INFLUENCE OF PASSIVE CONTINUANCE COMMITMENT ON TURNOVER INTENTIONS AMONG HEALTH PROFESSIONALS OF NATIONAL REFERRAL HOSPITALS IN KENYA

SHADRACK MUTUKU NDAMBUKI, MATATA KILUNGU, PhD, PETER SASAKA, PhD, MARY IBUA, PhD

Abstract


The aim of this study was to establish the influence of passive continuance commitment on turnover intentions among health professionals of public national referral hospitals in Kenya. The study was supported by theory of equity. Descriptive and correlational research designs were used and positivistic research philosophy followed.  A target population of 3,641 health professionals was used to determine a sample of 349 respondents. Multistage sampling and proportionate stratified sampling techniques were used. Questionnaire was used to collect data. The finding showed that passive continuance commitment indicated a strong relationship with turnover intentions of health professionals. This indicated that for any public national referral hospital to maintain turnover intentions passive continuance commitment has to be improved.  The study indicated that availability of alternative jobs elsewhere, the need of health workers to support their families and the benefits provided to workers stimulates them to leave or stay longer in national referral hospitals in Kenya. The study recommended that the findings can be used by Ministry of Health to enhance universal health care so as to achieve vision 2030 medical and public health targets. The study can be used by healthcare related parastatals or religious based organizations in the health sector to provide public and medical healthcare in Kenya. Measures to improve continuance commitment may include Motivation of employees to achieve self-driven goals by rewarding excellent performers and improvement of working conditions by replacing old and defaced machines, payment of employees prevailing market salaries in time and providing protective gears. 

Key Words: Passive Continuance Commitment, Health, Healthcare, Hospitals

CITATION: Ndambuki, S. M., Matata, K., Sasaka, P., & Ibua, M. (2023). Influence of passive continuance commitment on turnover intentions among health professionals of national referral hospitals in Kenya. The Strategic Journal of Business & Change Management, 10 (1), 367 – 379. 


Full Text:

PDF

References


Abuga, I., Nyasimi, M. & Mark, I. (2015). An investigation on Commitment of Nurses in Mulango National Referral Hospital. Scientific Papers. Vol iv, issue 4. http://www.scientificpapers.org

Adams, J. S. (1963). Toward an Understanding of Inequity. Journal of Abnormal and Social Psychology, 67, 422-43

Alzubi, W. Z. Y. (2018). Turnover Intention in Jordanian Universities: The role of Leadership Behavior, Organizational Commitment and Organizational Culture. International Journal of Advanced and Applied Sciences 5 (1) pg 177-192Q DOI: 10.34091/AJSS.13.1.22

Bajpal, S. & Bajpal, R. (2014). Goodness of measurement: Reliability and Validity. Internal Journal of Medical Science and Public Health volume 3 issue 2 Doi:5455/ijmsph.2013.191120133

Bonds, A. A. (2017). Employee’s Organizational Commitment and Turnover Intentions. Walden University College of Management and Technology. Dissertations and Doctoral Studies Collection at Scholar Work at Work. Waldenu.edu/dissertations:http://scholarworks.waldenu.edu/dissertation

Bosomtwe, T. E. & Obeng, B. (2018). The Link between Organizational Culture and Turnover Intentions among Employees in Ghana. International Journal of Contemporary Research and Review volume 09 issue 08, DOI: https://doi.org /10.15520/ijcrr/2018/9/08/566

Bothma C.F.C. & Roodt G. (2013). The validation of the turnover intention scale. SA. Journal of human resource management/ SA Tydskrif vir menslikehulpbronbestuur Doi 10.4102 v2 issue 1507

Demeke, G. (2020). Effect of Job Satisfaction, Organizational Commitment of Employees at Kirkos’ City administration. Addis Ababa University College of Business and Economics, Addis Ababa Ethiopia.

