the relationship between employee turnover and job

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The relationship between employee turnover and job satisfaction: A case study of the North West Department of Health KP Matlapeng orcid.org/0000-0001-6625-8408 M06007055;",� Mini-dissertation submitted in partial fulfilment of the requirements for the Master of Business Administration Degree at the North-West University Supervisor: Dr G.N Molefe Graduation May 2018 Student number: 26736292 -n- 1, �-�-" I -�ORTH•WEST UNIVERSITY

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Page 1: The relationship between employee turnover and job

The relationship between employee turnover and job satisfaction: A case study

of the North West Department of Health

KP Matlapeng

orcid.org/0000-0001-6625-8408

M06007055;",�

Mini-dissertation submitted in partial fulfilment of the

requirements for the Master of Business Administration

Degree at the North-West University

Supervisor: Dr G.N Molefe

Graduation May 2018

Student number: 26736292

zma -n- 1,

�-�--� "

I -�ORTH•WEST UNIVERSITY

Page 2: The relationship between employee turnover and job

DECLARATION REGARDING PLAGIARISM

I (full names & surname): Keitheng Priscilla Matlapeng

Student number: 26736292

Declare the following: l. lBRAR 1. I understand what plagiarism entails and I am aware of the University's policy

in this regard.

2.1 declare that this assignment is my own original work. Where someone else's

work was used (whether from a printed source, the Internet or any other source)

due acknowledgement was given and reference was made according to

departmental requirements.

3. I did not copy and paste any information directly from an electronic source

(e.g., a web page, electronic journal article or CD ROM) into this document.

4. I did not make use of another student's previous work and submitted it as my

own.

5. I did not allow and will not allow anyone to copy my work with the intention of

presenting it as their own work.

Keitheng Priscilla Matlapeng April 2018

Date

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ACKNOWLEDGEMENTS

It was not easy to carry out this research at my workplace, though I managed to access

some vital information. It was time-consuming and at the same time interesting to do

this research project. I hope it improves on my managerial skills. I expect to add value

to the organisation and contribute towards its continuous improvement.

I thank God for his wisdom in guiding and providing me with knowledge to do this

research project. I thank the angels of the Lord for their protection as I was studying. I

thank the house of the spiritual leader in my church for their commitment and support.

I sincerely thank my supervisor Dr. Molefe for his guidance, effort and support. My

special gratitude goes to North-West University for giving me the opportunity to study. I

thank my colleagues at the Department of Health for providing me with research-related

information. And most especially I thank my children for allowing me to take time away

and my husband for being supportive. I would like to than the Provincial Department of

Health for allowing me to conduct research and appointing me as members of research

committee.

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...

ABSTRACT

South Africa experiences a significant shortage of nurses and medical specialists in the

health sector. Nurses and medical specialists leave country for more lucrative offers

outside South Africa. Currently in South Africa , medical special ists have set up private

practices. As a result, private practice becomes an uncanny riva l for the public sector

(public hospitals and clinics) because of the quality of service they offer to their

customers. North West Province faces the same challenge of high employee turnover,

especially under the nursing and medical field . Nursing and medical specialists render

core business of the health care services and this high turnover bespeaks huge

challenges.

The shortage has negative impact on the quality and sustainability of health care

services. The aim of the study is to assess factors that affect retention of employees

and employee job-satisfaction. The primary objective of this study is to determine the

relationship between high employee turnover and job satisfaction.

Descriptive statistics are used to determine the relationship between independent and

dependent variables (Welman , Kruger, & Mitchell , 2011 ).The study determined the

relationship between job satisfaction and employee turnover using the case study

research design. Structured questionnaire in the form of Likert scale was used for data

collection.The measuring instrument was adapted from the Minnesota Job Satisfaction

Questionnaire (MSQ) and was used to collect data on job satisfaction. Pearson

correlation coefficient was used to determine the relationship between employee

turnover and job satisfaction (Saunders, Lewis, & Thornhill , 2009). Furthermore,

Statistical Package for Social Science (SPSS) was also used to analyze demographic

data. The findings of the study were that there is a positive correlation between high

employee turnover and job satisfaction.

Key words: job satisfaction, employee turnover, retention, human resource

management.

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Table of Contents

DECLARATION REGARDING PLAGIARISM ...................... .. ........ ...... ...... ...... ........ ........ II

ACKNOWLEDGEMENTS .. .... ..... ..................... ................................. ........... .. ... ....... ....... 111

ABSTRACT ....... ... .. ............. .. ......... .. .......... .. .... ..... ...... .. .... ......... ... ....... .. ........ .. ......... ..... IV

CHAPTER 1: THE PROBLEM AND ITS SETTINGS ............................. .. ...................... .. 1

1.1 INTRODUCTION ............................................................ ........ .... .. .. ... ..... ......... .......... 1

1.2 PROBLEM STATEMENT ...................... ... .... ......... .. ...... .. ...... ............. ... ........ .. ....... 2

1.3 RESEARCH QUESTIONS ...................................... ................ ....... ............... ....... .. ... .4

1.4 RESEARCH OBJECTIVES .. .......... .. ...... .. .... .... ... .................................................. .. ... 5

1.5 IMPORTANCE AND BENEFITS OF THE PROPOSED STUDY ........ ..... .. ............. 5

1.6 DELIMITATTIONS, LIMITATIONS AND HYPOTHESES ...... ..... ... ....................... .. 5

1.6.2. HYPOTHESES ................ ........................... .. .. ..... .... .............. .... .. ........... ............... 6

1.7 DEFINITION OF KEY TERMS ...................... ........ ..... ... .. ... ... ... ...... .. ............. ......... 6

1.8 LIST OF ABBREVIATIONS .......... ..... ....... .. .. ..... .............................. ...... ......... .... .. .. 7

1.13. CONCLUSION ... .................................................................................... ................. 7

CHAPTER 2: LITERATURE REVIEW .................................................................. ..... ...... 8

2.1. CHAPTER OVERVIEW ............................................ .. .. .. .......................... ... .. ........... 8

2.2 . EMPLOYEE TURNOVER ..... ............ ....... ........ .. .... ..... ........... ... .............. .. .............. .. 8

2.2.1. EMPLOYEE TURNOVER COST ...................................................................... ... 11

2.2.2. DIRECT AND INDIRECT COST OF TURNOVER .......... ..................................... 12

2.2.3. EMPLOYEE TURNOVER MEASURES ...... ................... .................................... .. 13

2.2.4 TALENT RETENTION AND INTENTION TO QUIT .............. ................................ 13

2.2.5. RETENTION AND UPWARD MOBILITY ... ........... ............. ....... ...... ... ..... ............. 15

2.2.5.1. CAUSES OF MOBILITY .. ... ... .......................... ..... ... ....... .. ................. .. ... ... ....... 16

2.2.6. RETENTION STRATEGY ........ ...... ................. ..... .................. .............. .. .............. 16

2.3. JOB SATISFACTION ......... ... .. .................................... .............. ...... ...... ..... .... ......... 17

2.3.1 THEORETICAL FRAMEWORK OF MOTIVATION .......... ... .................................. 18

2.3.2. FACTORS THAT AFFECT JOB SATISFACTION ................ ... ................ ............. 22

2.3.3. FACTORS THAT CAUSES JOB SATISFACTION ................. .. .... .......... ............ .. 22

2.3.4. JOB DISSATISFACTION ........ .. .................. .. ... .... ........................ ........ .. .............. 26

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2.3.5. THE IMPACT OF SATISFIED AND DISSATISFIED EMPLOYEES ON THE WORKPLACE .. ... ......... .. ........ .. .. ..... .... ... ... ... ........ ......... ...... .. ..... .. ......... ..... .. ...... ... 27

2.3.6. JOB SATISFACTION AND ABSENTEEISM ...... ....... ........ .. ........ ....... .... .... .... .. .... 28

2.3.7. MEASURING JOB SATISFACTION ... ... ..... ..... .. ... ..... .. .... ... ........... .. ...... .. ......... ... 29

2.4. WORK-RELATED QUALITY OF LIFE ..... ......................... .. .......... ...... ... ... ........... ... 30

2.4.1. MEASURES OF WORK-RELATED QUALITY OF LIFE .. .... .. ......... ..... ...... ... ...... . 34

2.4.2 . WAY FORWARD ... ... ... ...... ...... .. ...... ....... ...... ... .. ...... ......... .... ......... ... ....... ....... ... .. 34

2.5 CONCLUSION ..... ....... .. .... ..... ........ ......... .. ............ ..... ... ............ ..... ... ........ ... ......... ... 34

CHAPTER 3: RESEARCH DESIGN AND METHODOLOGY ...... .... ... ..... ... ... ...... ..... .. ... 36

3.1 INTRODUCTION .... ... ..... ....... ....... .......... .. .. ..... .......... ....... .... ............. ... ..... ... ....... .... 36

3.2 RESEARCH DESIGN ... .. .... ... ....... .. .... ..... ...... .... ... ... ............. ........ .. .. .. ..... .. ......... ... .. 36

3.3 METHODOLOGY ........... ........ .... ...... ... .. .. .... ...... ......... ...... ... .... ..... ..... ....... .. ...... ..... ... 37

3.3.1 OVERVIEW OF RESEARCH DESIGN .... .. ....... ..... ............. ....... .... ..... .......... ... ..... 37

3.3.1 .1 QUALITATIVE APPROACH ............... .......................... ......... ............. .. ..... ....... . 37

3.3.1.2. QUANTITATIVE APPROACH ...... .. .. .......... ..... ... ... ........ ... ...... ... ...... .... ........ ..... . 37

3.3.2. DIFFERENCE BETWEEN THE QUALITATIVE AND THE QUANTITATIVE METHODS .... .... ......... ..... ... ..... ... ....... .. ... ........ ....... ... ........ .... ..... ... .. .............. .... .... . 38

3.3.3. MIXED METHODS APPROACH .......... .... .... ..... .......... ... ...... .... ... .. ...... ...... ....... ... . 39

3.3.4 JUSTIFICATION OF METHOD .. .......... .. ............. .. ... .. ...... ... .. ..... ..... ... .. ...... ... ...... .. 39

3.4 POPULATION AND SAMPLING ..... ... .......... .......... ... .. ........ .......... ........ ....... .. .... ...... 39

