Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement
Dongxue Chen,1,* Qian Lin,2,* Tiecheng Yang,3,* Lushaobo Shi,1 Xiaolu Bao,1 Dong Wang1,4 1School of Health Management, Southern Medical University, Guangzhou, People’s Republic of China; 2Nanfang Hospital, Southern Medical University, Guangzhou, People’s Republic of China; 3T...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2022-04-01
|
| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/distributive-justice-and-turnover-intention-among-medical-staff-in-she-peer-reviewed-fulltext-article-RMHP |
| _version_ | 1817993629316153344 |
|---|---|
| author | Chen D Lin Q Yang T Shi L Bao X Wang D |
| author_facet | Chen D Lin Q Yang T Shi L Bao X Wang D |
| author_sort | Chen D |
| collection | DOAJ |
| description | Dongxue Chen,1,* Qian Lin,2,* Tiecheng Yang,3,* Lushaobo Shi,1 Xiaolu Bao,1 Dong Wang1,4 1School of Health Management, Southern Medical University, Guangzhou, People’s Republic of China; 2Nanfang Hospital, Southern Medical University, Guangzhou, People’s Republic of China; 3The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen, People’s Republic of China; 4Institute of Health Management, Southern Medical University, Guangzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Dong Wang, School of Health Management, Southern Medical University, No. 1023 Shatai Road, Guangzhou, Guangdong, 510515, People’s Republic of China, Tel/Fax +0086-020-61647576, Email dongw96@smu.edu.cnBackground: Turnover of medical staff is a vital issue in the global healthcare system. Previous evidence has confirmed the critical effect of distributive justice on turnover intention, but few studies have focused on the mediating mechanism behind this relationship or the medical staff. This study aimed to examine the mediating roles of organizational commitment and work engagement in the relationship between distributive justice and turnover intention of medical staff, and explore potential occupational differences.Methods: Stratified random sampling was adopted to select qualified medical staff from each clinical department of a large general hospital in Shenzhen, China, at a physician-to-nurse ratio of 1:1.5. The medical staff were surveyed using the Distributive Justice Scale, the Organizational Commitment Scale, the Work Engagement Scale, and the Turnover Intention Scale from May to July 2020. Of the 500 medical staff sampled, 480 responded (response rate: 96.00%), and 457 were finally included for analysis (effective response rate: 95.21%). A mediation analysis was performed using Model 6 of the SPSS macro PROCESS program.Results: There were significant positive correlations among distributive justice, organizational commitment, and work engagement and significant negative correlations among distributive justice, organizational commitment, work engagement, and turnover intention. Distributive justice directly and negatively affected the turnover intention of physicians and nurses, but there were occupational differences in the underlying mechanism between distributive justice and turnover intention. Distributive justice indirectly affected turnover intention among physicians mainly through the mediating effect of organizational commitment, and indirectly among nurses through three different pathways: the mediating effect of organizational commitment, the mediating effect of work engagement, and the chain mediating effect of organizational commitment and work engagement.Conclusion: The relationship between distributive justice and turnover intention was found to be mediated by organizational commitment and work engagement among medical staff in Shenzhen, with variations between physicians and nurses. Thus, appropriately targeted interventions are needed for physicians and nurses to reduce turnover intention.Keywords: medical staff, distributive justice, turnover intention, organizational commitment, work engagement |
| first_indexed | 2024-04-14T01:41:29Z |
| format | Article |
| id | doaj.art-753d0618bf024e3783dd351985555ac5 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-04-14T01:41:29Z |
| publishDate | 2022-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-753d0618bf024e3783dd351985555ac52022-12-22T02:19:43ZengDove Medical PressRisk Management and Healthcare Policy1179-15942022-04-01Volume 1566567674521Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work EngagementChen DLin QYang TShi LBao XWang DDongxue Chen,1,* Qian Lin,2,* Tiecheng Yang,3,* Lushaobo Shi,1 Xiaolu Bao,1 Dong Wang1,4 1School of Health Management, Southern Medical University, Guangzhou, People’s Republic of China; 2Nanfang Hospital, Southern Medical University, Guangzhou, People’s Republic of China; 3The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen, People’s Republic of China; 4Institute of Health Management, Southern Medical University, Guangzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Dong Wang, School of Health Management, Southern Medical University, No. 1023 Shatai Road, Guangzhou, Guangdong, 510515, People’s Republic of China, Tel/Fax +0086-020-61647576, Email dongw96@smu.edu.cnBackground: Turnover of medical staff is a vital issue in the global healthcare system. Previous evidence has confirmed the critical effect of distributive justice on turnover intention, but few studies have focused on the mediating mechanism behind this relationship or the medical staff. This study aimed to examine the mediating roles of organizational commitment and work engagement in the relationship between distributive justice and turnover intention of medical staff, and explore potential occupational differences.Methods: Stratified random sampling was adopted to select qualified medical staff from each clinical department of a large general hospital in Shenzhen, China, at a physician-to-nurse ratio of 1:1.5. The medical staff were surveyed using the Distributive Justice Scale, the Organizational Commitment Scale, the Work Engagement Scale, and the Turnover Intention Scale from May to July 2020. Of the 500 medical staff sampled, 480 responded (response rate: 96.00%), and 457 were finally included for analysis (effective response rate: 95.21%). A mediation analysis was performed using Model 6 of the SPSS macro PROCESS program.Results: There were significant positive correlations among distributive justice, organizational commitment, and work engagement and significant negative correlations among distributive justice, organizational commitment, work engagement, and turnover intention. Distributive justice directly and negatively affected the turnover intention of physicians and nurses, but there were occupational differences in the underlying mechanism between distributive justice and turnover intention. Distributive justice indirectly affected turnover intention among physicians mainly through the mediating effect of organizational commitment, and indirectly among nurses through three different pathways: the mediating effect of organizational commitment, the mediating effect of work engagement, and the chain mediating effect of organizational commitment and work engagement.Conclusion: The relationship between distributive justice and turnover intention was found to be mediated by organizational commitment and work engagement among medical staff in Shenzhen, with variations between physicians and nurses. Thus, appropriately targeted interventions are needed for physicians and nurses to reduce turnover intention.Keywords: medical staff, distributive justice, turnover intention, organizational commitment, work engagementhttps://www.dovepress.com/distributive-justice-and-turnover-intention-among-medical-staff-in-she-peer-reviewed-fulltext-article-RMHPmedical staffdistributive justiceturnover intentionorganizational commitmentwork engagement |
| spellingShingle | Chen D Lin Q Yang T Shi L Bao X Wang D Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement Risk Management and Healthcare Policy medical staff distributive justice turnover intention organizational commitment work engagement |
| title | Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement |
| title_full | Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement |
| title_fullStr | Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement |
| title_full_unstemmed | Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement |
| title_short | Distributive Justice and Turnover Intention Among Medical Staff in Shenzhen, China: The Mediating Effects of Organizational Commitment and Work Engagement |
| title_sort | distributive justice and turnover intention among medical staff in shenzhen china the mediating effects of organizational commitment and work engagement |
| topic | medical staff distributive justice turnover intention organizational commitment work engagement |
| url | https://www.dovepress.com/distributive-justice-and-turnover-intention-among-medical-staff-in-she-peer-reviewed-fulltext-article-RMHP |
| work_keys_str_mv | AT chend distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement AT linq distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement AT yangt distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement AT shil distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement AT baox distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement AT wangd distributivejusticeandturnoverintentionamongmedicalstaffinshenzhenchinathemediatingeffectsoforganizationalcommitmentandworkengagement |