Hashmi, A. M., Jalees, T. Qabool, S. & Aziz, A., (2020). Consequences of Organizational Culture, the Mediating role of Job Satisfaction and Turnover Intention. Abasyn Journal of Social Sciences volume 13 Issue 1 DOI: 10.34091/AJSS.13.1.2

Huang, Y. X., Xu, C.J., Ding, Q., Wu, W., Wang, D., & Pan, C. (2015). Study on Salary System Establishment for Medical Staff in Public Hospitals. Modern Hospital Management journal, (4),

Ikatrinasaria Z. F., Prayogoa, L. & Ariyantia, S., 2018). Analysis of turnover intention Power factors: A case study of Retail Company in Jakarta Management Science Letters 8 1097– 1102, Doi: 10.5267/j.msl.2018.7.002

Islam, E. & Kalumuthu, K. R. (2020). Assumptions of Theory Z: A Tool for Managing People at Work. The Asian Journal of Professional and Business Studies, Volume 1(1) E-ISSN 2716-666X

Israel, B., Kifle, W., Tigis, D. & Fantahum, W. (2017). Organizational Commitment and its Predictors Among Nurses Working in Jimma University Specialized Teaching Hospital South West Ethiopia. Primary Healthcare Open Access Research Article 7: 1, DOI: 10.4172/2167-1079.1000262

Jackson, S.L. (2016). Research Methods and Statistics: A Critical Thinking Approach (5thEd.) Boston, MA: Cengage Learning.

Jalees, T., Qaboo, S. & Asiz, A. (2020). Consequences of Organizational Culture and the Mediating Role of Job Satisfaction and Turnover Intentions: Abasyn Journal of Social Sciences Vol (13), Issue (1), 2020. DOI: 10.34091/AJSS.13.1.2

Jilcha, K. (2019). Research Design and Methodology. Addis Ababa University https://www.researchgate.net/publication/335110374. DOI: 10.5772/intechopen.85731

Kenya Medical Practitioners, Pharmacists and Dentist union (2017). Seven Officers of Medical Doctors Union Sentenced to Imprisonment because of Contempt of Court order. https://www.etd.ceu.edu>esendi-lynda

Kenyatta University Teaching Research and Referral Hospital (2021). Hospital-Establishment,https://kutrrh.go.ke/wp-content/uploads/2021 /01/kutrrh-profile-January 2021 extracted on 8th August 2021at 400pm

Kimathi, L. (2017). Challenges of the Devolved Health Sector in Kenya: Teething Problems or Systematic Contradictions. Journal African Development volume XLII no 1. Council of Development of Social Science Research in Africa ISSN: 08503907

Kinyili, M. (2015). Role of Human Resource Management Practices on Retention of Staff in Public Health institutes in Machakos County: Kenya, Degree in Doctor of Philosophy Human Resource option of Jomokenyatta University of agriculture and Technology.

Koon, A. D. (2021). When Doctors Strike: Making Sense of Professional Organizing in Kenya. BMC Health Services Research Journal Health Policy Law 46 (4): 653–676.https://doi.org/10.1215/03616878-8970867

Labraque, L.J., McEnroe D.M., Petitte B., Tsar K., Jonas P., Cruz D, Paolo C. and Gloe S. (2018). Organizational Commitment and Turnover Intention among Rural Nurses in the Philippines: Implications for Nursing Management. International Journal of Nursing Sciences. https://doi.org/10.1016/j- ijnss.2018.09.001

Marangu, E., Mansouri, F., Sands, N., Ndetei, D., Muriithi, P., Wynter, K. & Rawson, H. (2021). Assessing Mental Health Literacy of Primary Health care Workers in Kenya: a Cross-Sectional Survey. International Journal of Mental Health Systems, V15 (55).

Mensah, R. & Kosi, I. (2016). Organizational Commitment and Turnover Intentions of Clinical Laboratory Scientists in Ghana: European Journal of Business Management Volume 8 no 2 ISSN 2222-1905 (Paper) ISSN 2222-2839 (Online)

Mercurio, Z. A. (2015). Affective Commitment as a Core Essence of Organizational Commitment: An Integrative Literature Review. Human Resources Development Review, 14, 389-414. Doi: 10.1177/1534484315603612

Meyer, J. P. and Allen, N. J. (1991). A three-component conceptualization of Organizational commitment. Human Resource Management Review, 1(1), 61-89. http://dx.doi.org/10.1016/1053-4822 (91)90011-Z.

Ministry of Health (2014). Health Sector Human Resource Strategy 2014-2018. Nairobi, Kenya, Ministry of Health. http://www.health.go.ke

Ministry of Health (2015). Kenya Health Workforce Report: The Status of Healthcare Professionals in Kenya. Nairobi Kenya, Ministry of Health. Email: ps@health.go.ke http://www.health.go.ke

Ministry of Health (2016a). Health Sector Working Group Report: Medium Term Expenditure Framework for the Period 2017-18 to 2019-20. Nairobi Kenya, Ministry of Health. Government Press. http://www.health.go.ke

Mishra, S.B. & Alok, S. (2017). Handbook of Research Methodology. https://www. researchgate.net/publication/319207471.

