Mediating Effect of Job Satisfaction on the Relationship between Competence, Work Environment, Workload, and Turnover Intention among Health Practitioners. A study of Murtala Muhammed Specialist Hospital, Kano State

Abstract

Health professionals are vital for maintaining and improving public health through care and treatment. Despite
efforts to retain them in hospitals, many still intend to leave, indicating current retention strategies are ineffective.
This turnover is likely due to issues like poor working conditions, heavy workloads, and insufficient professional
development. Therefore, this study examined the mediating effect of work environment, workload, competence and
turnover intention among health practitioners in Murtala Muhammed Specialist Hospital Kano State. The study
utilized a survey research design. The target population consisted of all the 97 registered physicians Murtala
Muhammed Specialist Hospital Kano State. Data was collected through a structured and validated questionnaire.
Valid responses were analyzed using Smart PLS 4.0 applications. The results revealed that competence, workload,
job satisfaction have significance effect on turnover intention, while work environment does not have significance
effect on turnover intention. Interestingly, job satisfaction mediates the relationship between competence and
workload, on the other hand job satisfaction does not mediate the relationship between work environment and
turnover intention. The managerial implications of this study emphasize the prioritizing targeted training to build
employee confidence and capabilities and assigning workloads proportional to staff capacity in order to reduce
turnover intention. More so, actionable job satisfaction policy development, especially those that will increase
employee retention and reduce turn over intention should be put in place.