3.4.2 SAMPLING AND DATA COLLECTION STRATEGY ... ...... .... .... .... .... .... .. ..... ... ... . .41

3.5 MEASURING INSTRUMENT ........ ..... ... .... ....... ... .. .. ... .... ... ... ... ....... ..... .. .... .. ... ... ....... 42

3.6 DATA ANALYSIS TECHNIQUE ... ....... .. ......... ... .... ....... ... .. ..... ... ........ ..... ... ......... ... .. .43

3.7 VALIDITY AND RELIABILITY OF THE RESEARCH STUDY .. .. ... ......... ............ .. .. . .43

3.8. ETHICAL CONSIDERA TIONS ....... ........... ......... .. ... ... ..... ... .... ....... .... .. .... ... .... ..... ... .44

3.9. CONCLUSION ......... .. .. .... .... ... .. ..... ...... ... ...... ... ... ...... ..... ..... ...... ..... .......... ...... ... ... ... 45

CHAPTER 4: RESEARCH RES UL TS ... ....... .... ..... ... .... ... .. ........ .. .. ....... .... .. ......... ... ...... .46

4.1 . INTRODUCTION .... ... .. .. ..... .... .. .... .... .... .... ..... .. ......... .... ...... .. .. ..... .. .. ....... ....... .. .. ..... 46

4.2. DESCRIPTIVE STATISTICS .... .. ..... ....... ........... .. ... .... .... ... ..... ... ...... ... ... .... ...... ...... .46

4.3. DEMOGRAPHIC DISTRIBUTION .. ..... .... .. .. ....... ...... ... .. .. .... ....... .. .. ....... ... .. ..... .. ...... 48

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4.4. MEAN TESTS ....... ...... .. ..... ........ .. ............ ....... ...... ........... ... .... ........ ..... ....... ... ......... 56

4.5. CORRELATIONS FOR EMPLOYEE TURNOVER CONTRIBUTORY FACTORS ......... ........ .... ..... ......... .. .. ......... ......... ..... .. .. .. ....... .. .............. .. ..... .... .. ... .. 57

4.6. CORRELATION FOR EMPLOYEE TURNOVER .. .. .. ... ...... .... .... ....... ...... .. ..... .. .... ... 59

4.7. EMPLOYEE TURNOVER DISTRIBUTION .............. .... .................. .. ...... .. .... ... ........ 60

4.8. JOB SATISFACTION DISTRIBUTION .................. ........ ....... ... ......... .. .... .... .......... ... 60

4.9 . CONCLUSION ... ....... .. ... .... ... ..... .. .. ........... ... ........ .... ........... .. ... .. .. .... ...... .. .... .... .. ..... 61

CHAPTER 5: RECOMMENDATIONS AND CONCLUSIONS ....... ....... .. .. ...... .. ....... ..... .. 61

5.1. INTRODUCTION ... ..... ......... .... ... ...... .... ... ..... ..... .. .. .. ... ... ... ..... .. .... ..... ...... .......... ...... 61

5.2 OVERVIEW OF THE STUDY ..... .. .. ..... ...... ... ......... .......... ... ...... ..... ..... ..... ........ .... .... 61

5.2 .1. CHAPTER 1: PROBLEM AND ITS SETTINGS ... ....... ... ..... ..... .... ....... ... ... ....... .... 61

5.2.2. CHAPTER 2: LITERATURE REVIEW ........... .... .. ... ........ ...... .. ........ ...... .... .. ......... 61

5.2.3. CHAPTER 3: RESEARCH DESIGN AND METHODOLOGY .. ....... ......... ....... ..... 62

5.2.4. CHAPTER 4: RESEARCH RESULTS .. ... ... ....... .... ...... ........ .... ..... ...... .......... ....... 62

5.2 .5. CHAPTER 5: RECOMMENDATIONS AND CONCLUSIONS ... ..... .. ..... ........ ..... .. 62

5.3. OBJECTIVE OF THE STUDY RESTATED ...... .. ..... .. .. ... ... ........ ... .. .. ... .... ... ..... ... .. ... 62

5.4. HOW EACH OBJECTIVE WAS ACHIEVED ..... ....... ... .. ... ... ....... ....... .... ... .. ...... ..... .. 63

5.5. CONCLUSION ...... ....... ..... ... .. ..... .... .. ........ .. ...... ..... .... ......... ....... .. ....... ... ... ..... ... .... .. 64

5.6. LIMITATIONS OF THE STUDY ... ... .. ..... ..... .. ....... ....... ...... ....... ..... ........ .... ..... ..... ... . 64

5.7. RECOMMENDATIONS .. .. ........ .. ... ................ .. ..... ... .......... .... ..... ...... ..... ... .. ..... ........ 65

5.8. SUGGESTIONS FOR FUTURE RESEARCH .... .. ....... ... ..... .. .. ..... .......... ..... ... ... ...... 65

5.9. FINAL CONCLUSION ... ... .. ......... ... ................... .... ....... .. .... ... .... ..... .. ....... ...... ... ..... .. 66

REFERENCES .... .. .... ........ ... ... ..... ....... ... ........ ... ......... .. ............. ..... ... ..... .. ...... .... ... ...... .. 67

APPENDICES ......... .... ..... ... ..... ..... ......... ..... ....... ... ..... .......... .......... ....... .... ... ..... ......... .. .. 71

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APPENDICES

APPENDIX A: DATA COLLECTION INSTRUMENT ... .. ....... ... ... ...... .... ... .. .. .......... .. 73

APPENDIX B: DATA ANALYSIS ........ ............. .... ...... ... ....... ... .. ... .......... ... .... ... .. .... .. 81

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LIST OF FIGURES

Figure 2.1: Indirect and direct cost of skilled labor turnover ..... .. ............ ......... ... 29

Figure 2.2: Turnover Model ............................................. ... .. ..... ..... .. ...... .... 33

Figure 2.3: Four components of work related quality of life ....... ... .... .. ...... ... .. .. ... 33

Figure 2.3: Maslow's hierarchy of needs .. . .... ....... ... .. .. ... ......... ... ... ......... ... ... .. 43

Figure 4.1: Gender Distribution ............. .... .... ........ . .............. ......... ...... ...... ... 75

Figure 4.2: Age group distribution ......... .... .. .. . .. ..... .. .......... ... .. ....... ... .. ... .... .. .. 76

Figure 4.3: Job level distribution .... .......... . ... ..... . ........ ... .. ....... ...... ....... .... ...... 77

Figure 4.4: Job experience distribution ..... .......... .. ..... .. ......... ............. .... ........ . 77

Figure 4.5: Qualification level distribution .... ......... .... .. ... ....... .... .. ...... .. .. ....... .... 78

Figure 4.6: Distribution of respondents by division .. .......................................... 79

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LIST OF TABLES

Table 1.1: Distribution of respondents by division .... ... .. ... ... .. . ... ........ .... ... ... ... .. 16

Table 1.2: Sampling frame ................... .. ...................... .............. ..... ..... .... .... .. . 18

Table 3. 1: Difference between qualitative and quantitative method ....... .. ...... .. .. .. 50

Table 3.2: Stratified sample of NDOH Provincial Office ............ .............. ... ....... 53

Table 4.1: Frequency distribution for job satisfaction .. ........ .. ....... .. ...... ... .... ..... . 79

Table 4.2 : Correlation for job satisfaction .............. .. ........... .. ......... . .......... ..... . 83

Table 4.3 : Frequency table for employee turnover .... .. ..... . ... .... .... . ...... .. . ... .. . ... 83

Table 4.4: Employee turnover distribution ...... .. ........... .. ........ . .. .. ... .. .. ............. 85

Table 4.5: Job satisfaction distribution .... .. .... .. ....... .... . ... ............. ... .. ......... .. .. 86

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CHAPTER 1: THE PROBLEM AND ITS SETTINGS

1.1 INTRODUCTION

In South Africa there is currently a high rate of attrition among medical specialists

and nurses which has a detrimental effect on the quality of the health care services

provided . The demand for health care services has increased during the last half of

the 20th century due to the increased burden of diseases and local population

lifestyles among other reasons (Ruff, Mzimba, Hendrie & Broomberg 2011 :184-192).

Apart from the above-mentioned , there are standard operating procedures which

include the standards concerning the total quality of health services provided by

management, specifically with regard to diseases. Moreover, the Department of

Health of the Mahikeng district (henceforth referred to as the organisation) is guided

by policies and guidelines.

The purpose of this study is to measure employee job satisfaction and the employees'

turnover. These factors have an impact upon the rate of employee turnover. When

the turnover rate is decreased , the organisation is strengthened and health care

services are improved . When health care services are strengthened , they provide

comprehensive good quality care and value to communities.

By accomplishing this, services of good quality (by persons who have the knowledge,

experience and qualifications for their positions) can be rendered to customers by

competent staff members. This leads to customer satisfaction. Excellent customer

satisfaction has a positive impact on organisational performance (Robbins & Judge,

2015b:109). Organisational performance has a positive impact on job satisfaction and

employee turnover rates.

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There are four types of turnover (Steel & Lounsburg, 2009), namely, voluntary,

involuntary, desirable, and undesirable. Voluntary turnover refers to turnover as a

result of an employee leaving the organisation by choice; involuntary turnover refers

to turnover following an employee's service termination as a result of poor

performance, absenteeism, or the violation of workplace policies (Steel & Lounsburg,

2009). Involuntary turnover is beyond the employee's control. Desirable turnover

occurs when the employee introduces new talent and skills in the workplace that

provide the organisation with a competitive advantage over competitors and internal

efficiency, while undesirable turnover occurs when the organisation loses an

employee with good knowledge and skills that is valuable to the organisation (Shaw,

Gupta & Delery, 2005a).

In this study, the researcher measured in what ways job satisfaction influences

employee turnover. In order to do this, the researcher focused on one component of

human resource management, namely persal (responsible for the employees'

movement) and on another component of knowledge management, namely retention.

Retention strategies provide the organisation with ways in which to retain their

employees. The results of the study were anticipated to inform the organisation on

the ways in which they could improve their retention strategies.

1.2 PROBLEM STATEMENT

With the increasing demand for health care services, there is a need to employ

competent staff who will deliver efficient and effective services to customers (Peer &

Mpinganjira, 2011 ). However, in the 2013/2014 financial year, the staff turnover rate

in health services increased from 3.2% to 16%. The average turnover rate in health

services over the last 3 years increased from 9.2 % to 13.3%. The turnover rates

ranges from 9.2% to 21 % (Annual Performance Plan 2016/17, 40). Based on

evidence from the annual performance plans for 2014/15 and 2015/16, the staff

turnover rate in the health services is high, since the employee turnover norm is 2%.