Mosadeghrad, A.M., Ferlie, E. & Rosenberg, D. (2007). A study of the Relationship between job satisfaction, Organizational commitment and turnover intention among hospital employees. Health services management research. Sage. http://www. Sagepublications.com

Mugizi, W., Bakkabulindi, F.E.K., Bisaso, R. (2015). Antecedents of Commitment of Academic Staff in Universities in Uganda. East African School of Higher Education Studies and Development, College of Education and External Studies, Makerere University. Nkumba Business Journal, Volume 14, pp. 218-241 Corpus ID 55929841.

Mugizi, W. & Ssempebwa, J. (2016). Validity and Reliability of Allen Meyer’s (1990). Measure of Employee Commitment, in the Context of Academic Staff in Universities in Uganda. Research Gate, https:// www.researchgate.net/publication/319501811

Mugenda O. M. & Mugenda, A.G (2003) Research Method: Qualitative and Quantitative approaches. Nairobi African Centre technologies studies (ACTS) Press

Mwangi, G. W. (2015). Factors Influencing Commitment and Engagement, of Healthcare Workers at Kenyatta National Hospital. Masters of Business Administration, School of Business, University of Nairobi: Kenya.

Mwaniki, B. (2018). Health CS Kariuki Signs Cuban Doctors' Deal amid Criticism

Nation Media Group https://www.nation.co.ke/news/Health-CS-Kariuki-signs-Cubanttps://www.nation.co.ke/news/Health-CS-Kariuki-signs-Cuban-doctors-deal/1056-4doctors-deal/1056-4533672-7s3erjz/index.html. Retrieved 4.00 PM on 5th May 2019

Nasurdin, A.M., Ling, T.C. & Khan, S. N. (2018). The Relation between Turnover Intentions, High Performance Work Practices (hpwps), and Organizational Commitment: a Study among Private Hospital Nurses in Malaysia. Asian Academy of Management Journal, Vol. 23, No. 1, 23–51. https://doi.org/10.21315/aamj2018.23.1.2

Niguse, G.T. (2018). The Effects of Organizational Culture on Turnover Intentions: The Mediating Role of Job Satisfaction a Case of Oromia Forest and Wild Life Enterprise. African Journal of Business Management vol 13 issue 2 DOI: 10.5897/AJBM2018.8612

Njoroge, D. (2015). Ministry of Health report on Training needs assessment of Kenya health workforce. Nairobi Kenya, Ministry of Health.

Obiebi, P. I., Moeteke, N. S., Eze, U. G. & Umuago, J.I. (2020). How Mindful of Their Own Health are Healthcare Professionals? Perception and Practice of Personnel in a Tertiary Hospital in Nigeria. Ghana Medical Journal V 54(4) 215–224 Doi: 10.4314/gmj.v54i4.3

Omboki, A. (2018). First Batch of 100 Cuban Doctors Arrive in Kenya. Business Daily,https://www.businessdailyafrica.com/news/Cuban-doctors-jet- in/539546- 4598668-v3sosk/index.html

Ouko, E.R.O. (2012). Office of the Auditor General, Performance Audit report of auditor General specialized healthcare delivery at Kenyatta National Hospital waiting time for cancer, renal a heart patients. Nairobi, Kenya Ministry of Health.

Ouko, E.R.O. (2014). Kenya National Audit Report of the Auditor general on The financial statement of Moi Teaching and Referral hospital for the year ended 30 June 2014. Nairobi, Kenya, Government publishing press.

Owili, P. O., Hsu, Y. H., Chern, J. Y., Chiu. C. H. M., Wang, B., Huang, K. C & Muga, A.M. (2015). Perceptions and Attitudes of Health Professionals in Kenya on National Healthcare Resource Allocation Mechanisms: A Structural Equation Modeling. PLoS ONE 10(6): e0127160.doi:10.1371/ journal. pone.012716

Pierce, J. L., Kostova, T. & Dirks, K. T. (2001). “Toward a theory of Psychological ownership in organizations,” Academy of Management Review (26:2), pp. 298–310.

