/her behavior and, consequently, the quality of the services he/she provides to patients. The main purpose of the research was to test a hypothesized model of the relationships among several organizational variables, and to investigate whether any of these variables affects the service of provision of medication information at community pharmacies.

Methods

During the survey, pharmacists working at community pharmacies in Lithuania were asked to express their opinions on the community pharmacies at which they worked and to reflect on their actions when providing information on medicines to their patients. The statistical data were analyzed by applying a structural equation modeling technique to test the hypothesized model of the relationships among the variables of Perceived Organizational Support, Organizational Commitment, Turnover Intention, and Provision of Medication Information.

Results

The final model revealed that Organizational Commitment had a positive direct effect on Provision of Medication Information (standardized estimate = 0.27) and a negative direct effect (standardized estimate = −0.66) on Turnover Intention. Organizational Commitment mediated the indirect effects of Perceived Organizational Support on Turnover Intention (standardized estimate = −0.48) and on Provision of Medication Information (standardized estimate = 0.20). Pharmacists’ Turnover Intention had no significant effect on Provision of Medication Information.

Conclusions

Community pharmacies may be viewed as encouraging, to some extent, the service of provision of medication information. Pharmacists who felt higher levels of support from their organizations also expressed, to a certain extent, higher commitment to their organizations by providing more consistent medication information to patients. However, the effect of organizational variables on the variable of Provision of Medication Information appeared to be limited.
Literature
2.
go back to reference International Pharmaceutical Federation, International Pharmaceutical Students’ Federation. Appendix 2: a modified version of the USP medication counselling behaviour guidelines developed by FIP/IPSF in 2005. In: Pohjanoksa-Mäntylä M, Venelampi S, Lucero E, editors. Counselling, concordance and communication: innovative education for pharmacists. The Hague: Fédération Internationale Pharmaceutique; 2012. p. 122. International Pharmaceutical Federation, International Pharmaceutical Students’ Federation. Appendix 2: a modified version of the USP medication counselling behaviour guidelines developed by FIP/IPSF in 2005. In: Pohjanoksa-Mäntylä M, Venelampi S, Lucero E, editors. Counselling, concordance and communication: innovative education for pharmacists. The Hague: Fédération Internationale Pharmaceutique; 2012. p. 122.
3.
go back to reference Council of the European Communities. Council Directive 92/27/EEC of 31 March 1992 on the labelling of medicinal products for human use and on package leaflets. Brussels: European Commission, 1992, OJ Number L 113, 30. 4; 1992. Council of the European Communities. Council Directive 92/27/EEC of 31 March 1992 on the labelling of medicinal products for human use and on package leaflets. Brussels: European Commission, 1992, OJ Number L 113, 30. 4; 1992.
4.
go back to reference Raynor DK, Savage I, Knapp P, Henley J. We are the experts: people with asthma talk about their medicine information needs. Patient Educ Couns. 2004;53(2):167–74.PubMed Raynor DK, Savage I, Knapp P, Henley J. We are the experts: people with asthma talk about their medicine information needs. Patient Educ Couns. 2004;53(2):167–74.PubMed
5.
go back to reference Berry DC, Knapp P, Raynor DK. Provision of information about drug side-effects to patients. Lancet. 2002;359:853–4.PubMed Berry DC, Knapp P, Raynor DK. Provision of information about drug side-effects to patients. Lancet. 2002;359:853–4.PubMed
6.
go back to reference Hamrosi KK, Raynor DK, Aslani P. Enhancing provision of written medicine information in Australia: pharmacist, general practitioner and consumer perceptions of the barriers and facilitators. BMC Health Serv Res. 2014;14:183.PubMedPubMedCentral Hamrosi KK, Raynor DK, Aslani P. Enhancing provision of written medicine information in Australia: pharmacist, general practitioner and consumer perceptions of the barriers and facilitators. BMC Health Serv Res. 2014;14:183.PubMedPubMedCentral
7.
go back to reference Poplas-Susič T, Klemenc-Ketis Z, Kersnik J. Usefulness of the patient information leaflet (PIL) and information on medicines from professionals: a patients’ view. A qualitative study. Zdrav Vestn. 2014;83(5):368–75. Poplas-Susič T, Klemenc-Ketis Z, Kersnik J. Usefulness of the patient information leaflet (PIL) and information on medicines from professionals: a patients’ view. A qualitative study. Zdrav Vestn. 2014;83(5):368–75.
