Intention To Leave The Workplace Among Personnel In Rajavithi Hospital



Background: A shortage of professional staffs, high turnover rates and poor retention are concerned for healthcare organizations in Thailand. Rates of intention to leave vary from 23.7-58.3%. There are no adequate solutions for this situation. Therefore, retaining professional staff is urgent. Job satisfaction and organizational commitment are the factors influencing intention to leave. This study aims to determine factors associated with intention to leave the workplace among personnel in Rajavithi hospital (RJH). Methodology: A cross-sectional study was conducted from January - April 2016. Staffs had worked in RJH at least 1 year were recruited and completed a self-administered questionnaire. The questionnaire consists of 6 parts: demographic factors, job satisfactions, organizational commitment, communication, perceived occupational health hazards and intention to leave. From 1,104 questionnaires distributed, 949 were returned (response rate = 85.96%). Binary logistic regression was used to assess factors associated with intention to leave. Results: Overall, 18.9% of both clinical and non-clinical staffs intended to leave. Five factors were associated with intention to leave; female (OR=1.65; 95%CI: 1.00-2.72), registered nurses (RNs) position (OR=2.15; 95%CI: 1.31-3.54), job satisfaction (OR=0.18; 95%CI: 0.08-0.42), organizational commitment (OR=0.54; 95%CI: 0.31-0.97) and occupational health hazard perception (OR=2.02; 95%CI: 1.34-3.06). Communication in organization was not associated with intention to leave. Conclusions: Intention to leave in RJH is quite low. Female, RNs, job satisfaction, organizational commitment and occupational health hazard perception associated with intention to leave. Opportunities for further education, flexible working time and safety environment should provide to maintain retention. Keywords: Intention to leave, Job satisfaction, Organizational commitment Key Messages 1.Rates of intention to leave from Rajavithi hospital was 18.9%. 2. Five factors including female, registered nurses (RNs) position, job satisfaction , organizational commitment and occupational health hazard perception were associated with intention to leave. 3. Opportunities for further education, flexible working time and safety environment should provide to maintain retention.


Wannakorn Homsuwan

Rajavithi Hospital, Bangkok, Thailand