Inhibitors of Talent Retention in UAE Public Healthcare
Abstract
This paper aims to identify and rank factors that impact talent retention in the public healthcare sector in the United Arab Emirates. The study employs Analytic Hierarchy Process (AHP) methodology to rank factors affecting talent retention. Our AHP model features 6 criteria and 19 sub-criteria extrapolated from the literature. Data collection occurred through interviews with 18 employees, arranged into three groups: administrators, medical staff, and medical researchers from UAE-based public healthcare units. Collected data were interpreted and a priority vector assigned to each criterion and sub-criterion. It was found that recognition was the most important factor for retaining employees from the view of administrators. Career development and succession plan has the highest priority factor for medical staff. For researchers, sustainable practices were the most important factor for employee retentions. The paper suggests that differentiating retention strategies from one sample group to the other based on their profession helps policymakers and strategic HR planners deal with different pools of talent. The paper covers groups from the UAE public healthcare sector, offering material for further comparative studies with private sector, other service sectors, or from the healthcare sector in other regions. Employee retention in the UAE public healthcare sector is becoming a challenge, since the private sector often provides better employment opportunities. This paper provides a number of priority-ranked motivating factors based on different specialisms, to help employee retention.
References
Abd-El-Salam, E. M., Shawky, A. Y., El-Nahas, T., & Nawar, Y. S. (2013). The relationship among job satisfaction, motivation, leadership, communication, and psychological empowerment: An Egyptian case study. SAM Advanced Management Journal, 78(2), 33-50.
Akhtar, S., Ding, D. Z., & Ge, G. L. (2008). Strategic HRM Practices and their impact on company performance in Chinese enterprises. Human Resource Management, 47(1), 15-32. https://doi.org/10.1002/hrm.20195
Al-Aomar, R., & Hussain, M. (2017). An assessment of green practices in a hotel supply chain: A study of UAE hotels. Journal of Hospitality and Tourism Management, 31, 71-81. Al Dari, T., Jabeen, F., & Papastathopoulos, A. (2018). Examining the role of leadership inspiration, rewards and its relationship with contribution to knowledge sharing: Evidence from the UAE. Journal of Workplace Learning, 30(6), 488-512. https://doi.org/10.1016/j.jhtm.2017.04.002
Al Hammadi, F., & Hussain, M. (2019). Sustainable organizational performance: a study of healthcare organizations in the United Arab Emirates. International Journal of Organizational Analysis, 27(1), 169-186. Al Mehrzi, N., & Singh, S. K. (2016). Competing through employee engagement: a proposed framework. International Journal of Productivity and Performance Management, 65(6), 831-843. Al Suwaidi, M., Jabeen, F., Stachowicz-Stanusch, A., & Webb, M. (2020). Determinants Linked to Executive Succession Planning in Public Sector Organizations. Vision, 24(3), 284-299. https://doi.org/10.1108/IJOA-10-2017-1263
Arora, R. (2012), A research study of factors influencing talent retention in BPO industry. Journal of Strategic Human Resource Management, 1(2), 54-62.
Badurdeen, F., Wijekoon, K., & Marksberry, P. (2011). An analytical hierarchy process-based tool to evaluate value systems for lean transformations. Journal of Manufacturing Technology Management, 22(1), 46-65. https://doi.org/10.1108/17410381111099806
BaniMelhem, H., Elanain, H. M. A., & Hussain, M. (2019). Impact of Human Resource Management Practices on Employees' Turnover Intention in United Arab Emirates (UAE) Health Care Services. In Human Performance Technology: Concepts, Methodologies, Tools, and Applications (pp. 1244-1267). IGI Global. https://doi.org/10.4018/978-1-5225-8356-1.ch060
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17, 99-120. https://doi.org/10.1177/014920639101700108
Beamish, P. W. (1993). The characteristics of joint ventures in the People's Republic of China. Journal of International Marketing, 1, 29-48. https://doi.org/10.1177/1069031X9300100203
Brunges, M. (2014). Projects for increasing job satisfaction and creating a healthy work environment. AORN Journal, 100(6), 670-681. https://doi.org/10.1016/j.aorn.2014.01.029
Bruntdland, G. H. (1987). Report of the World Commission on Environment and Development: Our Common Future (Annex to General Assembly document A/42/427). New York, NY: United Nations.
Cappelli, P. (2000). A market-driven approach to retaining talent. Harvard Business Review, 78(1), 103-112.