8.
go back to reference Meštrović A, Gjergja A, Košiček M. Patients need a competent pharmacist for a safe and successful therapy. Adv Pharmacoepidem Drug Safety. 2012;1:104. Meštrović A, Gjergja A, Košiček M. Patients need a competent pharmacist for a safe and successful therapy. Adv Pharmacoepidem Drug Safety. 2012;1:104.
9.
go back to reference Puspitasari HP, Aslani P, Krass I. Pharmacists’ and consumers’ viewpoints on counselling on prescription medicines in Australian community pharmacies. Int J Pharm Pract. 2010;18(4):202–8.PubMed Puspitasari HP, Aslani P, Krass I. Pharmacists’ and consumers’ viewpoints on counselling on prescription medicines in Australian community pharmacies. Int J Pharm Pract. 2010;18(4):202–8.PubMed
10.
go back to reference Puspitasari HP, Aslani P, Krass I. A review of counselling practices on prescription medicines in community pharmacies. Res Social Adm Pharm. 2009;5(3):197–210.PubMed Puspitasari HP, Aslani P, Krass I. A review of counselling practices on prescription medicines in community pharmacies. Res Social Adm Pharm. 2009;5(3):197–210.PubMed
11.
go back to reference Tully MP, Beckman-Gyllenstrand A, Bernsten CB. Factors predicting poor counselling about prescription medicines in Swedish community pharmacies. Patient Educ Couns. 2011;83(1):3–6.PubMed Tully MP, Beckman-Gyllenstrand A, Bernsten CB. Factors predicting poor counselling about prescription medicines in Swedish community pharmacies. Patient Educ Couns. 2011;83(1):3–6.PubMed
12.
go back to reference Souter C, Kinnear A, Kinnear M, Mead G. Optimisation of secondary prevention of stroke: a qualitative study of stroke patients’ beliefs, concerns and difficulties with their medicines. Int J Pharm Pract. 2014;22(6):424–32.PubMed Souter C, Kinnear A, Kinnear M, Mead G. Optimisation of secondary prevention of stroke: a qualitative study of stroke patients’ beliefs, concerns and difficulties with their medicines. Int J Pharm Pract. 2014;22(6):424–32.PubMed
13.
go back to reference Mesquita AR, de Oliveira Sá DA, Santos AP, de Almeida NA, Lyra Jr DP. Assessment of pharmacist’s recommendation of non-prescription medicines in Brazil: a simulated patient study. Int J Clin Pharm. 2013;35(4):647–55.PubMed Mesquita AR, de Oliveira Sá DA, Santos AP, de Almeida NA, Lyra Jr DP. Assessment of pharmacist’s recommendation of non-prescription medicines in Brazil: a simulated patient study. Int J Clin Pharm. 2013;35(4):647–55.PubMed
14.
go back to reference Bardage C, Westerlund T, Barzi S, Bernstern C. Nonprescription medicines for pain and fever-A comparison of recommendations and counseling from staff in pharmacy and general sales stores. Health Policy. 2013;110(1):76–83.PubMed Bardage C, Westerlund T, Barzi S, Bernstern C. Nonprescription medicines for pain and fever-A comparison of recommendations and counseling from staff in pharmacy and general sales stores. Health Policy. 2013;110(1):76–83.PubMed
15.
go back to reference Boardman HF, Gray NJ, Symonds BS. Interactions between parents/carers of pre-school children and pharmacy staff when buying non-prescription medicines. Int J Clin Pharm. 2011;33(5):832–41.PubMed Boardman HF, Gray NJ, Symonds BS. Interactions between parents/carers of pre-school children and pharmacy staff when buying non-prescription medicines. Int J Clin Pharm. 2011;33(5):832–41.PubMed
16.
go back to reference White L, Klinner C. Service quality in community pharmacy: an exploration of determinants. Res Social Adm Pharm. 2012;8(2):122–32.PubMed White L, Klinner C. Service quality in community pharmacy: an exploration of determinants. Res Social Adm Pharm. 2012;8(2):122–32.PubMed
17.
go back to reference Villako P, Raal A. A survey of Estonian consumer expectation from the pharmacy service and a comparison with the opinions of pharmacists. Pharm World Sci. 2007;29:546–50.PubMed Villako P, Raal A. A survey of Estonian consumer expectation from the pharmacy service and a comparison with the opinions of pharmacists. Pharm World Sci. 2007;29:546–50.PubMed
18.
go back to reference Mott DA, Doucette WR, Gaither CA, Pedersen CA, Schommer JC. Pharmacists’ attitudes toward worklife: results from a national survey of pharmacists. J Am Pharm Assoc. 2004;44(3):326–36. Mott DA, Doucette WR, Gaither CA, Pedersen CA, Schommer JC. Pharmacists’ attitudes toward worklife: results from a national survey of pharmacists. J Am Pharm Assoc. 2004;44(3):326–36.