This high turnover rate led to increased expenditures to replace staff members;

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....,_.,__ , NWU

\usRARY sometimes with less experienced officials who are less likely to perform at the same

level than the employees that they have replaced (Annual Performance Plan

2015/16, 33). Therefore, health organisations face problematic high rates of staff

turnover. In order to resolve the issue, the DOH has implemented various HRM

programmes to motivate employees to work, but despite implementing these

programmes, the staff turnover rate remains high. The HRM programmes comprise:

• An employee health wellness programme that is responsible for the health and

well-being of employees,

• The knowledge management directorate, that is responsible for the retention of

employees,

• The performance management development system, which is responsible for

employee and organisational performance, occupational skills development, as

well as performance appraisals,

• The labour relations directorate that is responsible for handling labour disputes

and disciplinary procedures, and

• A human resource development programme, responsible for training and

development of personnel.

Despite the efforts to implement these programmes, health services organisations

still experience problems resulting from high staff turnover rate and job

dissatisfaction.

Furthermore, due to the current organisational structure that is not aligned to the

budget, the filling of posts and distribution of staff is done on an ad hoc basis

(Annual Performance Plan 2015/16). Top management has ordered the recruitment

and selection sub-directorate not to advertise posts until the finalization of

organisational restructuring . To make matters worse, the proposed organisational

structure has tailor-made posts. It seems as if the organisation plans to redirect

some posts and downsize other posts by not replacing employees in some of the

vacant posts. Currently no promotions are effected within the organisation.

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Employees are currently placed in acting positions in vacant posts and are paid

allowances. At the moment, this restructuring is luckily still only in the process of

development, and it is not finalized yet.

Furthermore, the organisation has severe budget constraints which have led to a

cost containment measure (restriction on the utilization of the budget). As a result of

the limited budget, the organisation is unable to replace and appoint new staff

(talent management). The cost containment measure which was implemented in the

organisation negatively affects the employees. As a result of all these factors, the

organisational structure is imbalanced (Annual Performance Plan 2016/17). The

main problems that the organisation experience result from the budget constraints

which have apparently created a chain of challenges.

There are ten job categories within the organisation. These categories are:

temporary, session, political office bearer, periodical remunerations, part time 6/8

(hours), part time 5/8 (hours), abnormal appointment, and contract. Fixed

appointments are at the level of officer permanent and fixed appointment officer

permanent performance.

Based on the aforementioned background , this research seeks to find out in which

directorate the vacant posts are and the reasons that caused personnel to leave the

organisation. Moreover, the research investigates the causes of job dissatisfaction.

The organisation does not abide by the policy of the performance management

development system (PMDS) for motivating employees. From the financial year

2013/14 until now, employees have not been appraised for their performance. There

have been strikes in which employees have fought for their rights to be appraised

for their performance. Furthermore, this organisation is under administration and

the rate of job expansion and personal enrichment are very high.

1.3 RESEARCH QUESTIONS

The following research questions were formulated :

1.3.1 Is there a correlation between employees turnover intention and job

satisfaction?

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1.3.2 What are the factors that enhance job satisfaction?

1.3.3 To what extent do employees want to quit their current posts in the organisation?

1.3.4 What are levels the employee job satisfaction?

1.4 RESEARCH OBJECTIVES

The research objectives are set to:

1.4.1. Determine the correlation between employees turnover intention and job

satisfaction

1.4.2. Determine factors that enhance job satisfaction

1.4.3. Determine the extent to which employees wants to quit their current posts in

the organisation

1.4.4. Determine the levels of employee job satisfaction

1.5 IMPORTANCE AND BENEFITS OF THE PROPOSED STUDY

The benefits of the study to the organisation are that the results and findings of the

study, with recommendations for the improvement of the current retention strategy

are made available to management. Because recommendations for the improvement

of the current retention strategy of the organisation are provided by this study, the

organisation is anticipated to optimally utilize the budget allocated to capacitate

employees. Hence, this could reduce the costs associated with the Human Resource

processes of recruitment, selection and placement. Furthermore, the research

identifies where the vacant posts are and the reasons that caused people to leave the

organisation. The research findings could also be used to optimize the strategic

planning and management of the organisation.

1.6 DELIMITATTIONS, LIMITATIONS AND HYPOTHESES

1.6.1 Delimitations

The following aspects are delimitations of the study:

• The study was conducted in the Ngaka Modiri Molema District as representative

of trends in the entire province.

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• The majority of the employees are Africans because the organisational structure

consists of 90% African employees.

1.6.2. Limitations

The following are the limitations of this research.

• The sampling method does not reflect accurate results, because the margin of

error is high (outside the range of -0.01 - 0.05).

• It was not easy to access information, since the people who worked for the

Human Resource Management Directorate who had access to the information

had left the organisation.

• The behaviour and attitude of the participants towards the proposed topic

compromised the accuracy of the results obtained from the data.

1.6.2. HYPOTHESES

The following propositions were made for conducting this study:

1.6.1 Employees' turnover intention and job satisfaction are correlated

1.6.2 Motivational factors that enhance job satisfaction are not completely

implemented

1.6.3 Majority of employees want to quit their current posts in the organisation

1.6.4 There is a low level of employee job satisfaction.

1. 7 DEFINITION OF KEY TERMS

Job satisfaction refers to an employee's positive feelings towards his or her own job,

and this experience is fundamental to the evaluation performed on its characteristics

(Robbins & Judge, 2015).

Employee turnover is the rate at which employees leave the organisation (Armstrong

& Taylor, 2014:249).

Work-related quality of life refers to the granting of promotions, talent retention and

good working conditions that enhance organisational effectiveness (Saraji & Dargahi ,

2006).

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The key terms defined here are applied in the context of this research study only.

Definitions of the key terms may vary hence these definitions may have different

interpretations in other contexts and are therefore restricted to the definitions

submitted at the onset.

1.8 LIST OF ABBREVIATIONS

Table 1.1: Abbreviations used in this document Abbreviation Meaning

1. HRM Human Resource Management

2. PA Performance Appraisal

3. VT Voluntary Turnover

4. SPSS Statistical Package for the Social Sciences

5. DOH Department of Health

6. DOSA Department of Service Administration

1.13. CONCLUSION

This chapter introduced the research, entitled 'The relationship between job

satisfaction and employee turnover: The case of North West Department of Health."

After a brief introduction , the problem statement, objectives and research questions

were provided . Furthermore, the delimitations, assumptions and benefits of this study

were explained . Key terms were defined . Additionally, a preliminary literature review

was provided. The literature review is discussed extensively and more exhaustively in

the next chapter.

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CHAPTER 2: LITERATURE REVIEW

2.1. CHAPTER OVERVIEW

Chapter 1 provided an explanation of the research approach followed in order to

carry out this research . Furthermore, Chapter 1 provided the background to the

study, the research questions and problems, objectives, delimitations and

assumptions of the study, and a definition of the key concepts and objectives

thereof. The aim of this chapter is to review literature relevant to the r study and

provide a theoretical framework.

This chapter provides an overview of employee turnover, causes of employee

turnover, employee turnover costs, and measures intended to stem high employee

turnover and its sub-components. Furthermore, job satisfaction, causes of job

satisfaction and its sub-components are discussed in this chapter.

2.2. EMPLOYEE TURNOVER

Employee turnover refers to the rate at which employees leave an organisation

(Armstrong & Taylor, 2014:249). Employee turnover is a process of change affecting

the composition of the workforce (Roux, Brynard, Botes, & Fourie, 1997).

Furthermore, employee turnover is regarded as an institutional phenomenon

(Mobley, 1982). It is clear from the submissions above that employee turnover can

be classified into two categories, either voluntary or involuntary turnover (Msomi,

2010).

Voluntary turnover is the process whereby the employee decides to leave the

organisation, whereas involuntary turnover refers to the process whereby the

organisation makes the decision to leave on behalf of the employee. Furthermore,

involuntary turnover refers to the making of a decision by an organisation to retrench

or dismiss employees for disciplinary matters or in a bid to save anticipated costs of

retaining a specific number of employees within a particular organisation

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(Sutherland & Jordaan , 2004). For instance, involuntary turnover can be executed

through retrenchment, dismissal and termination of contract.

Employees leave their jobs for various reasons (Cascio & Aguinuis, 2005; Stahl,

1983). An employee's decision to leave an organisation is influenced by several

factors: promotion, relocation, retrenchment and dismissal, retirement, career

development and incapacitated leave.

Policies and Acts should be considered when deciding to impose involuntary

turnover on an employee. The act and policy that should be considered are the

Labour Relations Act 66 of 1995 which includes dismissal and disciplinary

procedure, and the Labour Relations Guidelines for any labour dispute (Venter &

Levy, 2011 ).

Disciplinary action takes place whenever an employer makes a guiding intervention

in an employee's work behaviour. Interventions for disciplinary actions include

induction, instruction performance, feedback training, counselling , verbal reprimands,

written warnings, and final written warnings. Dismissal occurs when the employee

breaches the trust relationship between the employees and the employer (Venter &

Levy, 2011 ).

Other types of employee turnover are internal and external turnover (Mobley, 1982).

Internal turnover refers to a process in which the employee moves from one position

to another within the same organisation , whereas external turnover occurs when the

employee leaves the current organisation for another. External turnover negatively

impacts the organisation , whereas internal turnover has a more positive effect in

that the employee retains their expertise and experience for the quality development

and competitive edge of the same organisation.

Mathis and Jackson (2003) distinguish two constructs of turnover, namely

controllable and uncontrollable turnover. Controllable turnover is in the interest of

the organisation , in contrast to uncontrollable turnover that occurs outside the

interest of the organisation. Uncontrollable turnover negatively affects the

organisation in many ways, for example the loss of an employee with experience

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who leaves the organisation for promotion because the current employer cannot

counter-offer the same job and remuneration offered . Controllable turnover could be

curbed through the utilization of different mechanisms such as counter-offers, job

evaluation (demotion and promotion based on the assessment of job performance)

and skills recognition . Moreover, the intensity of a turnover is measured by the

aspects outlined herein.

Weller, Haltom, Matiaske, and Millewigt (2009) distinguish employee turnover as

either functional or dysfunctional. When functional turnover takes place, there is no

cost implication when a low-skilled employee decides to leave. Contrarily,

dysfunctional turnover occurs when the organisation loses a highly skilled and

experienced employee (Weller et al., 2009).

