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Open Access
Article
Publication date: 27 February 2024

Siva Shaangari Seathu Raman, Anthony McDonnell and Matthias Beck

Society is critically dependent on an adequate supply of hospital doctors to ensure optimal health care. Voluntary turnover amongst hospital doctors is, however, an increasing…

Abstract

Purpose

Society is critically dependent on an adequate supply of hospital doctors to ensure optimal health care. Voluntary turnover amongst hospital doctors is, however, an increasing problem for hospitals. The aim of this study was to systematically review the extant academic literature to obtain a comprehensive understanding of the current knowledge base on hospital doctor turnover and retention. In addition to this, we synthesise the most common methodological approaches used before then offering an agenda to guide future research.

Design/methodology/approach

Adopting the PRISMA methodology, we conducted a systematic literature search of four databases, namely CINAHL, MEDLINE, PsycINFO and Web of Science.

Findings

We identified 51 papers that empirically examined hospital doctor turnover and retention. Most of these papers were quantitative, cross-sectional studies focussed on meso-level predictors of doctor turnover.

Research limitations/implications

Selection criteria concentrated on doctors who worked in hospitals, which limited knowledge of one area of the healthcare environment. The review could disregard relevant articles, such as those that discuss the turnover and retention of doctors in other specialities, including general practitioners. Additionally, being limited to peer-reviewed published journals eliminates grey literature such as dissertations, reports and case studies, which may bring impactful results.

Practical implications

Globally, hospital doctor turnover is a prevalent issue that is influenced by a variety of factors. However, a lack of focus on doctors who remain in their job hinders a comprehensive understanding of the issue. Conducting “stay interviews” with doctors could provide valuable insight into what motivates them to remain and what could be done to enhance their work conditions. In addition, hospital management and recruiters should consider aspects of job embeddedness that occur outside of the workplace, such as facilitating connections outside of work. By resolving these concerns, hospitals can retain physicians more effectively and enhance their overall retention efforts.

Social implications

Focussing on the reasons why employees remain with an organisation can have significant social repercussions. When organisations invest in gaining an understanding of what motivates their employees to stay in the job, they are better able to establish a positive work environment that likely to promote employee well-being and job satisfaction. This can result in enhanced job performance, increased productivity and higher employee retention rates, all of which are advantageous to the organisation and its employees.

Originality/value

The review concludes that there has been little consideration of the retention, as opposed to the turnover, of hospital doctors. We argue that more expansive methodological approaches would be useful, with more qualitative approaches likely to be particularly useful. We also call on future researchers to consider focussing further on why doctors remain in posts when so many are leaving.

Details

Journal of Health Organization and Management, vol. 38 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 20 June 2022

Ana Lucia Brenner Barreto Miranda, Cristine Hermann Nodari, Eliana Severo and Julio Cesar Ferro De Guimarães

This research aims at analyzing the antecedents of absorptive capacity (ACAP) in the companies incubated in the State of Rio Grande do Norte, Brazil. In this context, 111…

Abstract

Purpose

This research aims at analyzing the antecedents of absorptive capacity (ACAP) in the companies incubated in the State of Rio Grande do Norte, Brazil. In this context, 111 incubated companies took part in the research.

Design/methodology/approach

The methodology used the confirmatory factor analysis and the multiple linear regression to analyze the relationship of the dependent variables (ACAP) with the dependent variables (interaction with other companies, professionals' knowledge (PK), knowledge use (KU) and knowledge acquisition).

Findings

The results highlight that external KU was the construct that most influences the ACAP. Among the dependent variables suggested, only the construct concerning the incubators' PK presented no model significance, which shows that the PK is not an antecedent of ACAP in the incubated companies.

Originality/value

This study is relevant due to pointing out that the incubators may not be providing their professionals with knowledge properly, or that this knowledge is not being accessed by the incubated companies, which allows actions turned to encouraging businesses in this context.

Details

Innovation & Management Review, vol. 20 no. 1
Type: Research Article
ISSN: 2515-8961

Keywords

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