Explaining turnover intention in Korean public community hospitals: occupational differences

Area of Science:

• Healthcare Management
• Organizational Psychology
• Public Health

Background:

• Public hospital personnel exhibit low job satisfaction and high turnover rates, negatively impacting hospital image and increasing costs.
• Understanding occupational differences in job satisfaction and turnover intention is vital for effective human resource management in healthcare.

Purpose of the Study:

• To describe occupational differences in job satisfaction, organizational commitment, and turnover intention among public hospital personnel.
• To identify key factors influencing turnover intention across various hospital roles.

Main Methods:

• A questionnaire survey was administered to 1251 personnel across four public hospitals in Seoul.
• Data collected included job satisfaction, organizational commitment, turnover intention, and demographics.
• Logistic regression analysis identified factors affecting turnover intention.

Main Results:

• Significant differences in job satisfaction, organizational commitment, and turnover intention were observed across occupations.
• Physicians had the highest turnover intention, followed by paramedicals, nursing staff, and administrators.
• Factors influencing turnover intention varied by occupation, with loyalty being a consistent predictor.

Conclusions:

• Loyalty emerged as the most significant factor influencing turnover intention across all hospital personnel occupations.
• Addressing occupational-specific factors and enhancing loyalty are critical for reducing public hospital staff turnover.