Another theory associated with employee turnover is the social capital theory, which

focuses on the social relationships obtained in accordance with value creation

(Kiwook & Rupp, 2013). Social networks are the foundations of social relations.

These social relationships may result in the formation of an organisational culture

(refers to a system of shared values and norms) that differentiates the organisation

from other organisations that work and produce similar products of a competitive

nature.

Organisational culture suppresses organisational performance when there are

cohort groups. A cost benefit analysis shows that a high turnover rate and

performance are not much of the problems, because they depend on the

organisational situation and those who exit from the organisation (Price, 1977;

Dalton & Todor, 1979). Employee turnover is costly for the organisation, because

the recruitment and selection of new employees as well as induction are all

seriously expensive undertakings.

However, turnover of the weaker performers could benefit the organisation, because

a more skilful and competent candidate easily replaces a weaker performer and

does much better (Kiwook & Rupp, 2013). Weaker performers are costly to the

organisation, because once they have been assessed corrective actions must be

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followed, which may require training the new employee in order to fill the identified

gap. Training is costly and must be budgeted for and all these are costs that the

organisation has to bear. The aforementioned arguments indicate that employee

turnover has a negative impact on the organisational performance.

Failure to maintain the existing organisational structure defers to turnover, which

negatively affects production and service delivery. Job enrichment (enhancing a job

by adding more meaningful tasks and duties - vertical expansion to make the work

more rewarding or satisfying) and expansion are alternatives used in an

organisation to temporarily close the gap left by an employee, until the appointment

of a new candidate (Belcourt, Singh , George, & Nel , 2005). Public services provide

allowances for job expansion.

2.2.1. Employee turnover cost

Turnover is the rate at which people leave an organisation. Employee turnover

directly affects the organisation in terms of performance, structure and budget.

Hence, it has cost implications for all the processes that have to be followed by

HRM for the replacement of an employee. These processes are the following

according to (Michael & Stephen, 2014):

• Recruitment and selection - the organisation advertises the post on the internet

and national and provincial newspapers. This is the recruitment cost.

• Induction cost - this is the cost allocated for orientating a new employee to

familiarize the employee with the workplace.

• Training costs - these· are the costs allocated for training , which are usually

budgeted for by the training and development directorate. Priority for training is

usually given to new employees so as to prevent poor performance.

• Leaving costs - these are the costs for HR administration and payroll pertaining to

the packages associated with the employee who leaves an organisation.

• The loss of outputs as a result of low performance by the new employee who is

still learning and the delays associated with obtaining a replacement.

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2.2.2. Direct and indirect cost of turnover

Turnover is negatively affects the organisation in terms of production (Hodges,

2003). Turnover is the key driver of low job performance. There are cost implications

as a result of a high turnover rate of competent staff members; however,

incompetent employee turnover is not costly to the organisation. The turnover of

incompetent staff allows the organisation to recruit and fill the vacant posts with

qualified, expert and experienced candidates. Costs are divided into two categories,

namely direct and indirect costs. Direct costs are measurable, e.g. a low attrition

rate. Direct costs are those associated with hiring a person, e.g. salary, training, and

administrative costs. These costs are easy to calculate and form part of the

organisational budget. Indirect costs are not easy to identify. These costs are mainly

associated with low performance, job dissatisfaction and ineffective service delivery.

For example, the cost that results from having an employee who benefits from the

organisation even if he/she performs poorly. These costs are hidden.

Direct costs Indirect costs ~~--·- -~i.;,;~-----;~,,....:-.... -~~,:-~

■ D Vacancy Loss of production of incubent

D Advertisement O Loss of production of co-worker

D Recruitment, Selection and appointment Loss of production of due vacant

0 Orientation and training Learning curve of new staff

Figure 2.1: Indirect and direct costs of skilled labour turnover

(Source: DPSA, 2009)

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The figure above depicts a linear relationship between direct and indirect costs.

Costs are incurred for all the activities given in the figure. For example, the

advertisement of a post is done in a newspaper, requiring money for printing and the

advertisement. Furthermore, the appointment of a new candidate is expensive, even

though the cost depends on the level of the job; however, regardless of the job level,

a salary and allowances are still involved in such an appointment process.

2.2.3. Employee turnover measures

Michael and Stephen (2014) recommend various methods to measure employee

turnover. These measures are:

2.2.3.1 The employee turnover index

This index measures the number of job leavers in a specified period (usually one

year), divided by the average number of employees, and multiplied by a hundred.

2.2 .3.2 The stability index

This method measures the number of employees with one year service or more

within the same organisation, divided by the number employed one year ago.

2.2.3.3 The survival rate

This rate measures the ratio of employees who have remained with the organisation

for a determined period after so many years.

2.2.3.4 The half-life index

This index compares the successive entry years of the different employees and it is

a more robust measure of the 'retention capacity' of an organisation relative to the

employees retained against those who have left.

2.2.4 Talent retention and intention to quit

The retention of talent by an organisation works to oppose the intention to quit by

employees. Talent in the organisation is regarded as the capability exhibited by

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individuals and humans in the form of skills, ability and knowledge (Born & Heer,

2009). This definition is further supported by Cappelli, (2008) who submits that this

entails the ability to learn and grow. Learning is a continuous process, so individuals

need to be empowered through training and development programmes when a need

arises. Talent retention is defined as an organisation 's ability to reduce the attrition

rate (McKinsey & Company, 2001 ). It is further described as the mechanism used to

reduce turnover (Dockel, Sasson, & Coetzee, 2006), making the organisation one

that stands above similar competitors in the field.

Since the introduction of machinery and technology, most of the organisations has

been compelled to downsize (retrenched) and they have restructured their

organisations. However, most organisations strive to retain their competent workers,

who need training in basic and advanced computer skills. These training sessions

incurred costs for administration and module facilitations. Due to the high costs of

training, organisations were encouraged to retain employees who are trainable

(have the ability to understand, read and write) in order for them to catch up with the

technological environment.

The advances made in technology brought about organisational efficiency and

effectiveness. It is easy to access and produce work timeously due to the use of

technology. Hence, restructuring and downsizing were the result of management's

decision to redirect the resources to competent staff, because empowered

employees speed up production and remain in the organisation. However, the

disadvantage of providing training to the competent employee is the fact that the

employee becomes even more marketable and if there is any job dissatisfaction,

turnover is bound to follow and impact negatively on the initiative to retain workers.

Talent retention results in organisational effectiveness and efficiency because

current employees have been budgeted for, while there is no budget provision for

the appointment of new employees (Bryant & Allen, 2013).

Competent staff members are the high performers who are highly productive; hence

it is important to retain them and to meet their expectations. Organisations that do

not cater for the needs of competent staff members run the risk of losing them to

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their competitors. The needs of staff members are the needs referred to by

Maslow's hierarchy of needs. Motivation to perform should be directed at the

competent staff, where after they can empower the low performers through assisting

them. The retention strategy needs to be reviewed regularly in order to prevent the

risk of a high turnover rate and job dissatisfaction, especially for the competent staff.

Talent management is regarded as a three way process (Kaye, 2002). This is the

train ing needs identification, talent identification and the strengthening of potential

employees within the organisation (Kaye, 2002). These processes can be

implemented through a skills audit, personal development plan, performance

reviews and assessment of those in the employ of an organisation.

2.2.5. Retention and upward mobility

Mobility is the movement of employees from one position to another within the same

organisation . Mobility can be either downwards or upwards. Downward mobility is

enforced on the individual by management after a job evaluation has been

performed and the results show poor or non-performance, which results in a

demotion. It is not the individual's decision but one taken by the employing

organisation. Downward mobility is associated with feelings of anger, betrayal,

uncertainty and oppression, giving rise to the intention to quit on the part of the

affected employee.

Job dissatisfaction resulting in downward mobility encourages an employee to leave

the organisation. Upward mobility, on the other hand, refers to the movement of

employees from one position to another, mostly driven by competence and power­

seeking. An example is the promotion of an employee from a junior position to a

senior position based on the level of job performance, skills and knowledge acquired

at the subordinate level. Furthermore, mobility is divided into three categories,

namely structural , social and economic concepts. An example is the DOH

increasing the salary notch of nurses after being in service for five years. Economic

mobility is more related to upward mobility. Such upward mobility involves money in

that the organisation has to plan for, budget and pay the new salary scale.

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2.2.5.1. Causes of mobility

Advances in technology can affect the organisation positively or negatively. The

advantage of using the internet is that it provides easy access to information. A

disadvantage of the internet is evident when an employee uses the internet to

access information on from their current employer to search for advertised posts,

apply for the job, and the application becomes successful. Comparisons and the

compatibility of job positions and remuneration are easily done on the internet.

Therefore, internet usage can be a catalyst of organisational change, whether

negative or positive.

Another factor that causes mobility between organisations is globalization.

Globalization is a complex phenomenon , which affects both the public and private

sector. Globalization increases diversity and a competitive market, resulting in a

multitude of available options for employees on which to base their decisions.

Subsequently, opportunities and threats are evaluated by both the individual and the

organisation in deciding whether to enforce a person to leave or to retain the person.

Hence, globalization can act in favour of or against the organisation. Consequently,

globalization results in a global competition for skills and an easy movement of skills,

irrespective of location and demographic profile. Moreover, work environment

factors in the form of financial or non-financial rewards contribute to mobility.

2.2.6. Retention strategy

Employee retention strategy mainly focuses on human capital and capacity. In

addition, retention primarily focuses on keeping competent staff for as long as is

feasible and productive and reducing turnover (Mathis & Jackson, 2003). It

counteracts employee turnover. Moreover, retention strategy is an enabler of

knowledge management and organisational structure. Retention strategy is also a

subsystem of HRM. Furthermore, the strategy interfaces with organisational

development and human resource development.

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The human resource planning processes of hiring employees, from the selection to

the appointment of a candidate should be given priority, followed by induction,

training and development to empower the employees, performance review feedback,

communication between supervisor and subordinate for information-sharing and

support, job security, motivation, and the creation of a safe working environment in

order to retain employees. The strategy should be aligned with the organisational

strategic plan.