Republic of Kenya (2017). Laws of Kenya, Health Act No. 21 of 2017, Published by the National Council for Law Reporting with the Authority of the Attorney-General www.kenyalaw.org

Riaz, W., Ali, A., Memoona, S.I., Iqbal, M. (2017). Mediating Role of Organizational Commitment in the Relationship of Attitudinal Aspects and Employees’ Turnover Intentions: A Theoretical Framework. Pollster Journal of Academic Research, Vol 4, Issue 1, pp. 1-19 ISSN: 2411-2259, www.pollsterpub.com

Riou, J. & Althaus, C.L. (2020). Pattern of Early Human-to-Human Transmission of Wuhan 2019 Novel Coronavirus (2019-n CoV), December 2019 to January 2020. Euro Surveill. 2020; 25 (4). https://doi.org/10.2807/1560-7917.

Saunders, T. C. (2018). On Estimating Causal Mediation Effects from a Single Regression Equation. Doctoral Degree of Biostatistics Vanderbilt University. Nashville, Tennessee, USA. Vanderbilt University.

Saunders, M.N.K., Lewis, P. & Thornhill, A. (2019). Research Methods for Business Students, (8th Edi.) Harlow, England: Pearson. https:// www. researchgate.net/publication/330760964.

Shone B.J. (2015). Introduction to Quantitative Research Methods. Graduate School, a Guide for Research Post Graduate Students the University of Hong Kong ISBN: 978-988 12813-0-2 DOI: 10.13140/2.1.4466.3040.

Sow, M.T. (2015). Relationship between Organizational Commitment and Turnover Intentions among Healthcare, Internal Auditor of scholar works, Walden University College of Management and Technology: https://scholarworks.waldenu.edu/dissertations

Sow, M. (2016). Normative Organizational Commitment and its Effects on Employee Retention: Business and Economic Research Journal, Vol 6. No 1 doi:10.5296/ber. v6i1.9018

Wainaina, L.W. (2015). Determinants of Organizational Commitment Among Academic Staff in Kenya’s Public and Private Universities. Unpublished Doctor of Philosophy Thesis. Jomo-Kenyatta University of Agriculture and Technology: Kenya.

Wang, Y. (2004). Observations on the organizational commitment of Chinese Employees: comparative studies of state-owned enterprises and foreign-invested enterprises. International Journal of Human Resource Management,15(4),649-669.http://dx.doi.org/10.1080/09585190 42000192889

Weldeyohanness, G. (2016). Compensation practice and teachers’ turnover intentions in Tigray, Adigrat University College of business and Economics. Addis Ababa Ethiopia

Wong, A. (2014). Evaluation of Organizational Commitment Models and the Components in Asian cities. An International Journal of Human Resource Studiesvol4no.2https://www.researchgate.net/publication/266675996. DOI: 10.5296/ijhrs. v4i2.5601

World Health Organization (2017), “Health and Health Associate Professionals And ISCO-08”, in a system of Health Accounts 2011: Revised edition, OECD Publishing, Paris. DOI: https://doi.org/10.1787/ 9789264270985 -21-en

Xuehu, H. (2016). The Influence of Job Satisfaction and Affective Commitment on Turnover Intentions among Senior Professionals in Public Hospitals. An Empirical Study among Guangdong Province China. Thesis for Doctor of Management, ISCTE Business School, Instituro Universtaro de Lisbon. Portugal




DOI: http://dx.doi.org/10.61426/sjbcm.v10i1.2544

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

PAST ISSUES:
20242023202220212020201920182017201620152014
Vol 11, No 2 [2024]Vol 10, No 4 [2023]Vol 9, No 4 [2022]Vol 8, No 4 [2021]Vol 7, No 4 [2020]Vol 6, No 4 [2019]Vol 5, No 4 [2018]Vol 4, No 4 [2017]Vol 3, No 4 [2016]Vol 2, No 2 [2015]Vol 1, No 2 [2014]
 Vol 11, No 1 [2024] Vol 10, No 3 [2023] Vol 9, No 3 [2022]Vol 8, No 3 [2021]Vol 7, No 3 [2020]Vol 6, No 3 [2019]Vol 5, No 3 [2019]Vol 4, No 3 [2017]Vol 3, No 3 [2016]Vol 2, No 1 [2015]Vol 1, No 1 [2014]
  Vol 10, No 2 [2023] Vol 9, No 2 [2022]Vol 8, No 2 [2021]Vol 7, No 2 [2020]Vol 6, No 2 [2019]Vol 5, No 2 [2018]Vol 4, No 2 [2017]Vol 3, No 2 [2016]  
  Vol 10, No 1 [2023] Vol 9, No 1 [2022]  Vol 8, No 1 [2021]Vol 7, No 1 [2020]Vol 6, No 1 [2019]Vol 5, No 1 [2018]Vol 4, No 1 [2017]Vol 3, No 1 [2016]   


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.