The Relationship Among HRM Practices, Organizational Learning Culture, Perceived Organizational Support, Quality of Work Life, and Nurse Retention
Main Article Content
Nurse retention is an important issue in maintaining the quality of health services and workforce sustainability in hospitals. RSUP Sardjito, as one of the national referral hospitals, plays a central role in absorbing nursing personnel in Yogyakarta. However, the high proportion of contract nurses indicates the need for more appropriate organizational strategies to improve retention. This study adopts three main theories—Social Exchange Theory, Organizational Support Theory, and Job Demand-Resources Theory—as a theoretical framework to analyze the relationship among HRM practices, organizational learning culture, perceived organizational support, quality of work life, and nurse retention. It employs a quantitative approach using multiple regression analysis based on survey data collected from nurses at RSUP Sardjito. The results are expected to contribute theoretically by integrating structural, cultural, and psychosocial approaches in explaining nursing staff retention. Practically, these findings are expected to serve as a reference for hospital management and policymakers in designing strategies that support a positive work environment, enhance commitment, and increase nurses' intention to stay in their jobs sustainably.
Keywords:
HRM Practices, Organizational Learning Culture, Perceived Organizational Support, Quality of Work Life, Nurse Retention
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Akhtar, M. N., Haleem, A., & Javaid, M. (2023). Scope of health care system in rural areas under Medical 4.0 environment. Intelligent Pharmacy, 1(4), 217–223.
Alajlani, S., & Yesufu, L. O. (2022). Factors influencing human resource management practices. SA Journal of Human Resource Management, 20, 1–10. https://doi.org/10.4102/sajhrm
Alshaibani, N. M., Aboshaiqah, A. E., & Alanazi, N. H. (2024). Association of job satisfaction, intention to stay, organizational commitment, and general self-efficacy among clinical nurses in Riyadh, Saudi Arabia. Behavioral Sciences, 14(12). https://doi.org/10.3390/bs14121140
Arokiasamy, A. R. A., Vasudevan, A., Hai, S. T., & Subramaniam, K. (2024). Perceived organizational support, self-regulation, job adjustment and expatriate retention in the international education sector in Vietnam. Multidisciplinary Science Journal, 6(11). https://doi.org/10.31893/multiscience.2024228
Arlinta, D. (2023, November 17). Jumlah perawat di Indonesia bakal melebihi kebutuhan. Kompas.id. https://www.kompas.id/baca/humaniora/2023/11/16/jumlah-perawat-di-indonesia-bakal-melebihi-kebutuhan
Bell, M., & Sheridan, A. (2020). How organisational commitment influences nurses’ intention to stay in nursing throughout their career. International Journal of Nursing Studies Advances, 2, 100007. https://doi.org/10.1016/j.ijnsa.2020.100007
Buckley, L., McGillis Hall, L., Price, S., Visekruna, S., & McTavish, C. (2025). Nurse retention in peri- and post-COVID-19 work environments: A scoping review of factors, strategies and interventions. BMJ Open, 15(3). https://doi.org/10.1136/bmjopen-2024-096333
Chami-Malaeb, R. (2022). Relationship of perceived supervisor support, self-efficacy and turnover intention: The mediating role of burnout. Personnel Review, 51(3), 1003–1019. https://doi.org/10.1108/PR-11-2019-0642
Eisenberger, R., Rhoades Shanock, L., & Wen, X. (2020). Perceived organizational support: Why caring about employees counts. Annual Review of Organizational Psychology and Organizational Behavior, 7(1), 101–124. https://doi.org/10.1146/annurev-orgpsych-012119-044917
Endalamaw, A., Khatri, R. B., Erku, D., Nigatu, F., Zewdie, A., Wolka, E., & Assefa, Y. (2023). Successes and challenges towards improving quality of primary health care services: A scoping review. BMC Health Services Research, 23(1), 893.
Gharaibeh, M. B. A. R., Mansor, Z. B. D., & Yusof, R. N. B. R. (2024). A conceptual model of nurse retention integrating quality of work life and human resource management: The case of Jordan. International Journal of Human Resource Studies, 14(1), 13. https://doi.org/10.5296/ijhrs.v14i1.21430
Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. BMC Primary Care, 23(1), 313.
Gupta, R., Agrawal, R., & Gupta, A. (2024). Establishing new links between HRM practices and knowledge workers’ retention in healthcare sector: Knowledge sharing generating moderating effects. American Business Review, 27(1), 96–115. https://doi.org/10.37625/abr.27.1.96-115
Hammedi, W., Parkinson, J., & Patrício, L. (2024). SDG commentary: Services that enable well-being of the human species. Journal of Services Marketing, 38(2), 153–163.
Hassan, Z. (2022). Employee retention through effective human resource management practices in Maldives: Mediation effects of compensation and rewards system. Journal of Entrepreneurship, Management and Innovation, 18(2), 137–173. https://doi.org/10.7341/20221825
Iqbal, M., & Rakhman, S. (2025). Turnover intention among nurses and its implications for retention strategies in human resource management at Hospital X, Tangerang. Journal Arbitrase: Economy, Management and Accounting, 3(2), 24–30. https://doi.org/10.58471/arbitrase.v3i02.171
Islam, T., Ahmed, I., & Ahmad, U. N. B. U. (2015). The influence of organizational learning culture and perceived organizational support on employees’ affective commitment and turnover intention. Nankai Business Review International, 6(4), 417–431. https://doi.org/10.1108/NBRI-01-2015-0002
Sorsdahl, K., Petersen, I., Myers, B., Zingela, Z., Lund, C., & Van der Westhuizen, C. (2023). A reflection of the current status of the mental healthcare system in South Africa. SSM–Mental Health, 4, 100247.
Spitzer, D. L., Thambiah, S., Wong, Y. L., & Kaundan, M. K. (2023). Globalization and the health and well-being of migrant domestic workers in Malaysia. Globalization and Health, 19(1), 29.
World Health Organization. (2023). Population health management in primary health care: A proactive approach to improve health and well-being (Primary health care policy paper series). WHO Regional Office for Europe.
World Health Organization. (2024). Achieving well-being: A global framework for integrating well-being into public health utilizing a health promotion approach. World Health Organization.