The analysis of both external and internal factors is important during the crafting of a

retention strategy. The external analysis examines political, technological , economic,

legal and environmental factors (Strickland, Thompson, Gamble, Peteraf, Janes, &

Sutton, 2016). It is commonly referred to as the PESTLE analysis. On the other

hand, internal factors include finance, operation, organisational structure and HRM.

Factors affecting retention, according to Armstrong & Taylor (2014)include

leadership (the supervisor's attitude and behaviour) , company image (reputation of

the company), recruitment, selection and appointment ( cost incurred to appoint new

candidate), learning and career opportunities (career development), performance

recognition and reward (performance appraisal).

2.3. JOB SATISFACTION

Job satisfaction is defined as an employee's positive feeling towards his or her own

job based on the evaluation done on its characteristics (Robbins & Judge, 2015).

Job satisfaction has a multitude of contributing factors . Job satisfaction theories

focus mainly on the relationship between turnover and job satisfaction . Bernhart,

Donthu, and Kenneth (2000) conducted research set to determine the relationship

between job satisfaction and employee turnover and they concluded that job

dissatisfaction results in attrition. There are many factors related to job

dissatisfaction that can determine employee turnover.

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2.3.1 Theoretical framework of motivation

The most well-known theory of motivation is the hierarchy of needs developed by

Abraham Maslow. Maslow ( 1954) classified human needs into five categories.

These are physiological needs, safety needs, social needs, esteem needs and self­

actualization or fulfilment needs. Abraham Maslow's hierarchy of human needs has

been used as a robust theoretical framework used to understand human behaviour.

Physiological, social and safety needs are regarded as the deficit needs. In contrast,

both self-esteem and self-actualization needs are regarded as the least essential

and higher order needs that only become manifest when the basic and physiological

ones have been satisfactorily reached. Physiological needs are regarded as

essential, because a human being cannot live without food and water (Maslow,

1954). Individuals strive to satisfy these basic needs every day and can only begin

striving for the higher order ones afterwards.

Employees are motivated in various ways at the workplace. Employees feel safe at

the workplace when they are supported by management, when their effort dedicated

to their work is recognized, and even when they are promoted. The safety needs

include job security, financial security and a safe environment within which to work

and accomplish target goals. The safety and wellness of employees are imperative,

since better outputs and outcomes for the organisation result from these (Kossek,

Lautsch, & Eaton, 2006). The fulfilment of employees' safety needs results in job

satisfaction.

Social needs encompass support, networks, and the interaction that an employee

has with the other people. The social exchange theory and Maslow's hierarchy of

needs are interrelated in this respect. The social exchange theory describes the

exchange of non-financial and financial rewards for job performance. Individuals get

promotions and money as rewards for job performance and this in tum stimulates

performance. There is a linear relationship between the exchange relationship and

organisational support (Hughes & Rog, 2008). The equal distribution of incentives

for similar jobs performed encourages job engagement and commitment.

Subsequently, it curbs turnover and improves retention.

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Workplace social support encourages better performance, and employees perceive

it as preventive measures to allay depression, stress and conflict. A good leader

always empowers and engages other people, countering feelings of isolation and

alienation. The leadership provided in an organisation is the engine of the

organisation, because of the leaders' ability to support their subordinates in order to

accomplish the mission and objectives of the organisation. Employees are the

assets of an organisation and are therefore valuable (Kossek et al., 2006).

Favourable outcomes result from social support. Social support is constructed by

establishing a trustworthy relationship between supervisor and subordinate, by work

recognition , and feedback from meetings. This reinforces positive behaviour and

creates job satisfaction. Hence, social support counteracts a high turnover rate and

encourages positive behaviour at the workplace (Shanock & Eisenberg, 2006).

Human behaviour is the same, whether you are at home or at the workplace.

Therefore, these needs also ought to be satisfied at the workplace in order to

improve retention, curb turnover, increase the returns on investment and enhance

human capabilities. Failure to satisfy these needs compromises organisational

performance and organisational development. Furthermore, employees disengage

and do not commit themselves to the organisation when the low order and high

order needs are not satisfied. Job dissatisfaction and failure to satisfy the needs in

the hierarchy negatively reinforce the individual and demotivate the individual such

that they are encouraged to leave the organisation. Consequently, employees

search for greener pastures offered by competitors.

Benson and Dundis (2003) highlighted the relationship between self-esteem and

performance appraisal , linked to both non-financial and financial rewards that

empowers the individual and strengthen his/her commitment and engagement within

an organisation. Self-actualization needs are attainable when an individual is

continuously being trained and when he/she enters a development programme.

Job satisfaction depends highly on needs satisfaction, that can either be financial or

non-financial, and it results in high levels of production (Maslow, 1954). Job

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satisfaction predicts customer satisfaction and customer retention . A safe work

environment includes the provision of a workplace in an organisation in which

management supports the subordinates and recognizes the efforts made to

accomplish the organisational goals and objectives (Maslow, 1954).

Self -actualization

Self-esteem

Social

Safety

Physiological

Figure 2.3: Maslow's hierarchy of needs: (Source: Bergh, Z. and Theron, A. 2003)

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Another theory of motivation is Herzberg's two-factor theory, which identified the two

factors motivating individuals, namely the motivating and hygiene factors. These two

factors are satisfiers. The motivating factor includes job content, the need for

achievement, interest in work and achievements. These needs are regarded as

intrinsic (Armstrong & Taylor, 2014). On the other hand, the hygiene factor includes

pay.

Herzberg regards pay as a source of motivation for the employees. Therefore,

money triggers high performance and job satisfaction. When the pay does not meet

the expectations of the employees, thoughts of resignation may arise (Michael &

Stephen, 2014). In addition to what Maslow and Herzberg stated, the equity theory

of Adams (1965) assesses fairness with regards to employee qualification, since

employees compare themselves with one another (Armstrong & Taylor, 2014).

Employees who are more likely to leave the organisation perceive unfairness in

terms of rewards awarded to them, because others delivering the same

performance on the same task might have been unequally rewarded. Therefore, it is

important to give equal payment to employees on the same level. Fairness in the

workplace is bound to keep the employees satisfied.

In evaluating the three theorists above, it is clear that the main factor that influences

job satisfaction is the attendant financial reward. This means that when employees

are rewarded for their effort, they are happy and loyal to the organisation. However,

the other factors that were mentioned should also be considered in a bid to retain

the employees. Someone who is highly qualified, experienced and knowledgeable is

susceptible to leave the organisation at any time, irrespective of his/her salary level,

especially if there is a competitor offering more. Therefore, competent employees

need to be satisfied as much as possible, because they are highly marketable. Job

dissatisfaction is the result of poor supervision, poor communication, an uneven

remuneration regime and the lack of management support according to these

theorists.

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2.3.2. Factors that affect job satisfaction

Armstrong and Taylor (2014) averred that the main determinant of the workers'

attitude is supervision. Poor supervision leads to low performance. Supervision

entails developing an attitude of caring for junior staff members, as this may

produce a positive result. Good supervision promotes a sense of belonging. Hence,

supervision is regarded as the management support provided to the subordinates

for their performance. If supervision is of a high quality, then follows good

performance results. Quality supervision entails management support, good

communication , acknowledgement of duties performed , and feedback provided to

the subordinate after a task was completed. Poor quality supervision results in job

dissatisfaction, whereas good quality supervision provides job satisfaction .

Success motivates employees; hence it provides job satisfaction, but failure leads to

job dissatisfaction. Employees who always meet the goals and objectives of the

organisation through super performance are always willing to do more or something

new. Failure may be regarded as poor performance, which may be imposed by poor

supervision and no feedback provided on job performance and so on.

2.3.3. Factors that causes job satisfaction

Factors such as promotion, fair payment and good working conditions encourage

employees to stay at the workplace without experiencing the pressure of thinking

about leaving the organisation. These factors are concrete indicators of

organisational effectiveness (Saraji & Dargahi, 2006). This means that good working

conditions lead to job satisfaction (Saraji & Dargahi , 2006). Landy (1989) found out

that the study conducted by Robert Hoppock in 1930 indicates that there is a

positive correlation between the highest level of job satisfaction and the highest

occupational level (senior manager, director, chief executive officer).

Employees in junior positions work hard to contribute to the outcome of the strategic

decisions made by the management, but their performances are not rewarded in the

same manner than those of senior management. Justice is not done to the junior

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workers. In the end, junior workers look for jobs outside the organisation to obtain

better working conditions, which results in a high turnover rate. Several researchers

(Koberg, Boss, Senjem, & Goodman, 1999) found that individuals in the highest

positions experience higher levels of job satisfaction than individuals in the lowest

positions. Therefore, the retention of competent staff members becomes a costly

challenge to the organisation. More so since fairness and equity are not perceived.

Money is perceived as the primary motivation for job retention and non-financial

rewards are secondary. The following are factors affecting job satisfaction:

(i) Internal locus of control versus external locus of control

An internal locus of control is defined as an individual's beliefs that events in his or

her life, such as success or failure, are caused by controllable factors such as

attitude, preparation and effort, whereas an external locus of control is defined as an

individual's beliefs that events in his or her life, like success or failure , are caused by

uncontrollable factors such as the environment and people (Spector, 1988). These

are the fundamental mechanisms that predetermine the experience of happiness or

unhappiness by an individual. An imbalance of these factors causes job

dissatisfaction .

(ii) Extrinsic versus intrinsic job components

Extrinsic and intrinsic job components are determining factors of job satisfaction or

dissatisfaction . Extrinsic factors refer to behaviour that enables the employee to

attain job satisfaction from external factors such as salary or promotion (Chantal,

Valleranda & Vallieres, 1995). Extrinsic factors cut across a spectrum from job

security, physical environment, co-workers, incentives, and supervisor and resource

availability (Koberg et al., 1999).

Intrinsic factors refer to behaviour related to the job content that is independent from

external factors (Armstrong & Taylor, 2014). Job content has five dimensions, which

are skills variety, task identity, task significance, autonomy and feedback (Armstrong

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& Taylor, 2014). These dimensions make the individual independent from others,

because he/she can apply his/her own capabilities, knowledge and skills to his/her

job. Hence, intrinsic needs are psychological and refer to Maslow's self-esteem and

self-actualization needs. Extrinsic behaviour is driven by external factors, whereas

intrinsic behaviour is driven by internal factors. Warr (1987) regarded intrinsic and

extrinsic factors as interrelated, even though their concepts differ.

