The main purpose of this study is to explore the moderating role of technological innovations on the relationship between operational performance towards patient satisfaction. The study presented the first step towards a systematic and theoretical approach in understanding the patient satisfaction. To achieve this, the theory synthesizing and model approaches are adopted. Self-administrated questionnaires will be used to gather data. The findings highlighted that healthcare establishments need to focus on technology-based services due to the decreasing level of satisfaction when population rises. In order to cope with this issue, technological based management system and equipment’s need to be introduced to enhance the operational performance of hospitals, which reduces the delays in treatment and ease the burden of practitioners. The strategy also brings improvement in patient care services and higher level of trust towards hospitals. The study also benefits scholars and open a new avenue for researchers and academia. The paper concluded that appropriate measuring protocols such as technology acceptance model (TAM) and technology readiness model (TRM) need to be incorporated to effectively gauge the effectiveness of the organizational performance and patient satisfaction in the light of technological innovation. Keywords: Technological innovation, Operational performance, Patients satisfaction

PurposeThis study investigated the effects of reward system (RS) and job conditions (JC) on employee retention (ER). In particular, this study addressed the mediating effect of employee engagement (EE) on the relationship between RS, JC and ER.Design/methodology/approachThis paper employed descriptive survey approach and the unit of analysis consisted of public hospital nursing staff. Data were collected using questionnaires with a sample of 370 nurse respondents. Structural equation modelling with Smart-Partial Least Squares (PLS) 3.3.8 was used in a statistical analysis.FindingsThe results revealed that RS and JC significantly related to ER. The study also showed the direct effect of RS and JC on EE. These findings indicate that (EE) has a partial mediating role in the relationship between RS, JC and ER.Practical implicationsThe study offers important policy insights for public nursing stakeholders who seek to increase retention of skills among their nursing staff. The findings are also crucial because they may help the health sector improve their ER strategies, especially in dynamic and competitive business situations where organisations are challenged to retain personnel from a limited skilled workforce.Originality/valueThe findings of this study contribute to the literature on retention of nursing employees by enhancing the understanding of the influences of EE, RS and JC on ER among public hospitals.