Influence Of Normative Commitment On Turnover Intention; Mediated By Organizational Culture Among Health Professionals In Public National Referral Hospitals In Kenya

Shadrack Mutuku Ndambuki, Dr. Kilungu Matata (PhD), Dr. Peter Sasaka (PhD), Dr. Mary Ibua (PhD)

Abstract

The aim of this study was to establish the influence of normative commitment on turnover intention among health professionals of public national referral hospitals in Kenya. The study examined whether organizational culture mediated normative commitment effect on turnover intention among health professionals in public national referral hospitals in Kenya. Self-categorization theory and theory Z supported the study. The study was guided by positivistic research philosophy. Descriptive and correlational research designs were used. Study sample of 360 respondents was determined using multi-stage sampling technique that was supported by proportionate stratified sampling. Questionnaire was used to collect data. Established scales in the literature were used to measure variables. The findings indicated that normative commitment relationship with turnover intention was significant and it influenced turnover intention significantly. It was also found that organization culture mediated normative commitment effect on turnover intention. The study recommended that public national referral hospitals board of directors to develop human resource policies and guidelines based on the normative commitment findings. The study could also be used by legislators to help them pass legislation on normative commitment and organization culture aspects that help improve service delivery.

Key Words: Normative commitment, turnover intention, mediation, health professionals and public national referral hospitals.