Cheng, E. W., & Li, H. (2001). Analytic hierarchy process: An approach to determine measures for business performance. Measuring Business Excellence, 5(3), 30-37. https://doi.org/10.1108/EUM0000000005864
Davidson, M. G., & Wang, Y. (2011). Sustainable labor practices? Hotel human resource managers views on turnover and skill shortages. Journal of Human Resources in Hospitality and Tourism, 10(3), 235-253. https://doi.org/10.1080/15332845.2011.555731
Deo, D. (2014). Role of human resource practices on employee retention in institutes of higher learning in Delhi-NCR. Review of HRM, 3, 259-275.
Drake, P. R., Myung Lee, D., & Hussain, M. (2013). The lean and agile purchasing portfolio model. Supply Chain Management: An International Journal, 18(1), 3-20. https://doi.org/10.1108/13598541311293140
European Foundation for Quality Management Model Criteria (EFQM). (2013). European Foundation for Quality Management Model Criteria. Retrieved from http:// www.efqm.org/efqm-model/model-criteria/
Ewing, M., Pitt, L., & De Bussy, N. (2002). Employment branding in the knowledge economy. International Journal of Advertising, 21(1), 3-22. https://doi.org/10.1080/02650487.2002.11104914
Jabeen, F., Friesen, H. L., & Ghoudi, K. (2018). Quality of work life of Emirati women and its influence on job satisfaction and turnover intention: Evidence from the UAE. Journal of Organizational Change Management, 31(2), 352-370. https://doi.org/10.1108/JOCM-01-2017-0016
Jabeen, F., Mehmood, K., & Mehrajunnisa, M. (2020). Strategic drivers to promote employee suggestion schemes in GCC organizations. Evidence-based HRM, 8(3),273-294. https://doi.org/10.1108/EBHRM-07-2019-0066
Jabeen, F., & Al Dari, T. (2020). A framework for integrating knowledge management benefits in the UAE organizations. Knowledge Management Research & Practice, 1-15. https://doi.org/10.1080/14778238.2020.1780966
Federal Competitiveness and Statistics Authority (2020). Sheikh Khalifa issues national law of reading. Retrieved from https://24.ae/article/571506/88/
Francis, A. U. (2014). Human resource management practices and employee retention in Nigeria's manufacturing industries. International Journal of Scientific & Engineering Research, 5(2), 1741-1754.
Guha, S., & Chakrabarti, S. (2015). Effects of intrinsic and extrinsic factors on voluntary employee turnover: An alternative exposition. Anvesha, 8(3), 34-41.
Gulf News (2008). UAE firms grapple with high staff turnover cost. Retrieved from http://gulfnews.com/business/general/uae-firms-grapple-with-high-staff-turnover-cost-1.149010
Hanif, M. I., & Yunfei, S. (2013). The role of talent management and HR generic strategies for talent retention. African Journal of Business Management, 7(29), 2827-2835. https://doi.org/10.5897/AJBM2012.1369
Hausknecht, J., Trevor, C., & Howard, M. (2009). Unit-level voluntary turnover rates and customer service quality: Implications of group cohesiveness, newcomer concentration, and size. Journal of Applied Psychology, 94(4), 1068-1075. https://doi.org/10.1037/a0015898
Health Authority of Abu Dhabi. (2012). Health Statistics 2012. Retrieved from https:// www.scad.gov.abudhabi/Release%20Documents/Health%202012%20English.pdf
Hill, G. C. (2009). The effect of frequent managerial turnover on organizational performance: A study of professional baseball managers. Social Science Journal, 46(3), 557-570. https://doi.org/10.1016/j.soscij.2008.11.001
Hubbard, G. (2009). Measuring organizational performance: Beyond the triple bottom line. Business Strategy and the Environment, 18(3), 177-191. https://doi.org/10.1002/bse.564
Hussain, M., Ajmal, M., Khan, M., & Saber, H. (2015). Competitive priorities and knowledge management: An empirical investigation of manufacturing companies in UAE. Journal of Manufacturing Technology Management, 26(6), 791-806. Hussain, M., Malik, M., & Al Neyadi, H. S. (2016). AHP framework to assist lean deployment in Abu Dhabi public healthcare delivery system. Business Process Management Journal, 22(3),546-65. https://doi.org/10.1108/BPMJ-08-2014-0074
Ipek, K. T., & Arzu Kalemci, R. (2012). Organizational and supervisory support in relation to employee turnover intentions. Journal of Managerial Psychology, 27(5), 518-534. https://doi.org/10.1108/02683941211235418
Iqbal, A. (2010). Employee turnover: Causes, consequences and retention strategies in the Saudi organizations. The Business Review, Cambridge, 16(2), 275-281.
