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The Influence of Competence, Work Environment, and Organizational Citizenship Behavior (OCB) on Paramedic Retention with Turnover Intention as an Intervening Variable

In: Proceedings of the 1st International Conference on Business, Economic, and Social Sustainability (ICOBES 2025)

Author

Listed:
  • Kusuma Chandra Kirana

    (Sarjanawiyata Tamansiswa University)

  • Lestari Andayani

    (Sarjanawiyata Tamansiswa University)

  • Syamsul Hadi

    (Sarjanawiyata Tamansiswa University)

Abstract

This study aims to examine the conceptual framework regarding the mediating role of turnover intention in the relationship between competence, work environment, Organizational Citizenship Behavior (OCB), and employee retention. This study uses a conceptual approach by integrating various previous empirical and theoretical studies to construct a structured framework based on Social Exchange Theory (SET) and Organizational Commitment Theory (OCT). The results of the analysis show that competence, work environment, and OCB have a positive effect on employee retention, both directly and indirectly through turnover intention as a mediating variable. The originality of this study lies in the placement of turnover intention as a mediating mechanism that explains how individual and organizational factors jointly influence employee retention in health institutions. Practically, this study provides insights for hospital management in designing strategies for competency development, improving the work climate, and strengthening prosocial behavior to reduce turnover rates and maintain organizational stability.

Suggested Citation

  • Kusuma Chandra Kirana & Lestari Andayani & Syamsul Hadi, 2026. "The Influence of Competence, Work Environment, and Organizational Citizenship Behavior (OCB) on Paramedic Retention with Turnover Intention as an Intervening Variable," Advances in Economics, Business and Management Research, in: Syamsul Hadi & Riskin Hidayat & Ambar Lukitaningsih & Ong Lin Dar & Taufik Abd Hakim (ed.), Proceedings of the 1st International Conference on Business, Economic, and Social Sustainability (ICOBES 2025), pages 935-949, Springer.
    • Handle: RePEc:spr:advbcp:978-94-6239-626-5_69
    DOI: 10.2991/978-94-6239-626-5_69
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