Exodus of Healthcare Professionals: Antecedents of Occupational Turnover Among Nurses in Kenya

Carolyn Sang J; Fred Newa O; Sally Murei; Wilson Aruwasa

Background: Despite the strides made in the healthcare sector in Kenya, the country is still bedevilled by nurses’ shortage arising from high turnover rates particularly in public hospitals. The purpose of this study is to investigate the factors contributing to occupational turnover among nurses in Kenya. Methods: Descriptive research design, was used to collect data from 274 nurses using a questionnaire-based survey on the basis of systematic random sampling technique. Results: The overall correlation results showed that those who were dissatisfied with working conditions were more likely to have intent to leave (r= .391, p<0.001). Further, findings revealed that those who felt dissatisfied with the training and development policies were more likely to have intention to leave (r= .398, p<0.001). It was also established that those who felt dissatisfied with pay and benefits were more likely to have intention to leave (r= .513, p<0.001). Finally, the study established that those who felt dissatisfied with the way management support to staff, were more likely to have intention to leave MTRH (r= .493, p<0.001). Practical Implications: The need to reduce turnover rates among nurses remains paramount. Unless sufficient numbers of nurses are recruited and retained within the nursing profession, provision of quality health care services and patient care will be hampered. Thus, hospital management should devise effective strategies to curb the rising turnover rates among healthcare workers. Conclusion: Turnover among healthcare professionals has been attributed to discontent with work related factors. Hospital management could create and maintain a healthy environment with resources that nurses need to use during the provision of care, address the effects of the staff turnover.

