Cold wind of change: Associations between organizational change, turnover intention, overcommitment and quality of care in Spanish and Swedish eldercare organizations

Aim: To examine the association between organizational change, turnover intentions, overcommitment, and perceptions of quality of care among nurses and nursing assistants employed in older people care organizations. Design: A longitudinal survey (baseline, 12 month follow-up) was used. Methods: A panel sample of 226 older people care employees in Spain and Sweden responded to survey questions concerning organizational change, turnover intentions, overcommitment, and perceptions of quality of care. The data was analysed using structural equational modelling. Results: We found a statistically significant positive relationship between organizational change, employees' turnover intention, and overcommitment. We also found a statistically significant negative relationship between organizational change and perceived quality of care.