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The employee retention triad in health care: Exploring relationships amongst organisational justice, affective commitment and turnover intention
Author(s) -
Perreira Tyrone A,
Berta Whitney,
Herbert Monique
Publication year - 2018
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14263
Subject(s) - psychology , interpersonal communication , procedural justice , structural equation modeling , turnover , health care , social psychology , organizational justice , organizational commitment , mediation , job satisfaction , nursing , medicine , political science , perception , statistics , mathematics , management , neuroscience , economics , law
Aims and objectives To increase understanding of the relationships between organisational justice, affective commitment and turnover intention in health care. Background Turnover in health care is a serious concern, as it contributes to the global nursing shortage and is associated with declines in quality of care, patient safety and patient outcomes. Turnover also impacts care teams and is associated with decreased staff cohesion and morale. Methods A survey was developed and administered to frontline nurses working in the Province of Ontario, Canada. The data were used to test a hypothetical model developed from a review of the literature. The relationships amongst the three constructs were evaluated using structural equation modelling and mediation analysis. Results The hypothesised model was generally supported, although we were limited to considerations of interpersonal justice, affective commitment to one's organisation and turnover intention. Interpersonal justice is associated with affective commitment to one's organisation, which is negatively associated with turnover intention. Interpersonal justice was also found to be directly and negatively associated with turnover intention. Affective commitment to one's organisation was also found to mediate the relationship between interpersonal justice and turnover intention. Conclusions The examination of relationships within the “employee retention triad” in a single, comprehensive model is novel and provides new information regarding relational complexity and insights into what healthcare leaders can do to retain employees. Relevance to clinical practice Reducing turnover may help to decrease some of the stressors related to turnover for clinical staff remaining at the organisation such as constant onboarding and orientation of new hires, working with less experienced staff and increased workload due to decreased staffing.