Ezra Onserio Ayubu, Dr. Thomas Mose


This study sought to examine organizational determinants of employee turnover in national referral hospitals in Nairobi County, Kenya. The study was guided by the following specific objectives; to assess the effect of work environment on employee turnover national referral hospitals in Nairobi County, Kenya and to examine the effect of career development opportunities on employee turnover national referral hospitals in Nairobi County, Kenya. The study targeted 4,272 health professionals from all the four national referral hospitals in Nairobi County. The study’s sample size of 353 respondents was reached at using Krejcie and Morgan sample size determination formula. Stratified random sampling is the technique that was applied in selecting the sample for this study. The study used primary data collected using semi-structured questionnaires. Eighteen questionnaires representing 10% of study sample size was piloted. The pilot group was randomly selected from study population and was excluded from the final study. The study collected both quantitative and qualitative data. Qualitative data collected was analyzed using content analysis and presented in prose form. Quantitative data on the other hand was analysed using descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS) version 26. Correlation analysis was used to test the strength and the direction of the relationship between the study variables. Multivariate linear regression was used to determine the relationship between the dependent and independent variables. The findings were presented in tables and figures. The study concludes that work environment has a positive and significant effect on employee turnover in national referral hospital in Nairobi County, Kenya. The study also concludes that career development opportunities have a positive and significant effect on employee turnover in national referral hospital in Nairobi County, Kenya. From the findings, this study recommends that well-trained managers are more likely to create a positive work environment. In addition, organize workshops and seminars for hospital managers to improve their leadership skills. Invite experts in leadership and management to provide insights and guidance on how to create a more supportive and engaging workplace

Key Words: Organizational determinants, National referral hospitals, Work environment, Career development opportunities, Employee turnover

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