Nurses play a vital role in the health care system. The Ex-post facto correlational study design conducted in National Capital Region, India in five multi-specialty hospitals with 500 beds are administered by three different establishments. 300 nurses were interviewed to understand organizational behavior, job affiliation and its environment to achieve productivity and performances towards growth of the organization. The organizational commitment, performances and productivity of nurses considerably relied on work environment and leadership style. Nursing management skills, leadership style are not much tested, as they were not provided with opportunities in planning and decision making process. The study cautioned that the hospital recorded poor employees’ relations, and has strained physician relationships, which required being set right for the betterment of the hospitals and improve the patient satisfaction level. The hospital management thinks that nurses outcomes are just a function of their efficiency and part of the service duty, but the hospital management failed to understand that efficiency and productivity dependent on a wide range of other factors. Hospitals should ensure nursing workforce as an integral part of human resources planning and health system development. Thus, there is a need for quality job affiliation, which is important for efficiency and productivity of nurses.

Nurses’ Satisfaction, Job Affiliation, Productivity, Performances, Effectiveness, Patient Satisfaction, Quality of Care