Factors Influencing Loyalty Among Non-Specialist Employees: A Case Study of Herat Regional Hospital, Afghanistan
Keywords:
Employee Loyalty, Job Security, Work Ethics, Career AdvancementAbstract
This study investigates the factors influencing loyalty among non-specialist employees at the Herat Regional Hospital. Given the significance of human resources and their role in advancing organizational missions, the aim of this research is to identify factors that can enhance employee loyalty and increase commitment to workplace environments such as hospitals. Methodologically, this study employed the Delphi method to identify factors affecting loyalty among non-specialist employees. In the quantitative phase, a descriptive-correlational approach and structural equation modeling (SEM) techniques were used. Data were collected using a validated and reliable questionnaire. Simple random sampling was conducted, and 200 questionnaires were analyzed. The analysis, using SEM and SPSS 8.54, revealed that job security (β = 0.24), work ethics (β = 0.22), career advancement (β = 0.21), job satisfaction (β = 0.17), and organizational profitability (β = 0.16) are significant factors influencing the loyalty of non-specialist employees at Herat Regional Hospital. This study highlights that job security, work ethics, career advancement, job satisfaction, and organizational profitability are key determinants of employee loyalty. These findings underscore the importance of establishing a proper infrastructure and favorable managerial environment to enhance employee commitment and loyalty.
References
Allen, N. J., & Meyer, J. P. (1996). Affective, Continuance, and Normative Commitment to the Organization: An Examination of Construct Validity. Journal of Vocational Behavior, 49 3, 252–276. https://doi.org/10.1006/JVBE.1996.0043
Antón, C. (2009). The impact of role stress on workers’ behaviour through job satisfaction and organizational commitment. International Journal of Psychology : Journal International de Psychologie, 44 3, 187–194. https://doi.org/10.1080/00207590701700511
Astuti, H., & Nagase, K. (2016). A framework for conceptualizing patient loyalty to healthcare organizations. Health Services Management Research, 29, 70–78. https://doi.org/10.1177/0951484816663562
Ayaz-Alkaya, S., Yaman-Sözbir, Ş., & Bayrak-Kahraman, B. (2018). The effect of nursing internship program on burnout and professional commitment. Nurse Education Today, 68, 19–22. https://doi.org/10.1016/j.nedt.2018.05.020
Ayers, R. S. (2015). Aligning Individual and Organizational Performance. Public Personnel Management, 44, 169–191. https://doi.org/10.1177/0091026015575178
Bakti, S. & Hwihanus. (2023). Analysis of the Effect of Recruitment, Management Efforts, Selection Criteria and Service Quality on Organizational Productivity with Employee Improvement as a Moderation Variable. KALIANDA HALOK GAGAS. https://doi.org/10.52655/khg.v6i2.78
Coupe, N., Peters, S., Rhodes, S., & Cotterill, S. (2019). The effect of commitment-making on weight loss and behaviour change in adults with obesity/overweight; a systematic review. BMC Public Health, 19. https://doi.org/10.1186/s12889-019-7185-3
Deretić, N. N., Kukolj, S., & Sančanin, B. (2023). IMPACT OF SALARIES AND INCENTIVES ON EMPLOYEE SATISFACTION IN AN IT COMPANY. SCIENCE International Journal. https://doi.org/10.35120/sciencej0204197k
Eisenberger, R., Fasolo, P. M., & Davis-LaMastro, V. (1990). Perceived Organizational Support and Employee Diligence, Commitment, and Innovation. Journal of Applied Psychology, 75, 51–59. https://doi.org/10.1037/0021-9010.75.1.51
Galunic, D. C., & Anderson, E. (2000). From Security to Mobility: Generalized Investments in Human Capital and Agent Commitment. Organization Science, 11, 1–20. https://doi.org/10.1287/ORSC.11.1.1.12565
Gorgenyi-Hegyes, E., Nathan, R., & Fekete-Farkas, M. (2021). Workplace Health Promotion, Employee Wellbeing and Loyalty during Covid-19 Pandemic—Large Scale Empirical Evidence from Hungary. Economies, 9, 55. https://doi.org/10.3390/ECONOMIES9020055
Kot-Radojewska, M., & Timenko, I. V. (2018). Employee loyalty to the organization in the context of the form of employment. Oeconomia Copernicana. https://doi.org/10.24136/OC.2018.026
Leung, A. (2008). Matching Ethical Work Climate to In-role and Extra-role Behaviors in a Collectivist Work Setting. Journal of Business Ethics, 79, 43–55. https://doi.org/10.1007/S10551-007-9392-6
Lissy, T. (2015). Influence of work environment and WLB practices on organizational commitment of private hospital employees. International Journal of Management, IT, and Engineering, 5, 222–233.
