SciELO - Scientific Electronic Library Online

 
vol.13 número1Mothers' experiences of labour in a tertiary care hospital índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


Health SA Gesondheid (Online)

versión On-line ISSN 2071-9736
versión impresa ISSN 1025-9848

Health SA Gesondheid (Online) vol.13 no.1 Cape Town  2008

 

RESEARCH

 

Organisational culture of hospitals to predict turnover intentions of professional nurses

 

 

E JacobsI; G RoodtII

IDr. D Com. Human Resource Practitioner, Sol Plaatjie Municipality, Private Bag X5030, Kimberley
IID Admin. Professor, Head of Centre of Work Performance and Departmental Research Unit, Department of Human Resource Management, University of Johannesburg

Correspondence

 

 


ABSTRACT

The objective of this study was to determine if organisational culture predicts turnover intentions of professional nurses. A predictive model with organisational culture and various proposed mediating variables, namely knowledge sharing, organisational commitment, organisational citisenship behaviour and job satisfaction, as well as various demographic variables was developed to determine turnover intentions through applying General Linear Modelling. A correlational design with questionnaires was used. A sample of professional nurses (N = 530) in private and provincial hospitals was obtained. The results indicate that organisational culture has a significantly negative correlation with turnover intentions. Organisational culture also interacted with job satisfaction, knowledge sharing, and the white professional nurses' category to decrease turnover intentions and with Organisational Citisen Behaviours to increase turnover intentions in a final predictive model. It is therefore recommended that nursing employers seriously embark on strategies to improve the organisational culture to retain their talent.

Keywords: organisational culture; turnover intentions; professional nurses; general linear modelling; retention strategy


OPSOMMING

Die doel van die studie was om te bepaal of organisasiekultuur arbeidsomset-voornemens van professionele verpleegkundiges voorspel. 'n Voorspellingsmodel met organisasiekultuur en verskeie voorgestelde tussenkomende veranderlikes, naamlik kennisdeling, organisasieverbintenis, organisasie-burgerskapsgedrag en werkstevredenheid, asook verskeie demografiese veranderlikes was ontwikkel deur Algemene Liniêre Modellering. 'n Korrelasie-ontwerp met behulp van vraelyste is gebruik. 'n Steekproef van professionele verpleegkundiges (N = 530) in private en provinsiale hospitale is verkry. Die resultate toon dat organisasiekultuur betekenisvol negatief korrelleer met arbeidsomsetvoornemens. Organisasiekultuur het ook in interaksie met werkstevredenheid en kennisdeling, asook die kategorie blanke verpleegkundiges in 'n finale model arbeidsomsetvoornemens verlaag en saam met organisasie-burgerskapsgedrag arbeidsomsetvoornemens verhoog. Daar word aanbeveel dat werkgewers oorweging skenk aan intervensies wat die organisasiekultuur gunstiger maak om personeel te behou.


 

 

“Full text available only in PDF format”

 

 

REFERENCES

AJZEN, I 1991: The theory of planned behaviour. Organizational Behavior and Human Decision Processes, 50(2):179-211.         [ Links ]

BRITS, E 2003: Te veel verpleërs land-uit, sê RGN. Burger, 2 July.         [ Links ]

CARBERY, R; GARAVAN, TN; O'BRIEN, F & MCDONNELL, J 2003: Predicting hotel managers' turnover cognitions. Journal of Managerial Psychology, 18(7):649-679.         [ Links ]

CHUA, A 2003: Knowledge sharing: A game people play. Aslib Proceedings: New information perspectives, 55(3):117-129.         [ Links ]

COILE, RC 2001: Magnet hospitals use culture, not wages, to solve nursing shortage. Journal of Healthcare Management, 46(4):224-228.         [ Links ]

COOK, JD; HEPWORTH, SJ; WALL, TD & WARR, PB 1981: The experience of work. A compendium and review of 249 measures and their use. London: Academic Press.         [ Links ]

CORTINA, JM 1993: What is coefficient Cronbach alpha? An examination of the theory and applications. Journal of Applied Psychology, 78(1):98-104.         [ Links ]