19.
go back to reference Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. J Appl Psychol. 1986;71:500–7. Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. J Appl Psychol. 1986;71:500–7.
20.
go back to reference Shanock LR, Eisenberger R. When supervisors feel supported: Relationships with subordinates’ perceived supervisor support, perceived organizational support, and performance. J Appl Psychol. 2006;91(3):689–95.PubMed Shanock LR, Eisenberger R. When supervisors feel supported: Relationships with subordinates’ perceived supervisor support, perceived organizational support, and performance. J Appl Psychol. 2006;91(3):689–95.PubMed
21.
go back to reference Rhoades L, Eisenberger R. Perceived organizational support: a review of the literature. J Appl Psychol. 2002;87(4):698–714.PubMed Rhoades L, Eisenberger R. Perceived organizational support: a review of the literature. J Appl Psychol. 2002;87(4):698–714.PubMed
22.
go back to reference Allen DG, Shore LM, Griffeth RW. The role of perceived organizational support and supportive human resource practices in the turnover process. J Manage. 2003;29(1):99–118. Allen DG, Shore LM, Griffeth RW. The role of perceived organizational support and supportive human resource practices in the turnover process. J Manage. 2003;29(1):99–118.
23.
go back to reference Meyer JP, Paunonen SV, Gellatly IR, Goffin RD, Jackson DN. Organizational commitment and job performance: It’s the nature of the commitment that counts. J Appl Psychol. 1989;74(1):152–6. Meyer JP, Paunonen SV, Gellatly IR, Goffin RD, Jackson DN. Organizational commitment and job performance: It’s the nature of the commitment that counts. J Appl Psychol. 1989;74(1):152–6.
24.
go back to reference Steers RM. Antecedents and outcomes of organizational commitment. Adm Sci Q. 1977;22(1):46–56.PubMed Steers RM. Antecedents and outcomes of organizational commitment. Adm Sci Q. 1977;22(1):46–56.PubMed
25.
go back to reference Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. J Vocat Behav. 1979;14(2):224–47. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. J Vocat Behav. 1979;14(2):224–47.
26.
go back to reference Riketta M. Attitudinal organizational commitment and job performance: a meta-analysis. J Organ Behav. 2002;23(3):257–66. Riketta M. Attitudinal organizational commitment and job performance: a meta-analysis. J Organ Behav. 2002;23(3):257–66.
27.
go back to reference Jaramillo F, Mulki JF, Marshall GW. A meta-analysis of the relationship between organizational commitment and salesperson job performance: 25 years of research. J Bus Res. 2005;58(6):705–14. Jaramillo F, Mulki JF, Marshall GW. A meta-analysis of the relationship between organizational commitment and salesperson job performance: 25 years of research. J Bus Res. 2005;58(6):705–14.
28.
go back to reference DeConinck JB, Bachmann DP. Organizational commitment and turnover intentions of marketing managers. J Appl Business Res. 2011;10(3):87–95. DeConinck JB, Bachmann DP. Organizational commitment and turnover intentions of marketing managers. J Appl Business Res. 2011;10(3):87–95.
29.
go back to reference Lee TW, Mowday RT. Voluntary leaving and organization: An empirical investigation of Steers and Mowday’s model of turnover. Acad Manage J. 1987;30(4):721–43. Lee TW, Mowday RT. Voluntary leaving and organization: An empirical investigation of Steers and Mowday’s model of turnover. Acad Manage J. 1987;30(4):721–43.
30.
go back to reference Islam T, Khan SR, Nourulkamar BO, Ahmad U, Ali G, Ahmed I, et al. Turnover intentions: the influence of perceived organizational support and organizational commitment. Procedia Soc Behav Sci. 2013;103:1238–42. Islam T, Khan SR, Nourulkamar BO, Ahmad U, Ali G, Ahmed I, et al. Turnover intentions: the influence of perceived organizational support and organizational commitment. Procedia Soc Behav Sci. 2013;103:1238–42.