(iii) Demographic variables

Demographic variables such as age, work experience, skills, gender, and race are

predictors of job satisfaction. Historically, before democracy in South Africa, mainly

white men were in senior positions, whereas black and women (if any) were in junior

positions. Gender roles and racial discrimination were severe challenges at the

working place. Age is still a problematic variable, just in a different way than it was

previously.

Since the introduction of technology and computerized systems at the workplace in

modern society, the elderly workers experience challenges in using of computers,

even though they have been trained. This puts pressure on the elderly, which may

result in job dissatisfaction. Hence, the intention to quit is used as alternative

mechanism to remedy the situation of being unfamiliar with 'the tools of the trade.' In

addition, changing the levels of employment may give nuanced meanings to the

value a person attaches to her or his job, determining his/her level of job

satisfaction/dissatisfaction.

A study performed by Hochwater, Ferris, Perrewe, Witt, & Kiewitz, 2001)

)on the relationship between job satisfaction and age delivered mixed results, where

after they controlled the variables, because they were unable to make conclusions.

Consequently, demographic dimensions are predictors of job satisfaction or

dissatisfaction.

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(iii) Organisational climate

Organisational climate refers to the organisational structure, norms, attributes and

values of the organisation. It entails the unique characteristics of the organisation

that distinguish it from other organisations and enable the organisation to influence

people. An organisation is able to retain their competent staff members through the

effective use of these mechanisms. Fairness and equity form part of the

organisational climate.

Organisational climate can be categorized into three groups, namely distributive,

procedural and interactional forms of justice (Robbins & Judge, 2015). Distributive

justice refers to the individual's perception of whether the job outcomes are fair.

Examples are pay progression and promotion as external rewards for job

performance. Contrarily, procedural justice refers to similar processes and

procedures that are applied to all individuals, irrespective of their job position

(Robbins & Judge, 2015). An example is equal payment for individuals who share a

similar job activity. In conclusion , interactional justice is the communicative

relationship between the supervisor and the junior. An example is the feedback

provided by the supervisor to the junior after a meeting related to competencies and

performance on a specific task.

Research done by Field & Abelson , (1982) determined that there is a positive

correlation between procedural justice and job satisfaction. Irrespective of the

incentives provided for job performance, as long as employees perceive it as equal ,

they are satisfied in their jobs. Moreover, there is a linear relationship between

distributive justice and job satisfaction. Furthermore, a good working relationship

between the supervisor and the junior enhances performance, which results in job

satisfaction. A good working relationship between the supervisor and the

subordinate counteracts workplace stress, depression and conflict.

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2.3.4. Job dissatisfaction

Competent staff members are highly productive because they possess an

abundance of knowledge and skills with which to accomplish a task. Job

dissatisfaction results from the incompetence of staff members, because these staff

members possess little knowledge and skills with which to accomplish a task.

Incompetent individuals barely produce the expected results and are hard to train;

as a result a positive outcome is unattainable. Therefore, incompetence and job

dissatisfaction are correlated.

A high turnover rate is associated with job dissatisfaction. According to Shaw, Gupta,

& Delery (2005), the large amount invested in human capital for training and

development may result in a loss for the organisation , as competent staff members

may look for another job when they experience job dissatisfaction (Michael &

Stephen, 2014 ). This is related to social needs. Individuals appreciate a sense of

belonging to a certain group that boosts their morale (Maslow, 1954 ). Job

dissatisfaction, as a result of boredom and frustration , affects both the ind ividual and

the organisation . Hence, it also has an effect on staff turnover and organisational

inefficiency (Bryant & Allen , 2013). Therefore talent management is recommended

for the prevention of a high employee turnover rate.

Talent management is a positive predictor of job satisfaction and quality of work­

related life, and prevents a high turnover rate. In conclusion, talent management is a

key to a successful organisation. Motivation theory categorizes factors that cause

job dissatisfaction into two categories, namely, the push and pull factors (Spinelli &

Adams, 2016). These factors either push or pull the employee to remain with the

organisation or leave the organisation. The pull factors pull out the employee from

the current employment, whereas the push factors push the employee away from

the current employment.

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-Recognition of performance -Personal development -PE!rsonal wealth

Figure 2.4: Job dissatisfaction. Source: Spinelli & Adams, 2016

2.3.5. The impact of satisfied and dissatisfied employees on the workplace

Job satisfaction positively impacts positively on organisational performance,

whereas job dissatisfaction impacts organisational performance negatively.

Employees who are satisfied with their work are capable of satisfying the customers.

They are more likely to meet the goals of the organisation. On the other hand,

employees who are not happy in the workplace might pose a threat to customers,

for instance by dragging their feet when providing a service (Robbins & Judge,

2015). Conflict may arise amongst workers who are not happy at their workplace.

Dissatisfied employees may, for instance, decide to strike and act violent towards

management if they are not happy. Furthermore, stress and depression are

common psychological disorders that arise from job dissatisfaction.

Absenteeism, burnout, absconding from work and a high turnover rate are also

results of job dissatisfaction (Hayes, Douglas, & Borner, 2015). Burnout is most

common in employees who are filling in for vacant posts because their workload

increases. Therefore, as a result of them having to fill in, they work under greater

pressure and ultimately become exhausted. In addition, job expansion, enrichment

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Page 38: The relationship between employee turnover and job

and enlargement without receiving training in it directly lead to stress. Another

factor related to job dissatisfaction is substance use during working hours. Crimes

such as violence, theft, fraud , and corruption may also result from job dissatisfaction.

All the factors associated with job dissatisfaction negatively impact on both

individual and organisational performance.

2.3.6. Job satisfaction and absenteeism

Sheikha and Younis (2006) describe absenteeism as a major challenge to

organisational performance and organisational structure. Similar to employee

turnover rate, absenteeism has a financial implication, in this case it results in a

financial loss (Sheikha & Younis, 2006). There is no return on investment, since the

organisation spent large amounts of money on the training of employees, where

after they are absent from work. Some of the factors that lead to absenteeism are

the work burden, no provision of management support and no rewards handed out

for a job that was performed. Absenteeism is divided into two types, namely

involuntary (sick leave and incapacity due to unfitness) and voluntary absence

(intentionally abstaining from work with no reason) (Kiwook & Rupp, 2013).

Dissatisfied employees are more likely to be absent from work, as they are not

motivated. When the organisation offers liberal sick leave, employees are more

likely to be absent from work, while still benefitting from the organisation (Robbins &

Judge, 2015). Absenteeism can be classified as either a short- or long-term

absence. The long-term absenteeism is much more difficult to deal with , because

the decision taken on the handling of the employee on long-term absenteeism may

result in employee turnover (Armstrong & Taylor, 2014). In conclusion , absenteeism

and employee turnover are negative predictors of job satisfaction. An employee

indicates that he/she has the intention to leave the organisation when absenteeism

is used as a mechanism to abscond from the workplace.

Constructs such as workload , the demanding nature of the job, family conflicts and a

stressful workplace were found to correlate to a high employee turnover rate and

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r;:;·:~i;, absenteeism (Josephson, Lindberg, Voss, Alfredsson, & Vingard, 2008). Other

psycho-social variables that accelerate the employee turnover rate are job

expansion, complex jobs and occupational risks (Foglia, Grassley, & Zeigler, 2010).

Absenteeism positively predicts employee turnover (Steel & Lounsburg, 2009). Job

dissatisfaction results from the effects of job demand, which then leads to

absenteeism and a high rate of employee turnover. In conclusion, it is important to

address job dissatisfaction and absenteeism so as to prevent a high employee

turnover rate.

The prevention of a high employee turnover rate will reduce the costs attached to it.

Return on investment is ensured through retaining competent staff members and

minimising absenteeism. Researchers (Einarsen, Hoel, Zapf, & Cooper, 2003)

interestingly have determined that another factor which is associated with

absenteeism is supervisor bullying. Bullying occurs in many forms, for instance the

supervisor's negative comments about the work performed by a subordinate, poor

communication with the subordinate, the withholding of feedbacks by the supervisor,

the ill-treatment received by the subordinate and so on. Bullying suppresses job

commitment and results in job dissatisfaction. Under these conditions, an employee

may opt for absenteeism and may even leave the organisation.

2.3.7. Measuring job satisfaction

Job satisfaction can be measured in many ways. Two measuring tools are

commonly used for measuring job satisfaction. The first is single global ratings, for

example asking the question: how satisfied are you with your job on which

respondents react by circling a number between 1 and 5 on a scale from highly

satisfied to highly dissatisfied. The other measuring tool is a summation of job facets

in which respondents are rated on a standardized scale. An example from the scale

is when the researcher identifies key elements in a job, such as training and

performance evaluation, then the researcher performs an assessment on that

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standardized scale and add the different ratings in order to create an overall score

(Robbins & Judge, 2015).

Another measure of job satisfaction is the index for work satisfaction (IWS)(Stamps,

1997a). This technique measures six components (Hayes et al. , 2015), namely

autonomy (independent), pay (salary), organisational policy (management policy),

task requirements (activities that need to be performed), interaction and professional

status (the feeling experienced about one's job). The IWS method will be used to

measure job satisfaction in the organisation in this research.

2.4. WORK-RELATED QUALITY OF LIFE

Several studies have been conducted which define quality of work-related life by

using various perspectives. Quality of work-related life is defined as a complex entity

influenced by various factors such as the social and economic needs of the human

dimension of the working life (Davis, 1983). In addition, quality of work-related life is

defined as the benefits from the workplace on life (Boisvert, 1977). The benefits can

be health-related and a safe working environment. (Chan, 2015) found that there is

a positive correlation between quality of work life and job satisfaction.

Sirgy, Efraty, Siegel, and Lee (2001) posit that there is a need to satisfy the

individual's needs in the workplace and in life; the needs proposed by the theory of

Maslow (1954) and Herzberg, Mausner, & Snyderman, (1959). These are the self­

actualization need, safety need, social need, physiological need, and the self­

esteem need (Maslow, 1954; Herzberg et al. , 1959). Job satisfaction and quality of

work-related life rely on these needs, particularly on the safety need (need to work

and live in a safe environment), social need (need to belong), and self-actualization

(need for self-realization).

Stahl and Harrell ( 1981) define the social need as a need to belong to a group and

to form a relationship with them. In fulfilling the social need, the working relationship

among groups is strengthened. The support from each other is fundamental for high

organisational performance and thus job satisfaction, and it boosts the individual 's

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morale and thus quality of work-related life. Organisational performance as well as

individual performance is influenced by the satisfaction of these needs.

