Navigating the Path to Employee Job Retention and Engagement in US Health Centers: A Moderated Mediation Analysis

Area of Science:

• Healthcare Management
• Organizational Psychology
• Workforce Development

Background:

• Employee well-being is critical in US health centers.
• Job satisfaction, intention to stay, and engagement are key workforce metrics.
• Supportive processes, work-life balance, and leadership influence these metrics.

Purpose of the Study:

• To examine the impact of supportive processes, work-life balance, and leadership on employee job satisfaction, intention to stay, and engagement.
• To analyze the mediating role of job satisfaction.
• To investigate the moderating effects of work-life balance and leadership.

Main Methods:

• Secondary data from the Health Center Workforce Well-Being Survey (2022-2023).
• Cross-sectional moderated mediation analyses using Hayes PROCESS macro (Model 60).
• Examined effects on job satisfaction, intention to stay, and job engagement.

Main Results:

• Job satisfaction mediates the link between supportive processes and both intention to stay and job engagement.
• Work-life balance and leadership differentially moderate the supportive processes-job satisfaction relationship.
• Leadership moderates the influence of job satisfaction on intention to stay and job engagement.

Conclusions:

• Targeted workforce strategies are essential for health centers.
• Enhance job satisfaction through supportive processes, work-life balance, and leadership development.
• Leadership's role in intention to stay and engagement is contingent on job satisfaction levels.