Economic,psychological, and sociological determinants of voluntary turnover |
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| Institution: | 1. VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California;2. VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, California;3. Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, California;4. Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Jane & Terry Semel Institute for Neuroscience & Human Behavior, Los Angeles, California;5. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California;6. Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California;1. Arthur and Sonia Labatt Family School of Nursing, The University of Western Ontario, London, Ontario, Canada;2. Arthur Labatt Nursing Research Chair in Health Human Resource Optimization, Arthur and Sonia Labatt Family School of Nursing, The University of Western Ontario, London, Ontario, Canada;1. Washington State University Vancouver, United States;2. Sapienza University of Rome, Italy;1. Director of Emergency Radiology, Department of Radiology, NYC Health and Hospitals Kings County; Director of Quality Assurance and Performance Improvement, Department of Radiology, New York City Health and Hospitals Kings County, New York;2. New York City Health and Hospitals/Kings County, Brooklyn, New York;3. Director of Cardiothoracic Imaging, Department of Radiology, SUNY Downstate Health Sciences University, New York;4. Professor and Chair, Department of Radiology, SUNY Downstate Health Sciences University, Brooklyn, New York |
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| Abstract: | Economists, psychologists, and sociologists have all contributed to the understanding of voluntary labor turnover. We argue for an integrated explanatory model which incorporates variables from each perspective. Such a model is presented and then estimated. Data from a cohort of 135 recently hired registered nurses employed by a university hospital are analyzed to assess the effects of the various explanatory variables on turnover during one year of employment. Turnover is measured by organization records for 12 months following the administration of the questionnaire designed to measure the independent variables. The integrated model portrays the work conditions, environmental conditions, and employee characteristics as primarily affecting turnover by impacting on the intervening variables of job satisfaction, organizational commitment and intent to stay. Ordinary least square (OLS) regression and logistic regression are used in the analysis. The data indicate support for sociological, economic, and psychological determinants of voluntary turnover. These findings are discussed from the perspective of Etzioni's claims about the importance of the moral dimension for explaining economic behavior such as turnover. |
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