Anti-social behaviour is caused by the non-satisfaction of the social need. As a

result, the individual does not participate in team work causing job dissatisfaction

and poor quality of work-related life

According to Deci & Ryan (2000) there are three fundamental goals that motivate an

individual to obtain need satisfaction : autonomy, competence and relatedness.

These fundamental goals form part of the self-determinants theory. These

fundamental goals are the satisfaction of intrinsic needs because they are

psychologically based. Autonomy is the independence that an individual feels when

performing a task as a result of competency. Relatedness is based on the social

needs that an individual experiences as part of a team. Fulfilling of these needs

leads to job satisfaction and good quality of work-related life.

The three factor model introduced by Kano ( 1984) distinguishes between the quality

attributes and their relationship with customer satisfaction. Performance and quality

attributes are related either symmetrically or asymmetrically (Witell & Fundin , 2005).

The three factor model is recommended because the needs of employees to obtain

quality of work-related life vary and these needs can also be applied in aiming at

total job satisfaction (Chan, 2015). The three factors are dissatisfied, satisfier and

hybrids. There is a symmetric relationship between job satisfaction and

performance (Chan, 2015). However, there is an asymmetric relationship between

job satisfaction and performance that dissatisfies, as well as an asymmetric

relationship between job satisfaction and satisfier (Chan, 2015).

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COMPONENTS OF WORK-RELATED QUALITY OF LIFE

Social environment

Cultural environment

Ph .

1 Psychological

ys1ca 1 . c ose

environment ._., . t ~ env1ronmen

Figure 2.5: Components of work-related quality of life

Derived from Capra, (1980)

Humans function as holistic beings. This functioning includes systems and

subsystems such as social environment, physical environment, cultural environment

and psychological close environment (Capra, 1982). The sub-components of social

environment are people and culture. Social environmental factors are cultural,

sociological, people-orientation, and perception. A psychological being comprises of

cognition, emotions, attitude, personality and behaviour. The subsystem of the

cultural environment at the workplace is the organisational culture. Organisational

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culture refers to the collective values, beliefs and norms of the organisational

members (Robbins & Judge, 2015).

Organisational culture can positively or negatively affect the organisation.

Organisational culture is detrimental to the organisation if not managed properly.

Poor leadership, poor communication and unfair distribution of rewards are

contributory factors to job dissatisfaction and a consequently high turnover rate.

Furthermore, individuals who are dissatisfied with the outcomes of their job

performances are likely to group themselves together and decide to be non­

compliant. Contrarily, positive results such as better performance and job

satisfaction are evident when individuals who are optimistic about their organisation

form a group. These factors predetermine the individual's satisfaction or

dissatisfaction with life. These components are interrelated.

Each of the mentioned components has the potential to affect the organisation and

the quality of work-related life, although some have more evident and lasting effects

than others. It is imperative for management to determine which of these

components play a vital role in order to ensure quality of work-related life for the

employees as well as a good organisational performance.

The quality of work-related life is also determined by individual factors. Individual

factors show a symmetrical correlation with the needs of the individual, namely self­

actualization, self-esteem, and social needs. Individuals who are highly confident in

their work, are capable of obtaining the goals of the organisation and achieve the

set objectives (Herzberg et al., 1959). The need for self-actualization is satisfied

when an individual attains the organisation's planned goals (Maslow, 1954).

Intention to leave and job satisfaction is critical factor influencing the quality of work­

related life.

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2.4.1. MEASURES OF WORK-RELATED QUALITY OF LIFE

Work-related quality of life is measured by using a work domain satisfaction scale

[WDSS] (Nicole, Magda, Donia, Marylene, Nathalie, & Elena, 2016). This measuring

instrument is an adaptation of the satisfaction of life domain (Diener, Emmons,

Larsen, & Griffin, 1985). "It is a short five item scale with psychometric properties"

(test-retest reliability and Cronbach alpha) (Nicole et al. , 2016). It has previously

been used successfully (Nicole et al., 2016). The WDSS is a measure of intrinsic

value, enjoyment and task accomplishment in the workplace (Nicole et al. , 2016).

The WDSS was used in this study to measure the quality of work-related life of the

employees within the organisation.

2.4.2. WAY FORWARD

Given the relevant information gleaned from the foregoing, the study is guided by the

following research questions to realise objectives:

• Does employee turnover, intention and job satisfaction correlate?

• What factors enhance job satisfaction?

• To what extent do employees seek to quit their current position in an

organisation?

• What is the level of employee job satisfaction in the organisation?

2.5 CONCLUSION

Chapter 2 provided a theoretical framework for the study. The chapter provided a

review of the significant research findings of previous studies related to performance,

job satisfaction, motivational constructs and the reward systems within disparate

organisations. Previous research studies were interrogated in order to identify gaps

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that must be bridged in the current study. Previous research recommended that

further investigation needs to be done on the location, time frame and type of

participants engaged in a specific research topic. Two constructs, job satisfaction

and employee turnover from previous journal articles were intensively reviewed. The

findings showed that not much has been done in research in the South African

context, and more specifically the Department of Health at the provincial level in

order to determine the relationship between work-related quality of life and intention

to quit. There is a gap in the body of knowledge concerning the relationship between

job satisfaction and employee turnover in this specific terrain and this study seeks to

add to scholarly and practical debates in this field.

The next chapter deals with research design and methodology, offering a solid

outline of research design and its approaches, justification of the method chosen,

population and sampling, sample size, sampling method, data collection strategies

and the measuring instruments. The chapter provides evidence of checking the

reliability and validity of the study, data analysis techniques, ethical consideration

and summary of the chapter.

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CHAPTER 3: RESEARCH DESIGN AND METHODOLOGY

3.1 INTRODUCTION

Chapter two reviewed the literature using various journal articles on the relationship

between employee turnover and job satisfaction. This review of literature revealed

that several researches have been conducted on the relationship between job

satisfaction and employee turnover, but some further investigation is required.

Furthermore, the researches done on these matters were mostly conducted in the

public sector, internationally, and therefore have not quite focused on the South

African experience.

Due to the theoretical gaps in the body of knowledge and in order to answer the

research questions, a robust research methodology was articulated in order to

minimise errors during data collection and analysis. Two variables were quantified to

investigate the problem stated. Furthermore, the 5 and 7 point Likert scale

questionnaire was used to investigate the problem. This chapter therefore begins

with the description of the overall research design, followed by methodology,

sampling, data collection, data analysis and ends up with research ethics.

3.2 RESEARCH DESIGN

Research design is the entire plan for conducting research and is indeed framework

of the research. De Vos, Strydom, Fouche, and Delport (2005) define research

design as compact formulae (survey, descriptive, historical, and case study).

The researcher used a quantitative research approach for this study. Leedy (2010)

has explored quantitative research thereby explaining the causal relationship

between variables in a study. This author further indicated that the causal

relationship normally occur when one variable is independent and others

dependent. Hence this study determined the causal relationship between job

satisfaction and employee turnover. To test reliability and validity of the study

statistical analyses analysis was applied to identify the relationship between two

variables and therefore establish the degree of causality.

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The specific research design that was used for analysing the data is descriptive

statistics. To determine the correlation between job satisfaction and employee

turnover the Pearson correlation coefficient was calculated.

3.3 METHODOLOGY

Research methodology entails processes and procedures used to collect information

for the purpose of making decisions and creating new knowledge (Creswell, 2009).

Data collection was attained through questionnaire, interviews and survey.

3.3.1 Overview of research design

3.3.1.1 Qualitative approach

Qualitative approach is perceived as subjective - meaning that a researcher is

perceived as uncovering the existing reality (Newman, 1997). The methods used

under the qualitative approach are case study, ethnography, focus group

discussion, observation study narratives, interviews and discourse analysis (Bryman

& Bell, 2015). The method originates from social and behavioural sciences

(sociology and psychology) (Newman, 1997). It focuses on the behaviour and

perceptions that drive it to formulate hypothesis based on the research topic. During

data collection, techniques such as simulations, drama and observation are used,

followed by the analysis and interpretation of the behaviour at that time, meaning

that data analysis and data collection happen simultaneously to minimize distortion

of information (Coffey & Atkinson, 1996).This allows the researcher to listen

attentively to the respondents during the interviews.

3.3.1.2. Quantitative approach

Qualitative research measures statistics and numerical values (Bryman & Bell ,

2015) in the research inquiry. Some of the methods used under quantitative

research include experiments, t-tests, surveys, sampling, interviews, and regression

analyses (Bryman & Bell, 2015). A research design can either be descriptive

(subject only measured once) or experimental: test-retest before and after drug

injection (Welman et al., 2011 ). Furthermore, experimental research solely focus on

two groups - controlled and uncontrolled - to assess the behavioural change after

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inducing drugs (Welman et al., 2011 ). Additionally, descriptive methods measure

two variables: independent and dependent variables (Welman et al., 2011 ). This

research method also looks for correlation between the variables. Data collection

instruments used for quantitative research are normally in the form of a structured

questionnaire, interviews and surveys. The approach focuses on numbers for data

collection and analysis purposes and also on tables, charts and graphs for the

depiction of trends and patterns inferred from the data.

3.3.2. Difference between the qualitative and the quantitative methods

Qualitative research is perceived as being subjective, the researcher actively

interacting with the respondents of which the accuracy of data is uncertain

(Newman, 1997). Conversely, quantitative research is viewed as realistic, meaning

that the researcher uncovers the existing reality. Furthermore, the researcher needs

to be distanced from the research and maintain a degree of objectivity.

Table 3.1.: Difference between Qualitative and Quantitative Methods Qualitative Resear:ch Quantitative Research

Method is primarily exploratory in nature Method is primarily descriptive in nature

Method is number based. Method is text based.

Primarily inductive processes used for hypothesis Primarily deductive processes used for

and theory hypothesis that make up theory

Uses case study, existing historical records, focus Uses probability and none probability

groups and interviews, ethnography, observation, sampling, survey, and interviews,

questionnaire for data collections. questionnaire for data collection

It is perceived as subjective Described as objective

Does not focus on drawing inferences Focus on drawing inferences

Uses the unstructured or semi- structured Uses structured questionnaire

questionnaire

Less generalizable More generalizable

Source: (Newman, 1997; Berg, 2001)

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3.3.3. MIXED METHODS APPROACH

Mixed method is a research process whereby both qualitative and quantitative

methods are used together during data collection (Bryman & Bell, 2015). The reasons

for using both methods are that the two methods complement each other. The

advantage of using mixed methods is that it minimizes error and distortion of

information. Both quantitative and qualitative researchers can use the existing

structured questionnaire, although the difference is that with qualitative research

structured questionnaire can be used as a guiding tool during the interview.

