The relationship between working life quality and turnover intention among hospital staff

Ehsan Zarei, Marziye Najafi, Roya Rajaee



Background and Aims: Staff turnover is one of the key managerial issues in the health sector. Health managers may prevent staff turnover and job displacement using quality of working life. This study was aimed to develop a relationship between the quality of working life and turnover intention among a hospital staff under the auspices of Tehran University of Medical Sciences.
Materials and Methods: The present cross-sectional study was conducted in 2014. The study population included all staff members in the hospital, and a total of 126 subjects were selected through stratified random sampling. Data were collected using the Walton’s quality of working life questionnaire consisting of 32 questions as well as 3 questions about staff turnover. Data analysis was carried out using descriptive statistics,
correlation coefficients and multiple regressions.
Results: Based on the findings of this study, a significant relationship between quality of working life and staff turnover. Constitutionalism and integrity were significant predictors of staff willing to leave.
Conclusion: Quality of working life can significantly affect employee turnover. Therefore, in order to maintain and retain qualified and skilled workforce, hospital management should prioritize supportive management and supervision, justice and fairness in the organization. Trying to make the fairly payment system, consistency and balance between work and other aspects of life could also improve the quality of working life for hospital staff.
Key words: Turnover intention, Quality of working life, Health workers, Teaching Hospital

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Nishtar S, Ralston J. Can human resources for health in the context of noncommunicable disease control be a lever for health system changes? Bulletin of the World Health Organization. 2013; 91(11): 895-6.

Mosadeghrad AM. Quality of working life and turnover intentions: implications for nursing management International Journal of Research in Nursing. 2013; 4(2): 47-54.

Walton R. Quality of working life: what is it? Sloan Management Review. 1973;15(1):11-21.

Bragard I, Dupuis G, Razavi D, Reynaert C, Etienne A-M. Quality of work life in doctors working with cancer patients. Occupational medicine. 2012; 62(1):34-40.

Mirkamali SM, Thani FN. A study on the quality of work life (QWL) among faculty members of University of Tehran (UT) and Sharif University of Technology (SUT). Procedia-Social and Behavioral Sciences. 2011;

: 179-87.

Farahbakhsh S. The role of emotional intelligence in increasing quality of work life in school principals. Procedia-Social and Behavioral Sciences. 2012; 46:31-5.

Salmani D, Nourozi P. Quality of working life and improving organizational behavior. Thesis: Tehran

Uiversity; 2005.

Kanten S, Sadullah O. An empirical research on relationship quality of work life and work engagement. Procedia-Social and Behavioral Sciences. 2012; 62: 360-6.

Lee Y-W, Dai Y-T, McCreary LL. Quality of work life as a predictor of nurses› intention to leave units, organisations and the profession. Journal of Nursing Management. 2013 ; 23(4):521-31

Lee YW, Dai YT, Park CG, McCreary LL. Predicting quality of work life on nurses’ intention to leave. Journal of Nursing Scholarship. 2013; 45(2):160-8.

Hesam M, Asayesh H, Roohi G, Shariati A, Nasiri H, Shouribidgoli A. Assesing the relationship between nurses quality of work life and their intention to leave the nursing profession. Quarterly Journal of Nursing Management. 2012;1(3):28-36.

Blaauw D, Ditlopo P, Maseko F, Chirwa M, Mwisongo A, Bidwell P. Comparing the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. Global Health Action. 2013; 6: 127-37.

Mosadeghrad AM. Quality of Working Life: An Antecedent to Employee Turnover Intention. International Journal of Health Policy and Management. 2013; 1(1): 43-50.

Almalki MJ, Fitz Gerald G, Clark M. The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Services Research. 2012; 12: 314

Steinmetz S, De Vries DH, Tijdens KG. Should I stay or should I go? The impact of working time and wages on retention in the health workforce. Human Resources for Health. 2014;12(1):23.

Surienty L, Ramayah T, Lo M-C, Tarmizi AN. Quality of Work Life and Turnover Intention: A Partial Least Square (PLS) Approach. Social Indicators Research. 2014; 119: 405-420.

Parasuraman S. Predicting turnover intentions and turnover behavior: A multivariate analysis. Journal of Vocational Behavior. 1982;21(1):111-21.

Hwang JI, Chang H. Work climate perception and turnover intention among Korean hospital staff. International Nursing Review. 2009; 56(1):73-80.31/

Mahdavi M, Arab M, Mahmoudi M. Organizational Commitment and Intention to Leave among Hospitals’ Employees in Tehran Hospitals. Hospital. 2014; 12(4): 20-30.

Mehdizadeh Ashrafi A, Ilka H. Relationship between quality of work life and performance of Firoozkouh Azad University employees based on Walton Model. Scientific Journal of Management. 2011;7(20):1-8.

Hair J, Black W, Babin B, Anderson R. Multivariate Data Analysis: A Global Perspective. New Jersey,7th Edition: Prentice Hall; 2010.

Hariri G, Yaghmaei F, Shakeri N. Assessment of some factors related to leave in nurses and their demographic charater in educational hospitals of Shahid Behesthi University of Medical Sciences. Journal of Health Promotion Management. 2012;1(3):17-27.

Reyasi H, Mogharab M, Hedayati M, Mogharab M. Work life quality of nurses working in educational hospitals affiliated to Birjand University of Medical Sciences, 2012. Modern Care Journal. 2013;10(1):84-90.

Aminbeidokhti AA, Mardani E. The relationship between perceived organizational justice and quality of work life among the personnel of a selected hospital in Ahvaz. Iranian Journal of Medical Ethics and History of Medicine. 2014;7(2):57-68.

Delgoshyii B, Riahi L, motaghi m. Relationship of quality of working life in Kashan teching and nonteaching hospitals with knowledge management according to the top and middle manager's point of view. Hospital. 2010;9(1):67-74.

Arab M, Shabaninejad H, Rashidian A, Rahimi A, Purketabi K. A survey on working life quality of specialists working in affiliated hospitals of TUMS. Hospital. 2013;11(4):19-24.

Sakkaki M, Hajimiri K, Farsi F. Quality of Work Life among Midwives Working in Zanjan University of Medical Sciences Hospitals. Preventive Care in Nursing & Midwifery Journal. 2013;2(2):41-8.

Dargahi H, Gharib M, Goodarzi M. Quality of Work Life in Nursing Employees of Tehran University of Medical Sciences Hospitals. Hayat. 2007;13(2):13-21.

Dargahi H, Gharabagh E. Radiology Employees' Quality of Work Life. Acta Medica Iranica.2012;50(4):250-6.

Griffin R, Moorhead G. Organizational Behavior: Managing People and Organizations. Edition 9 th. Stamford: Cengage Learning; 2009.

Dolan SL, García S, Cabezas C, Tzafrir SS. Predictors of “quality of work” and “poor health” among primary health-care personnel in Catalonia: Evidence based on cross-sectional, retrospective and longitudinal design. International Journal of Health Care Quality Assurance. 2008;21(2):203-18.

Chimwaza W, Chipeta E, Ngwira A, Kamwendo F, Taulo F, Bradley S. What makes staff consider leaving the health service in Malawi? Human resources for health. 2014;12(1):17.

Rasouli R, Shahaei B, Safaei M. Factors affecting intention to leave among staff of the central organization of Payam Noor university. Quarterly Journal Public Administration. 2012;4(9):27-42.


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