ISSN: 2222-6990
Open access
Hospitals face growing challenges in retaining healthcare professionals, particularly after COVID-19. High turnover intention is often caused by heavy workload, burnout, and limited career growth, along with attractive external job opportunities. Talent Management Practices (TMP)—such as recruitment, training, performance management, career development, compensation, and succession planning—are viewed as strategic tools for employee retention. This study examines how TMP influence turnover intention among employees in public hospitals in Kunming, China. Guided by Social Exchange Theory and Human Capital Theory, the model proposes job satisfaction as a mediator and perceived external employability as a moderator. A quantitative cross-sectional survey will be conducted, and data will be analyzed using PLS-SEM. Expected findings suggest that TMP reduce turnover intention directly and indirectly by increasing job satisfaction. However, when employees perceive strong employment opportunities outside the hospital, the positive effect of TMP on job satisfaction weakens. The study provides theoretical and practical insights into talent retention in hospitals.
Berntson, E., Näswall, K., & Sverke, M. (2006). Perceived employability and job insecurity. European Journal of Work and Organizational Psychology, 15(4), 431–453.
Blau, P. (1964). Exchange and power in social life. Wiley.
Collings, D. G. (2014). The contribution of talent management to organizational success. Human Resource Management Review, 24(3), 233–234.
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches. Sage.
Deery, M., & Jago, L. (2015). Talent management, work-life balance, and employee retention. International Journal of Contemporary Hospitality Management, 27(1), 453–472.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2022). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). Sage.
Lu, H., Zhao, Y., & While, A. (2019). Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies, 94, 21–31.
McKinsey & Company. (2024). The future of healthcare workforce.
NSI Nursing Solutions Inc. (2024). National Health Care Retention & RN Staffing Report.
Spector, P. E. (1997). Job satisfaction: Application, assessment, causes, and consequences. Sage.
Zhou, X. (2022). Predictors of turnover intention among Chinese healthcare workers. Journal of Nursing Management, 30(5), 1200–1210.
Liu, X. (2021). Turnover intention among Chinese medical staff. BMC Health Services Research, 21, 1234.
Hong Kong Hospital Authority. (2024). Annual manpower report.
Ministry of Health Malaysia. (2024). Health workforce bulletin.
Taiwan Ministry of Health. (2023). Nursing workforce report.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610.
Mobley, W. H., Horner, S. O., & Hollingsworth, A. T. (1978). An evaluation of precursors of turnover intention. Journal of Applied Psychology, 63(4), 408–414.
Lihua, H., Arshad, M. A. Bin, Yuan, F., & Xueying, Y. (2026). Talent Management Practices and Turnover Intention in Hospitals: The Roles of Job Satisfaction and External Employability. International Journal of Academic Research in Business and Social Sciences, 16(3), 1125-1135.
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