This time, I'd like to talk about medical institutions and the causes of job turnover.
I have been told by people who are not medical professionals that the terrible work environment and high turnover rate of medical professionals are only imagined in comic books and dramas.
Just as there are problems such as black labor in general companies, there are also problems related to working styles in medical institutions, but what causes these problems? However, only those who know the inside story may be interested in what causes it.
In the COVID-19 pandemic, the collapse of medical institutions and the shortage of human resources are being discussed, but even if the root causes are investigated, nothing may have changed at the frontline level.
The study I am going to introduce is one that investigates why there is so much turnover in overseas medical institutions. The following is an introduction to a study that investigated why there is so much turnover in overseas medical institutions, and found that the situation is similar in Japanese medical institutions.
Contents of the study
Organizational justice is the first virtue in a social system, and it is also a decisive factor for the effective use of human resources.It is also an important predictor of organizational success in healthcare organizations.
Employees who perceive fairness are more likely to be satisfied with their jobs and less likely to leave the organization.
On the other hand, perceived unfairness reduces workers' motivation to perform their jobs.In Ethiopia, the focus has been on expanding the number of health care institutions and increasing the number of health care workers, but despite this, there has been a lack of human resources.
197 health care workers participated in the study and data was collected through self-report questionnaires and semi-structured interviews.
Quantitative data were analyzed by MANOVA, multiple regression, and independent samples t-test.Qualitative data was also analyzed through thematic analysis.
The results of the study revealed that health care workers in public hospitals have lower perceptions of distributive, procedural, interpersonal, and informational justice.
Similarly, health care workers in private hospitals were found to be less aware of distributive and procedural justice.
However, health care workers in private hospitals reported higher perceptions of fairness in the aspects of interpersonal and informational justice.
But they also found that health care workers in public and private hospitals had high turnover intentions.
The results revealed that there is a significant difference in the perception of organizational justice between the health care workers of private and public hospitals.
Discussion
The results of this study suggest that people are more or less obedient to an organization depending on the justice (goals, principles, etc.) that the organization stands for.There are some points that I think are not so different from other companies, because even medical institutions that deal with human lives are providing medical "services".
The study was about medical institutions in Ethiopia, and the results of a survey of medical personnel (nurses) in public and private hospitals were as described above.
The results of the survey of healthcare workers (nurses) in public and private hospitals were as described above. The results seemed to be successful in terms of increasing the number of healthcare workers, but when they started working in healthcare institutions, half of them had the intention to leave their jobs.
The most common reason given for leaving was that the compensation received was not commensurate with the duties performed.At some point, there seemed to be too much difference in the way staff were treated.
In a general company, compensation and treatment from the company will differ depending on the position, but the position may change depending on the company's policy.
However, in the case of medical institutions, there are restrictions based on the qualifications you have obtained, so although there are departments and positions based on qualifications, the differences in treatment based on qualifications do not disappear.According to the study, these differences in treatment were worse in public hospitals.
The way I've written this, it may sound like I'm talking about medical professionals other than doctors, but I've heard that doctors are fed up with the way hospitals are run as well.
Mengstie MM. Perceived organizational justice and turnover intention among hospital healthcare workers. BMC Psychol. 2020;8(1):19. Published 2020 Feb 22. doi:10.1186/s40359-020-0387-8
Conclusion
The following are some of the reasons why medical workers at medical institutions leave their jobsCompensation and workload do not match.
Even if they have skills and knowledge, the compensation is not appropriate.
Lack of say in hospital policies.
There is no specific reason for this in the medical industry.
Furthermore, if incentives are not fair, the turnover rate tends to be higher.
The reasons why these issues cannot be resolved are not clear from the study, but it seems that the reasons for turnover may reveal these characteristics when old-timers are desperate to protect their vested interests.
