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

Kusuma Chandra Kirana (), Lestari Andayani () and Syamsul Hadi ()
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Kusuma Chandra Kirana: Sarjanawiyata Tamansiswa University
Lestari Andayani: Sarjanawiyata Tamansiswa University
Syamsul Hadi: Sarjanawiyata Tamansiswa University

A chapter in Proceedings of the 1st International Conference on Business, Economic, and Social Sustainability (ICOBES 2025), 2026, pp 935-949 from Springer

Abstract: 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.

Keywords: Competency; Work Environment; Organizational Citizenship Behavior (OCB); Turnover Intention; Employee Retention (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:spr:advbcp:978-94-6239-626-5_69

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DOI: 10.2991/978-94-6239-626-5_69

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