DECONINCK, JB & STILWELL, CD 2004: Incorporating organizational justice, role states, pay satisfaction and supervisor satisfaction in a model of turnover intentions. Journal of Business Research, 57(3): 225-231.         [ Links ]

DERBY, R 2003: Netcare gets a R1,4-bn boost from the UK. Citizen, 13 September.         [ Links ]

ELANGOVAN, AR 2001: Causal ordering of stress, satisfaction and commitment, and intention to quit: A structural equations analysis. Leadership and Organization Development Journal, 22(4):159-165.         [ Links ]

ERWEE, R; LYNCH, B; MILLET, B; SMITH, D & ROODT, G 2001: Cross cultural equivalence of the organisational culture survey in Australia. SA Journal of Industrial Psychology, 27(3):7-12.         [ Links ]

FOX, SR & FALLON, BJ 2003: Modeling the effect of work/life balance on job satisfaction and turnover intentions. Symposia paper presented at the 5th Australian Industrial and Organisational Psychology Conference, Melbourne, Australia.         [ Links ]

GREEN, J 2003: Plan to make grass greener for SA nurses. Star, 6 May.         [ Links ]

GUIMARAES, T 1997: Assessing employee turnover intentions before/after TQM. International Journal of Quality and Reliability Management, 14(1):46-63.         [ Links ]

HALL, EJ 2004: Nursing attrition and the work environment in South African health facilities. Curationis, 27(4):28-36.         [ Links ]

HISLOP, D 2003: Linking human resource management and knowledge management via commitment: A review and research agenda. Employee Relations, 25(2):182-202.         [ Links ]

JEWKES, R; ABRAHAMS, N & MVO, Z 1998: Why do nurses abuse patients? Reflections from South African obstetric services. Social Science & Medicine, 47(11):1781-1795.         [ Links ]

KAISER, HF 1970: A second-generation Little Jiffy. Psychometrika, 35(4):401-415.         [ Links ]

KERLINGER, FN 1986: Foundations of Behavioural Research. Orlando Florida: Harcourt Brace Jovanovich College Publishers.         [ Links ]

KOCKOTT, F 2003: Government developing strategies to retain health professionals. Business Day, 21 January.         [ Links ]

LAMBERT, EG; HOGAN, NL & BARTON, SM 2001: The impact of job satisfaction on turnover intent: A test of a structural measurement model using a national sample of workers. Social Science Journal, 38(2):233-250.         [ Links ]

MARTINS, E & MARTINS, N 2002: An organisational culture model to promote creativity and innovation. SA Journal of Industrial Psychology, 28(4):58-65.         [ Links ]

MASLOW, A 1954: Motivation and Personality. New York. Harper & Row.         [ Links ]

MOWDAY, RT 1999: Reflections on the study and relevance of organizational commitment. Human Resource Management Review, 8(4):387-401.         [ Links ]

NEWMAN, K; MAYLOR, U & CHANSARKAR, B 2002: "The nurse satisfaction, service quality and nurse retention chain": Implications for management of recruitment and retention. Journal of Management in Medicine, 16(4):271-291.         [ Links ]

ORGAN, DW 1988: Organizational citizenship behaviour: The good soldier syndrome. Lexington, MA: Lexington Books.         [ Links ]

ORGAN, DW & KONOVSKY, M 1989: Cognitive versus affective determinants of organizational citizenship behavior. Journal of Applied Psychology, 74(1):57-164.         [ Links ]

PETKOON, L & ROODT, G 2004: The discriminant validity of the culture assessment instrument: A comparison of company sub-cultures. SA Journal of Industrial Psychology, 30(1):46-54.         [ Links ]

PODSAKOFF, PM; MACKENZIE, SB; PAINE, JB & BACHRACH, DG 2000: Organizational citizenship behaviours: A critical review of the theoretical and empirical literature and suggestions for further research. Journal of Management, 26(3):513-563.         [ Links ]