Ahmed, S., & Waqas, H. (2017). Occupational injuries and employees turnover intention: a moderating effect of safety culture. Pakistan Business Review, 18(4), 960-977.
Aiken, L. H., Clarke, S. P., Sloane, D. M., & Sochalski, J. (2001). Cause for concern: nurses' reports of hospital care in five countries. LDI Issue Brief, 6(8), 1-4.
Ankomah, S. E., Kumah, E., & Karikari, A. K. (2016). Health Worker Motivation in Ghana: the role of non-financial incentives. A case study of Accident and Emergency Department of Komfo Anokye Teaching Hospital. International Journal of Biosciences, Healthcare Technology and Management, 6(4), 34.
Anyangwe, S. C., & Mtonga, C. (2007). Inequities in the global health workforce: the greatest impediment to health in sub-Saharan Africa. International Journal of Environmental Research and Public Health, 4(2), 93-100.
Applebaum, D., Fowler, S., Fiedler, N., Osinubi, O., & Robson, M. (2010). The impact of environmental factors on nursing stress, job satisfaction, and turnover intention. The Journal of nursing administration, 40, 323.
Beach, L. R. (1998). Image theory: Theoretical and empirical foundations: Routledge.
Cartledge, S. (2001). Factors influencing the turnover of intensive care nurses. Intensive and Critical Care Nursing, 17(6), 348-355.
Chankova, S., Muchiri, S., & Kombe, G. (2009). Health workforce attrition in the public sector in Kenya: a look at the reasons. Human Resources for Health, 7(1), 58.
Chen, L., Evans, T., Anand, S., Boufford, J. I., Brown, H., Chowdhury, M., . . . Elzinga, G. (2004). Human resources for health: overcoming the crisis. The Lancet, 364(9449), 1984-1990.
Coomber, B., & Barriball, K. L. (2007). Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International journal of nursing studies, 44(2), 297-314.
Cowin, L. (2002). The effects of nurses’ job satisfaction on retention: an Australian perspective. JONA: The Journal of Nursing Administration, 32(5), 283-291.
Deighan, K. (2016). Managerial strategies for reducing employee turnover in the workplace.
Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC nursing, 17(2), 52.
Dovlo, D. (2005). Wastage in the health workforce: some perspectives from African countries. Human Resources for Health, 3(1), 6.
Estryn-Béhar, M., Nézet, O. l., Van der Heijden, B. I., Ogiñska, H., Camerino, D., Conway, P. M., . . . Hasselhorn, H.-M. (2007). Inadequate teamwork and burnoutas predictors of intent to leave nursing according to seniority. Stability of associations in a one-year intervalin the European NEXT Study.
Fasanya, B. K., & Dada, E. A. (2016). Workplace violence and safety issues in long-term medical care facilities: nurses' perspectives. Safety and health at work, 7(2), 97-101.
Gerein, N., Green, A., & Pearson, S. (2006). The implications of shortages of health professionals for maternal health in sub-Saharan Africa. Reproductive health matters, 14(27), 40-50.
Haider, M., Aamir, A., Hamid, A., & Hashim, M. (2015). A literature analysis on the importance of non-financial rewards for employees’ job satisfaction. Abasyn Journal of Social Sciences, 8(2), 341-354.
Horiguchi, M., Shudo, E., Sato, K., Nakamura, M., Sai, W., & Ohinata, T. (2015). Nurse odor perception in various Japanese hospital settings. International Journal of Nursing Sciences, 2(4), 355-360.
Hung, M. S., & Lam, S. K. (2020). Antecedents and Contextual Factors Affecting Occupational Turnover among Registered Nurses in Public Hospitals in Hong Kong: A Qualitative Descriptive Study. International Journal of Environmental Research and Public Health, 17(11), 3834.
Jagun, V. (2015). An Investigation into the High Turnover of Employees within the Irish Hospitality Sector, Identifying What Methods of Retention Should Be Adopted. Dublin, National College of Ireland,
Jones, C. B. (2004). The costs of nurse turnover: part 1: an economic perspective. JONA: The Journal of Nursing Administration, 34(12), 562-570.
Lee, T. W., & Mitchell, T. R. (1994). An alternative approach: The unfolding model of voluntary employee turnover. Academy of management review, 19(1), 51-89.
Liese, B., & Dussault, G. (2004). The state of the health workforce in sub-Saharan Africa: evidence of crisis and analysis of contributing factors. Retrieved from
Madanayake, O. C. (2014). Managerial Roles in Top Management Support for Information Technology and Systems Projects.
McGuire, D., & McLaren, L. (2009). The impact of physical environment on employee commitment in call centres. Team Performance Management: An International Journal.
McHugh, M. D., & Ma, C. (2014). Wage, work environment, and staffing: effects on nurse outcomes. Policy, Politics, & Nursing Practice, 15(3-4), 72-80.
Ministry of Health. (2018). Kenya HIV estimates: report 2018. In: National AIDS Control Council Nairobi.
Momanyi, N. B., & Kaimenyi, C. K. (2015). An investigation into factors causing high nurse turnover in mission hospitals in Kenya: A case for Pcea Chogoria Hospital. International Journal of Academic Research in Business and Social Sciences, 5(3), 55.
Morrell, K., Loan?Clarke, J., Arnold, J., & Wilkinson, A. (2008). Mapping the decision to quit: A refinement and test of the unfolding model of voluntary turnover. Applied Psychology, 57(1), 128-150.
Naicker, S., Plange-Rhule, J., Tutt, R. C., & Eastwood, J. B. (2009). Shortage of healthcare workers in developing countries--Africa. Ethnicity & disease, 19(1), 60.
Nguyen, L., Ropers, S., Nderitu, E., Zuyderduin, A., Luboga, S., & Hagopian, A. (2008). Intent to migrate among nursing students in Uganda: measures of the brain drain in the next generation of health professionals. Human Resources for Health, 6(1), 5.
Onyango, H. (2016). The influence of motivation and work environment on nurse retention: a case of Shalom Hospitals. Strathmore University,
Rachiotis, G., Kourousis, C., Kamilaraki, M., Symvoulakis, E. K., Dounias, G., & Hadjichristodoulou, C. (2014). Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study. International journal of medical sciences, 11(5), 442.
Shader, K., Broome, M. E., Broome, C. D., West, M. E., & Nash, M. (2001). Factors influencing satisfaction and anticipated turnover for nurses in an academic medical center. JONA: The Journal of Nursing Administration, 31(4), 210-216.
Shields, M. A., & Ward, M. (2001). Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit. Journal of health economics, 20(5), 677-701.
Skefales, A., Plakas, S., Fouka, G., Goni, M., Vassiliadou, M., & Bergiannaki, J.-D. (2014). Burnout and Its Association with working conditions among Greek hospital Nurses in a Time of Financial Crisis. Open Journal of Nursing, 2014.
Sousa, A., Tandon, A., Dal Poz, M. R., Prasad, A., & Evans, D. B. (2006). Measuring the efficiency of human resources for health for attaining health outcomes across subnational units in Brazil. Background paper prepared for the World Health Report.
Tshitangano, T. G. (2013). Factors that contribute to public sector nurses’ turnover in Limpopo province of South Africa. African Journal of Primary Health Care & Family Medicine, 5(1).
World Health Organization. (2019). World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. Retrieved from

In-Text Citation: (Carolyn et al., 2021)
To Cite this Article: Carolyn, S. J., Fred, N. O., Sally, M., & Aruasa, W. (2021). Exodus of Healthcare Professionals: Antecedents of Occupational Turnover Among Nurses in Kenya. International Journal of Academic Research in Business and Social Sciences, 11(2), 695–716.

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Exodus of Healthcare Professionals: Antecedents of Occupational Turnover Among Nurses in Kenya

Carolyn Sang J, Fred Newa O, Sally Murei, Wilson Aruwasa

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