A study on the employee turnover rate and organizational commitment of contracted healthcare professionals: University hospital example

In this study, it is aimed to determine the intentions/reasons and organizational commitment levels of health personnel working as contracted personnel in the Akdeniz University Hospital within the scope of subparagraph (B) of Article 4 of the Civil Servants Law No. 657. In line with the determined purpose, a questionnaire was applied to 416 health workers who are still working or left in the institution, with the Organizational Commitment Scale and the measurement tool developed separately, and in-depth interviews were conducted with 13 employees who left, using semi-structured questionnaires. Qualitative data were analyzed with the Nvivo 14 program, and quantitative data were analyzed with the Jamovi program. In the interviews, family reasons, salary, mobbing, working conditions, personal rights and workload themes related to the reasons for leaving the institution, familial reasons, spouse status, career opportunities, location and characteristics of the city, positive news about the hospital, the person's life experience. The themes of availability, necessity, working conditions and educational opportunity came to the fore. When the quantitative findings are examined, there is a statistically significant difference between the Organizational Commitment Levels of the currently employed personnel and the departed personnel, and a similar difference is observed in the sub-dimensions of the scale. It is seen that the personnel who left the institution have reached higher scores in their current institutions. The reasons for choosing to work in the institution, the reasons for leaving the institution and the level of commitment of the health personnel working as contracted civil servants in the study were revealed. It is thought that the findings of the research will be beneficial in terms of improving the working environment in health institutions, increasing the quality of health services and contributing to future studies.