Loveman, G. W. (1998). Employee Satisfaction, Customer Loyalty, and Financial Performance. Journal of Service Research, 1, 18–31. https://doi.org/10.1177/109467059800100103
Matta, F. K., Sabey, T. B., Scott, B. A., Lin, S., & Koopman, J. (2020). Not all fairness is created equal: A study of employee attributions of supervisor justice motives. The Journal of Applied Psychology. https://doi.org/10.1037/apl0000440
Meyer, J. P., & Allen, N. J. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1, 61–89. https://doi.org/10.1016/1053-4822(91)90011-Z
Meyer, J. P., Stanley, D., Herscovitch, L., & Topolnytsky, L. (2002). AFFECTIVE, CONTINUANCE, AND NORMATIVE COMMITMENT TO THE ORGANIZATION: A META-ANALYSIS OF ANTECEDENTS, CORRELATES, AND CONSEQUENCES. Journal of Vocational Behavior, 61, 20–52. https://doi.org/10.1006/JVBE.2001.1842
Nadeak, B., & Naibaho, L. (2020). MOTIVATION AND HRM FACTORS RELATION TO THE EMPLOYEE LOYALTY. Polish Journal of Management Studies. https://doi.org/10.17512/PJMS.2020.22.2.18
Nica, E. (2013). The Importance of Human Resources Management to the Health Care System. Economics, Management, and Financial Markets, 8, 166–171.
Oliveira, L. A. B. de, Albuquerque, A. P. G. de, Carvalho, R. C. de, & Medeiros, D. D. de. (2021). What determines patient loyalty in health services? An analysis to assist service quality management. Total Quality Management & Business Excellence, 33, 1403–1421. https://doi.org/10.1080/14783363.2021.1960500
O’Reilly, C., & Chatman, J. A. (1986). Organizational commitment and psychological attachment: The effects of compliance, identification, and internalization on prosocial behavior. Journal of Applied Psychology, 71, 492–499. https://doi.org/10.1037/0021-9010.71.3.492
Patterson, M., Rick, J., Wood, S., Carroll, C., Balain, S., & Booth, A. (2010). Systematic review of the links between human resource management practices and performance. Health Technology Assessment, 14 51, 1–334, iv. https://doi.org/10.3310/hta14510
Setyawan, F. E. B., Supriyanto, S., Ernawaty, E., & Lestari, R. (2020). Understanding patient satisfaction and loyalty in public and private primary health care. Journal of Public Health Research, 9. https://doi.org/10.4081/jphr.2020.1823
Singh, A., & Rangnekar, S. (2019). Employee Loyalty in Indian Private Hospitals: The Role of Demographic and Employment Factors. Journal of Health Management, 21, 128–140. https://doi.org/10.1177/0972063418822568
Siyoto, S., & Tandrawarsito, A. L. (2018). Analysis of Commitment and Loyality ofMedical Staff in the Gatoel Hospital Mojokerto and the Influence Factorsin the Health Services, Indonesia. Global Journal of Health Science, 10, 142–151. https://doi.org/10.5539/gjhs.v10n6p142
Tett, R., & Meyer, J. P. (2006). Job satisfaction, organizational commitment, turnover intention, and turnover: Path analyses based on meta-analytic findings. Personnel Psychology, 46, 259–293. https://doi.org/10.1111/J.1744-6570.1993.TB00874.X
Tschopp, C., Grote, G., & Gerber, M. (2014). How career orientation shapes the job satisfaction–turnover intention link. Journal of Organizational Behavior, 35, 151–171. https://doi.org/10.1002/JOB.1857