ROODT, G 2004a: Concept redundancy and contamination in employee commitment research: Current problems and future directions. SA Journal of Industrial Psychology, 30(1):82-90.         [ Links ]

ROODT, G 2004b: Turnover Intentions. Unpublished Document. University of Johannesburg: Johannesburg.         [ Links ]

ROODT, G 1997: Theoretical and empirical linkages between work-related commitment foci. SA Journal of Industrial Psychology, 23(2):6-13.         [ Links ]

RYU, S; HEE HO, S & HAN, I 2003: Knowledge sharing behavior of physicians in hospitals. Expert Systems with applications, 25(1):113-122.         [ Links ]

SADRI, G & LEES, B 2002: A cultural competitive advantage. Human Resource Management International Digest, 10(3):10-12.         [ Links ]

SAGER, JK; GRIFFETH, RW & HOM, PW 1998: A Comparison of Structural Models Representing Turnover Cognitions. Journal of Vocational Behaviour, 53(2):254-273.         [ Links ]

SALOPEK, JJ & DIXON, NM 2002: Common knowledge: How companies thrive by sharing what they know. Training & Development, 54(4):63-64.         [ Links ]

SCHEPERS, JM 2004: Overcoming the effects of differential skewness of test items in scale construction, SA Journal of Industrial Psychology, 30(4):27-43.         [ Links ]

SCHEPERS, JM 1992: Toetskonstruksie: Teorie en praktyk. Johannesburg: RAU Drukpers.         [ Links ]

SHIELDS, MA & WARD, M 2001: Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit. Journal of Health Economics, 20(5):677-701.         [ Links ]

SLATE, RN & VOGEL, RE 1997: Participative management and correctional personnel: a study of the perceived atmosphere for participation in correctional decision making and its impact on employee stress and thoughts about quitting. Journal of Criminal Justice, 25(5):397-408.         [ Links ]

SMETHERHAM, J & LAURANCE, J 2003: UK poaching of SA nurses carries on despite ban. Cape Times, 13 May.         [ Links ]

SMIT, M 2003: Die lampie brand al flouer. Die Burger, 30 January.         [ Links ]

SMITH, CA; ORGAN, DW & NEAR JP 1983: Organizational Citizenship Behavior: Its nature and antecedents. Journal of Applied Psychology, 68(4):653-663.         [ Links ]

STEEL, R & OVALLE, N 1984: A review and meta-analysis of research on the relationship between behavioural intentions and employee turnover. Journal of Applied Psychology, 69(4):673-686.         [ Links ]

TEPECI, M & BARTLETT, ALB 2002: The hospitality industry culture profile: A measure of individual values, organizational culture, and person-organization fit as predictors of job satisfaction and behavioral intentions. International Journal of Hospitality Management, 21(2):151-170.         [ Links ]

VAN DER POST, WZ; DE CONING, TJ & SMIT, EV 1997: An instrument to measure organisational culture. South African Journal of Business Management, 28(4):147-168.         [ Links ]

VAN DYNE, L & LEPINE, JA 1998: Helping and voice extra-role behaviors: Evidence of construct and predictive validity. Academy of Management Journal, 41(1):108-120.         [ Links ]

VUJICIC, M; ZURN, P; DIALLO, K; ADAMS, O & DAL POZ, MR 2004: The role of wages in the migration of health care professionals form developing countries. Human Resources for Health. Available from http://www.human-resources-health.com/content/2/1/3 (Accessed 19 October 2004).         [ Links ]

WAGNER, C; CASSIMJEE, N & NEL, H 2002: Some key principles in implementing knowledge management: the views of employees in a small software company. SA Journal of Industrial Psychology, 28(2):49-54.         [ Links ]

WELMAN, JC & KRUGER, SJ 1999: Research methodology for the business and administrative sciences. Halfway House: Thomson International.         [ Links ]

YANG, JT & WAN, CS 2004: Advancing organizational effectiveness and knowledge management implementation. Management Accounting Research, 15(1):53-76.         [ Links ]

 

 

Correspondence:
Dr E Jacobs
ejacobs@solplaatje.org.za

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons