Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement

• DOI: 10.2147/rmhp.s357654
• Publication Date: 2022-04-14T05:50:14Z
• Authors: Dongxue Chen; Qian Lin; Tiecheng Yang; Lushaobo Shi; Xiaolu Bao; Dong Wang
• Keywords: Turnover

Turnover of medical staff is a vital issue in the global healthcare system. Previous evidence has confirmed critical effect distributive justice on turnover intention, but few studies have focused mediating mechanism behind this relationship or staff. This study aimed to examine roles organizational commitment and work engagement between intention staff, explore potential occupational differences.Stratified random sampling was adopted select qualified from each clinical department large general hospital Shenzhen, China, at physician-to-nurse ratio 1:1.5. The were surveyed using Distributive Justice Scale, Organizational Commitment Work Engagement Intention Scale May July 2020. Of 500 sampled, 480 responded (response rate: 96.00%), 457 finally included for analysis (effective response 95.21%). A mediation performed Model 6 SPSS macro PROCESS program.There significant positive correlations among justice, commitment, negative engagement, intention. directly negatively affected physicians nurses, there differences underlying indirectly mainly through nurses three different pathways: chain engagement.The found be mediated by with variations nurses. Thus, appropriately targeted interventions are needed reduce