31.
go back to reference Blossom YL, Yeh YC, Lin WH. The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. J Med Syst. 2007;31:224–9. Blossom YL, Yeh YC, Lin WH. The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. J Med Syst. 2007;31:224–9.
32.
go back to reference Resnik DB, Ranelli PL, Resnik SP. The conflict between ethics and business in community pharmacy: what about patient counseling? J Bus Ethics. 2000;28:179–86.PubMed Resnik DB, Ranelli PL, Resnik SP. The conflict between ethics and business in community pharmacy: what about patient counseling? J Bus Ethics. 2000;28:179–86.PubMed
33.
go back to reference Latif DA. The link between moral reasoning scores, social desirability, and patient care performance scores: empirical evidence from the retail pharmacy setting. J Bus Ethics. 2000;25:255–69. Latif DA. The link between moral reasoning scores, social desirability, and patient care performance scores: empirical evidence from the retail pharmacy setting. J Bus Ethics. 2000;25:255–69.
34.
go back to reference Mishima S, Homma T, Mitsuishi T. Organizational Commitment and Ethical Cognition among Retail Pharmacist in Japan. In Proceedings of the 1th International Academic Conference: 24–27 June 2014; Reykjavik. Edited by Rotschedl J, Čermáková K. Prague; 2014:250. Mishima S, Homma T, Mitsuishi T. Organizational Commitment and Ethical Cognition among Retail Pharmacist in Japan. In Proceedings of the 1th International Academic Conference: 24–27 June 2014; Reykjavik. Edited by Rotschedl J, Čermáková K. Prague; 2014:250.
35.
go back to reference Rhoades L, Eisenberger R, Armeli S. Affective commitment in the organization: The contribution of perceived organizational support. J Appl Psychol. 2001;86(5):825–36.PubMed Rhoades L, Eisenberger R, Armeli S. Affective commitment in the organization: The contribution of perceived organizational support. J Appl Psychol. 2001;86(5):825–36.PubMed
37.
go back to reference Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Boston: Pearson; 2012. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Boston: Pearson; 2012.
38.
go back to reference Fornell C, Larcker D. Structural equation models with unobservable variables and measurement error. J Mark Res. 1981;18:39–50. Fornell C, Larcker D. Structural equation models with unobservable variables and measurement error. J Mark Res. 1981;18:39–50.
39.
go back to reference Nunnally JC, Bernstein IH. Psychometric Theory. New York: McGraw-Hill; 1994. Nunnally JC, Bernstein IH. Psychometric Theory. New York: McGraw-Hill; 1994.
40.
go back to reference Bagozzi RP, Yi Y. On the evaluation of structural equation models. J Acad Market Sci. 1988;16:74–94. Bagozzi RP, Yi Y. On the evaluation of structural equation models. J Acad Market Sci. 1988;16:74–94.
41.
go back to reference Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychol Bull. 1988;103:411–23. Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychol Bull. 1988;103:411–23.
42.
go back to reference Bagozzi RP, Phillips LW. Representing and testing organizational theories: A holistic construal. Admin Sci Quart. 1982;27:459–89. Bagozzi RP, Phillips LW. Representing and testing organizational theories: A holistic construal. Admin Sci Quart. 1982;27:459–89.
43.
go back to reference Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879–903.PubMed Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879–903.PubMed
44.
go back to reference Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Meth Psychol Res. 2003;8:23–74. Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Meth Psychol Res. 2003;8:23–74.
45.
go back to reference Byrne BM. Structural Equation Modeling with AMOS: Basic Concepts, Applications and Programming. New York: Routledge; 2001. Byrne BM. Structural Equation Modeling with AMOS: Basic Concepts, Applications and Programming. New York: Routledge; 2001.
47.
go back to reference Preacher KJ, Hayes AF. Contemporary Approaches to Assessing Mediation in Communication Research. In: Hayes AF, Slate MD, Snyder LB, editors. The Sage Sourcebook of Advanced Data Analysis Methods for Communication Research. Thousand Oaks, CA: Sage Publications; 2008. p. 13–54. Preacher KJ, Hayes AF. Contemporary Approaches to Assessing Mediation in Communication Research. In: Hayes AF, Slate MD, Snyder LB, editors. The Sage Sourcebook of Advanced Data Analysis Methods for Communication Research. Thousand Oaks, CA: Sage Publications; 2008. p. 13–54.
