Objectives: The study examined the mediating influence of individual psychological reactions to work on the relationship between organisational climate and job withdrawal behaviours (viz, intention to leave and absenteeism).Methods: 1097 hospital employees were surveyed using the Queensland Public Agency Staff Survey (QPASS) to obtain measures of organisational climate, psychological reactions to work, job satisfaction, and self-reported levels of intention to leave. Group-level absenteeism data were provided from the Health Service District files.Results: Two psychological states, quality of work life and job satisfaction, were found to fully mediate the relationship between the organisational climate variable, role clarity, and intention to leave, while individual distress was found to partially mediate the same relationship. However, the hypothesised mediation effect of psychological states on the relationship between organisational climate and absenteeism did not emerge.
Conclusion:Skills shortages and increasing demands for health services make retention of staff in the health service industry vitally important. As a means of addressing this issue, this study presents an emergent mediating model defining relationships among individual psychological factors, aspects of organisational climate and intention to leave. Identification of the processes associated with staff withdrawal behaviours or intentions will assist in devising ABSENTEEISM AND TURNOVER are two problems that cost industry millions, perhaps billions of dollars per annum. 1 The costs take the form of recruitment activity for permanent or replacement casual staff, lost work days, and the addi- What is known about the topic? Staff absenteeism and unwanted turnover are issues for the health care workforce, particularly in relation to reported shortages in various health professional groups. There are theoretical and empirical grounds for hypothesising links between both positive and negative psychological states and behaviours such as absenteeism. There are also grounds for positing a link between attitudes, such as job satisfaction, and turnover intentions.
What does this paper add?This paper presents a model proposing that individual morale, quality of work life, job satisfaction, and individual distress are psychological states that all make a contribution to organisational performance variables such as intention to leave and absenteeism. We found that the influence of one organisational factor, role clarity, on turnover intentions was fully mediated by quality of work life and job satisfaction. The influence of another organisational factor, workplace distress, on absenteeism was not mediated by either positive or negative psychological states.
What are the implications for practitioners?This study supports the use of generic approaches for reducing the duration of absence and improving retention that include improving employees' level of participation in decision making, the level of support and feedback that supervisors provided to em...