Organizational and Individual Determinants of Nursing Service Policy Compliance among Staff Nurses in a Private Medical and Wellness Center: A Descriptive-Correlational Study

Background: Nursing policy compliance is essential to patient safety, professional accountability, and consistent care delivery. This study examined organizational and individual determinants of compliance with nursing service policies among staff nurses at a private medical and wellness center. Methods: A descriptive-correlational, cross-sectional design was applied to survey 100 randomly selected nurses of Julius K. Quiambao Medical and Wellness Center. A structured questionnaire measured demographic profile, perceived organizational determinants, individual attitude-related factors, compliance with selected nursing policies, and barriers to adherence. Data were analyzed using frequency counts, percentages, and descriptive comparative interpretation. Results: Respondents were predominantly aged 21–30 years, female, had 0–5 years of experience, were staff nurses, and were commonly assigned to the Medical/ICU area. Demographic characteristics did not meaningfully differentiate compliance patterns. Organizational determinants—organized work units, equipment availability, defined roles, management support, policy dissemination, training, and communication forums—were consistently perceived as enabling compliance. Individual factors, including motivation, mood, collegial relations, supervisory feedback, incentives, and workload burden, also influenced adherence. High compliance was observed for uniforms, attendance, medication administration, asepsis, infection prevention, needle-stick reporting, professional conduct, patient rights, and role performance. Conclusion: Compliance is strengthened by supportive systems, clear communication, adequate resources, continuing education, and participatory policy governance.