48.
go back to reference Lew TY. The relationships between perceived organizational support, felt obligation, affective organizational commitment and turnover intention of academics working with private higher educational institutions in Malaysia. Eur J Soc Sci. 2009;9(1):72–87. Lew TY. The relationships between perceived organizational support, felt obligation, affective organizational commitment and turnover intention of academics working with private higher educational institutions in Malaysia. Eur J Soc Sci. 2009;9(1):72–87.
49.
go back to reference Maertz CP, Griffeth RW, Campbell NS, Allen DG. The effects of perceived organizational support and perceived supervisor support on employee turnover. J Organ Behav. 2007;28:1059–75. Maertz CP, Griffeth RW, Campbell NS, Allen DG. The effects of perceived organizational support and perceived supervisor support on employee turnover. J Organ Behav. 2007;28:1059–75.
50.
go back to reference Dawley D, Houghton JD, Bucklew NS. Perceived organizational support and turnover intention: the mediating effects of personal sacrifice and job fit. J Soc Psychol. 2010;150(3):238–57.PubMed Dawley D, Houghton JD, Bucklew NS. Perceived organizational support and turnover intention: the mediating effects of personal sacrifice and job fit. J Soc Psychol. 2010;150(3):238–57.PubMed
51.
go back to reference Gaither CA, Kahaleh AA, Doucette WR, Mott DA, Pederson CA, Schommer JC. A modified model of pharmacists’ job stress: the role of organizational, extra-role, and individual factors on work-related outcomes. Res Social Adm Pharm. 2008;4(3):231–43.PubMed Gaither CA, Kahaleh AA, Doucette WR, Mott DA, Pederson CA, Schommer JC. A modified model of pharmacists’ job stress: the role of organizational, extra-role, and individual factors on work-related outcomes. Res Social Adm Pharm. 2008;4(3):231–43.PubMed
52.
go back to reference Chaichalermpong W. Thai Pharmacists’ Job satisfaction, organizational commitment and intention to quit. J Health Syst Res. 2010;2(1):22–31. Chaichalermpong W. Thai Pharmacists’ Job satisfaction, organizational commitment and intention to quit. J Health Syst Res. 2010;2(1):22–31.
53.
go back to reference Gaither CA, Mason JL. A model of pharmacist’s career commitment, organizational commitment and career and job withdrawal intentions. J Soc Admin Pharm. 1992;9(2):75–86. Gaither CA, Mason JL. A model of pharmacist’s career commitment, organizational commitment and career and job withdrawal intentions. J Soc Admin Pharm. 1992;9(2):75–86.
54.
go back to reference Desselle SP. Job turnover intentions among certified pharmacy technicians. J Am Pharm Assoc. 2005;45(6):676–83. Desselle SP. Job turnover intentions among certified pharmacy technicians. J Am Pharm Assoc. 2005;45(6):676–83.
55.
go back to reference Urbonas G, Jakušovaitė I. Evaluation of pharmacy management’s position on pharmaceutical service quality and ethical principles in pharmacy specialists’opinion. Lithuanian General Practitioner. 2010;14(9):635–42. Urbonas G, Jakušovaitė I. Evaluation of pharmacy management’s position on pharmaceutical service quality and ethical principles in pharmacy specialists’opinion. Lithuanian General Practitioner. 2010;14(9):635–42.
56.
go back to reference Latif DA. Ethical cognition and selection-socialization in retail pharmacy. J Bus Ethics. 2000;25:343–57.PubMed Latif DA. Ethical cognition and selection-socialization in retail pharmacy. J Bus Ethics. 2000;25:343–57.PubMed
57.
go back to reference Latif DA. The relationship between pharmacist’s tenure in the community setting and moral reasoning. J Bus Ethics. 2001;31:131–41.PubMed Latif DA. The relationship between pharmacist’s tenure in the community setting and moral reasoning. J Bus Ethics. 2001;31:131–41.PubMed
Metadata
Title
Assessing the effects of pharmacists’ perceived organizational support, organizational commitment and turnover intention on provision of medication information at community pharmacies in Lithuania: a structural equation modeling approach
Authors
Gvidas Urbonas
Loreta Kubilienė
Raimondas Kubilius
Aušra Urbonienė
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-0741-3

Other articles of this Issue 1/2015

BMC Health Services Research 1/2015 Go to the issue