Iqbal, J., & Mahmood, Y. (2012). Reviewing knowledge management literature. Interdisciplinary Journal of Contemporary Research in Business, 4(6), 1005-1026.
Iqbal, S., & Hashmi, M. S. (2015). Impact of perceived organizational support on employee retention with mediating role of psychological empowerment. Pakistan Journal of Commerce and Social Sciences, 9(1), 18-34.
Ishizaka, A., Pearman, C., & Nemery, P. (2012). AHPSort: An AHP-based method for sorting problems. International Journal of Production Research, 50, 4767-4784. https://doi.org/10.1080/00207543.2012.657966
Jabbour, C., Santos, F., & Nagano, M. (2010). Contributions of HRM throughout the stages of environmental management: Methodological triangulation applied to companies in Brazil. International Journal of Human Resource Management, 21(7), 1049-1089. https://doi.org/10.1080/09585191003783512
James, L., & Mathew, L. (2012). Employee retention strategies: IT industry. SCMS Journal of Indian Management, 9(3), 79-87.
Jennings, P. D., Cyr, D., & Moore, L. F. (1995). Human resource management on the Pacific Rim: An integration. In L. F. Moore & P. D. Jennings (Eds.), Human resource management on the Pacific Rim: Institutions, practices, and attitudes (pp. 351-379). Berlin: de Gruyter. https://doi.org/10.1515/9783110889420-015
Karam, A. K. D., Ab Yazid, M. S., Khatibi, A. & Azam, S. F. (2017). Human Resource Management and Talent Management Towards Organizational Success of Aluminum Industry In United Arab Emirates (Uae): A Measurement Model. European Journal of Human Resource Management Studies, 1(1), 1-21.
Kasekende, F., Byarugaba, K. J., & Nakate, M. (2014). Employee satisfaction: Mediator of organizational service orientation and employee retention. Journal of Business and Management, 19(3), 41-61.
Kashyap, V., & Rangnekar, S. (2014). The moderating role of servant leadership: Investigating the relationships among employer brand perception and perceived employee retention. Review of HRM, 3, 105-118. https://doi.org/10.2139/ssrn.2429711
Kassem, R., Ajmal, M. M., & Khan, M. (2016). The relationship between organizational culture and business excellence: Case study from United Arab Emirates. International Journal of Information Systems in the Service Sector, 8(3), 16-35. https://doi.org/10.4018/IJISSS.2016070102
Keelson, S. A. (2014). The moderating role of organizational capabilities and internal marketing in market orientation and business success. Review of Business and Finance Studies, 5(1), 1-17.
Khan, N. (2018, September 21-22). Does Training & Employee Commitment Predict Employee Retention? In International Conference on Management and Information Systems. Chitkara University, Thailand.
Krishnan, L. R. K., Warier, S., & Kanaujia, K. (2013). An empirical examination of performance management on employee retention. International Journal of Research in Commerce and Management, 4(1), 148-156.
Laddha, A., Singh, R., Gabbad, H., & Gidwani, G. D. (2012). Employee retention: An art to reduce turnover. International Journal of Management Research and Review, 2(3), 453-458.
Liberatore, M. J. & Nydick, R. L. (2008). The analytic hierarchy process in medical and health care decision making: A literature review. European Journal of Operational Research, 189(1), 194-207. https://doi.org/10.1016/j.ejor.2007.05.001
Mehrajunnisa, M., & Jabeen, F. (2020). Antecedents to employee suggestion schemes: the study of UAE. The TQM Journal, 32(3),497-519. https://doi.org/10.1108/TQM-12-2018-0217
Morris, S., Hammond, R., & Snell, S. (2014). A micro foundations approach to transnational capabilities: The role of knowledge search in an ever-changing world. Journal of International Business Studies, 45(4), 405-42. https://doi.org/10.1057/jibs.2014.6
Muthuveloo, R., Basbous, O. K., Ping, T. A., & Long, C. S. (2013). Antecedents of employee engagement in the manufacturing sector. American Journal of Applied Sciences, 10(12), 1546-1552. https://doi.org/10.3844/ajassp.2013.1546.1552
Mutsuddi, I. (2016). Employee retention and engagement practices in the healthcare sector. Delhi Business Review, 17(1), 65-78. https://doi.org/10.51768/dbr.v17i1.171201616
Nasrallah, T. (2020). COVID-19: Sheikh Mohamed Bin Zayed commends COVID-19 relief teams. Retrieved from https://gulfnews.com/uae/government/covid-19-sheikh-mohamed-bin-zayed-commends-covid-19-relief-teams-1.1586632104696 Nuaimi, M. A., & Jabeen, F. (2020). A study of factors influencing knowledge transfer in organisations in the United Arab Emirates. International Journal of Knowledge Management Studies, 11(2), 170-189. https://doi.org/10.1504/IJKMS.2020.10027671
Ohunakin, F., Adeniji, A. A., Ogunlusi, G., Igbadumhe, F., & Sodeinde, A. G. (2020). Talent retention strategies and employees' behavioural outcomes: empirical evidence from hospitality industry. Business: Theory and Practice, 21(1), 192-199. https://doi.org/10.3846/btp.2020.11061
Oladapo, V. (2014). The impact of talent management on retention. Journal of Business Studies, 5(3), 19-36.
