Identifying and Addressing Employee Turnover Issues : A Case of Shifa International Hospital

Abstract

Employee turnover in health sector of Pakistan is usually considered high as compared to other industries. There is a list of costs that an organization has to face when there is a high turnover. Literature contains many researches on the employee turnover but still there is no universally agreed framework for why employees leave. Employee turnover can be affected by a number of factors. There are many researches on this issue but majority of them are done on international level. In Pakistani context very few studies can be found who examined these variables especially in hospitals. This research helps to address problem of high turnover in Shifa International Hospital by finding out the reasons behind this and then addressing those reasons by suggesting suitable alternatives. The researchers have found out that the low salary, lack of bonuses and rewards, working hours, tiring routine work, work load, better career prospect elsewhere, job expectations, lack of feedback from supervisors, and unsatisfactory performance evaluation are the major contributor of increased turnover of nurses and paramedical staff. The recommendation suggested to overcome these problems includes job rotation, training to supervisors, individualize orientation for new hires, annual visit by a member of top management, establishing a complaint center, introduction 360 degree performance evaluation system and pension plan, recognition for better performance, group or departmental based performance appraisals.