Parwez, S. (2013). An assessment of Indian higher education in reference to knowledge acquisition and retention management. International Journal of Organizational Behavior and Management Perspectives, 2(3), 551-555.
Saaty, T. L. (1980). The Analytic Hierarchy Process: Planning, Priority Setting, Resources Allocation. New York, NY: McGraw-Hill.
Saaty, T. L. (1990). How to make a decision: the analytic hierarchy process. European Journal of Operational Research, 48(1), 9-26. https://doi.org/10.1016/0377-2217(90)90057-I
Saaty, T. L. (2012). Decision Making for Leaders: The Analytical Hierarchy Process for Decision in a Complex World. Pittsburgh, PA: RWS Publications.
Samuel, M. O., & Chipunza, C. (2009). Employee retention and turnover: Using motivational variables as a panacea. African Journal of Business Management, 3(8), 410-415. Singh, A., Jones, D. B., & Hall, N. (2012). Talent management: A research based case study in the GCC region. International Journal of Business and Management, 7(24), 94. https://doi.org/10.5539/ijbm.v7n24p94
Subramanian, N., & Ramanathan, R. (2012). A review of applications of analytic hierarchy process in operations management. International Journal of Production Economics, 138(2), 215-241. https://doi.org/10.1016/j.ijpe.2012.03.036
Suliman, A. M., & Obaidli, H. A. (2011). Organizational climate and turnover in Islamic banking in the UAE. International Journal of Islamic and Middle Eastern Finance and Management, 4(4), 308-324. https://doi.org/10.1108/17538391111186555
Surbakti, H., & Ta'a, A. (2016, August 29-30). Improving employees retention rate through knowledge management and business intelligence components. Paper presented at the Knowledge Management International Conference (KMICe). Chiang Mai, Thailand.
Suresh, A. (2014). Synthesis of knowledge through responsiveness, recognition, formation, attraction and retention: An empirical approach. The IUP Journal of Knowledge Management, 12(1), 53-61.
Suresh, L., & Krishnaraj, S. (2015). A study on the importance of employee retention in pharmaceutical sector in India. International Journal of Pharmaceutical Sciences Review and Research, 32(1), 108-111.
Tobey, D., & Benson, P. (2009). Aligning Performance: The End of Personnel and the Beginning of Guided Skilled Performance. Management Revue, 20(1), 70-89. https://doi.org/10.5771/0935-9915-2009-1-70
Ton, Z., & Huckman, R. S. (2008). Managing the impact of employee turnover on performance: The role of process conformance. Organization Science, 19(1), 56-68. https://doi.org/10.1287/orsc.1070.0294
Vinodh, S., & Joy, D. (2012). Structural equation modeling of sustainable-manufacturing practices. Clean Technology Environment Policy, 14(1), 79-84. https://doi.org/10.1007/s10098-011-0379-8
Wenmi Net. (2007). The localization of human resource management of MNCs in China and its impact and implications. Retrieved from http://www.wenmi114.com/wenmi/ lunwen/jingjilunwen/2007-07-26/20070726109063.html
Weyman, A., Roy, D., & Nolan, P. (2019). One-way pendulum? -Staff retention in the NHS: Determining the relative salience of recognised drivers of early exit. International Journal of Workplace Health Management, 13(1), 45-60. https://doi.org/10.1108/IJWHM-06-2019-0084
Zafar, S., Siddiqui, D.A. (2019). Factors Affecting Employees Performance and Retention: A Comparative Analysis of Banking and Educational Sector of Karachi. Business Management and Strategy, 10(1), 93-124. https://doi.org/10.5296/bms.v10i1.14537
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