3.3.4 JUSTIFICATION OF METHOD

The quantitative approach is chosen because of its relevance and also because of

the nature of the topic for this study. The researcher used an existing questionnaire

because it has been validated and also tested for reliability. Data collection

instrument was a structured questionnaire. Furthermore, the SPSS version 23 was

used for data analysis.

Based on the limitation of the study including time and the nature of the settings,

quantitative approach was deemed the most suitable method for the study.

Therefore, the researcher used the mixed method approach to collect and analyse

data.

3.4 POPULATION AND SAMPLING

Wiid and Diggines (2013) define population as the set of objects, people, and events

who share similar characteristics that the researcher is interested in studying.

Sampling is the processes of selecting participants to represent the general

population (Newman, 1997). Sampling methods are classified into two types:

probability and non-probability sampling (Bickman & Rog, 2008). The advantage of

using probability sampling is that its sampling error ( degree to which a sample might

differ from the population) can be calculated (Bickman & Rog, 2008) . The result of

sampling error is unknown with the non-probability sampling, and the techniques are

expensive (Berg, 2001 ). Each member of the targeted population has a non-zero

probability of being selected in the case of probability sampling (Bickman & Rog,

2008).Therefore, probability sampling was employed for this research.

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3.4.1 Target population

The targeted population for this study include employees from level 01 to 10. Only

employees of NWDOH-Provincial office were selected. Employees from level 11

upwards (Deputy Directors to Head of Department) were excluded from the study due

to the nature of the research topic. The study started from general workers, cleaners,

administrative clerks and senior administrative support staff, ending with assistant

directors. The total number of the targeted population was 461.

The list of participants per chief directorate was requested from the HRM unit. The

probability sampling method in the form of stratification was used to select the

targeted population to represent the general population. This was done in

consideration of the sampling size. Stratified sampling was used because it is the

suitable method for measuring job satisfaction and employee turnover. Furthermore,

it reduces sampling error (Bryman & Bell , 2015). The targeted population were

stratified. Newman (1997) defines a stratum as the subset of the population with

common characteristics. In this case study, the targeted population were divided

across the job position. Job levels start from level one to ten. The different categories

of job positions for the targeted population are:

• Assistant Director

• Senior Administrative Support

• Administrative Clerks

• Cleaners

• General Workers

This method was used in order to reach the sufficient number of the sample in order to

reduce the sampling error (De Vos et al. , 2005).

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3.4.2 SAMPLING AND DATA COLLECTION STRATEGY

Survey research was conducted through the use of questionnaire. Survey is the most

common method of data collection and it enables a large amount of data to be gathered

from a broader population (Saunders et al., 2009).Therefore, the quantitative survey

research in the form of probability sampling (stratified random sampling) was used

(Saunders et al. , 2009) in the execution of this study.

3.4.2.1. Sample size

Sample size depends on three factors: accuracy of results required , characteristics of

population, accessibility of participants and types of statistical analysis planned. Again,

or the sample size to be representative of the population, there should be similarity in

terms of variables (Maree, 2007:178). There are currently 581 employees at the

organisation. Employees from level 01-10 were the study participants because of

upward mobility and high turnover amongst those levels based on the HRM annual

report from the financial year 2014 to date. Therefore, further investigation on the

problem based on the analyses, could assist the organisation in improving on its

retention strategy.

Sampling bias which is defined by Jiang, Lepak, Han, Hong, Kim, & Winkler (2012) as a

distortion in the representativeness of the sample such as non-response was taken into

consideration when generalising the results of the total population (Bryman & Bell,

2015). Considering the fact that the population of the study is big , then sampling error is

likely to occur. In conclusion , the researcher considers random sampling as effective

and efficient for the proposed study (Saunders et al., 2009).

3.4.3. Stratified sampling

As stated earlier, the sample size of 116 employees consisting of general workers,

cleaners, administrative clerks and senior administrative support and assistant directors

was chosen from the total population of 461 in the NWDOH- Provincial office.

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Table 3.2: Stratified Sample: NWDOH- Provincial Office

Strata Study Proportion Sa pfe stze Population

Assistant Director 72 .16 12

Senior Administrative

Support 156 .34 53

Administrative Clerks 137 .30 41

Cleaners 44 .10 4

General Workers 52 .11 6

Total 461 1.00 116

Source: NWDOH - Provincial HRM report-financial year 2016/17

The researcher has taken in consideration factors such as absenteeism, non-response,

and employee unwillingness to participate in the study that arose and compromised the

validity and reliability of the study during data collection.

3.5 MEASURING INSTRUMENT

Research instrument used was a structured, pre-tested and validated questionnaire.

The questionnaire was divided into three sections (starting from section A to C) namely:

demographic information, employee turnover and job satisfaction.

The advantages of using a questionnaire are that it is less expensive, simple and fast

and easy to administer. On the other hand, the disadvantages are: type of the

questionnaire may limit the respondents; language used may not be understandable to

the participants. It may also be time-consuming based on the type of questionnaire

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used, for instance open ended questionnaire (encouraging participants to tell more) or

closed questions (restricting the participants) thus leading to non-response error

(Bryman & Bell, 2015).

3.6 DATA ANALYSIS TECHNIQUE

Quantitative analysis was done through SPSS (statistical package for social scientists)

version 23 to correlate the variables and analyse the data. SPSS is software programme

used for statistical analysis and can be used in the form of cross tables, bar charts and

frequency tables to correlate the variables. Based on the research objectives, employee

turnover ratio can be determined by using the frequency tables. Furthermore, the study

aimed at measuring the variables with data collected in a numeric form.

3.7 VALIDITY AND RELIABILITY OF THE RESEARCH STUDY

To ensure the validity and reliability of the data, the study used the existing standardised

questionnaires. Hence, the data collection instruments used for the research study is

already validated and also checked for reliability. Validity is "the extent to which

research findings accurately represent what is really happening in a given situation"

(Yin, 2013). Reliability on the other hand refers to the consistency of scores throughout

(Newman, 1997).

Assessment of the stability of the instrument was done through the use of English and

French version of the scale (Berube, Magda, Donia, Gagne, Houlfort, & Lvina, 2016).

The results of the test-retest reliability were high over time. Confirmatory analysis was

done through WDSS to test satisfaction of work. The satisfaction with life scale (SWLS)

which is an adaptation of WDSS (Diener et al., 1985) for work life results test-retest

reliability was 0.82 while the Cronbach alpha was 0.87.

The Cronbach alpha coefficient used demonstrated internal consistency for IWS ranges

from 0.77 and 0.91 (Stamps, 1997b). Cronbach alpha of 0,70 to 0,80 is regarded as

satisfactory (Vale, Silcock, & Rawles, 1997). This method is regarded as valid and

reliable for job satisfaction (Zangara G & Soeken K, 2005). IWS was used to measure

six components (pay, autonomy, task requirements, organisational policy, professional

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status and interaction) associated with job satisfaction (Stamps, 1997b ). Therefore for

quality control, validity, reliability and generalisability of the instrument was tested .

Hence, the three factors of data quality (quantitative research, sources and the existing

questionnaire used) are acceptable and appropriate for the study.

3.8. ETHICAL CONSIDERATIONS

Ethics is defined as appropriateness of researcher's behaviour in relation to the

respondents' rights (Saunders et al., 2009) . Ethics was applied to protect the

organisation and respondents from any act of harmful effects during and after data

collection (Newman, 1997). Research ethics also refers to the appropriateness of

researcher's behaviour in relation to the rights of research participants (Saunders et al.,

2009). In order comply with the ethical standards; the researcher adhered to the

following standards: Regulatory approvals - researcher submitted the proposal to the

research directorate attached with the letter from the North-West University to request

approval from the organisation to conduct the research within the organisation. The

research committee reviewed the research proposal as a panel and granted approval.

Invasion of privacy and respect confidentiality - the information provided by the

respondents was confidential. The participants had the right to remain anonymous

(Bryman & Bell , 2015). Before the results of the study were published , researcher

requested permission from the participants to go ahead.

Respect - participants were treated with respect, with no harmful effect to them. Hence,

participants were not exploited. Participants were treated as autonomous (Newman,

1997).

Physical harm - participants were not exploited in any way. The reputation and image

of the organisation is protected from any harm (Newman, 1997).

Deceptions- no immoral acts or behaviour was imposed by the researcher. The

researcher established the trusting relationship with the participants. Researcher

expected the participants to tell the truth and the same thing applied to the researcher

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(Bryman & Bell, 2015). Participants were not bribed to participate in the research study.

Hence, employees were not forced to participate.

3.9. CONCLUSION

This chapter covered the research methodology and design that were used for exploring

the problem statement. Furthermore, this chapter discussed sampling strategy, targeted

population and data collection instruments used . In addition to the foregoing, ethical

principles were discussed. The next chapter deals with the research results and

recommendations.

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CHAPTER 4: RESEARCH RESULTS

4.1. INTRODUCTION

Chapter four presents the research results obtained during the data collection and

further analyzes the data as described in chapter three. Additionally, interpretation of

the results is done in this chapter. Furthermore, this chapter provides the descriptive

statistics and data in frequency tables.

4.2. DESCRIPTIVE STATISTICS

One hundred and sixteen questionnaires were sent out to the respondents and only

106 were returned thus registering 91.4% response rate. There were therefore 8.9%

non-respondents who were absent from work at the time of administering the

questionnaire. This was not significant enough to distort the results of the research.

Descriptive statistics refers to summarization and description of data that have been

collected (Weiers, 2008). Furthermore, descriptive statistics compare independent and

dependent variables in numerical way. Research objectives and questions determine

the type of data analysis techniques used. Descriptive statistics was used for

describing and comparing the demographic data, mean test, standard deviation,

variance, Pearson correlation coefficient and the range.

Demographic data comprises of race, gender, educational levels, job levels, years of

job experience and the divisions in which the respondents worked under at the

organisation. Standard deviation is used to compare the variance between the

variables (Saunders et al., 2009). Low standard deviation means that data is reliable

because data is closely related to the average. Contrarily, a high standard deviation

means that data is not reliable because there is a large variance between the data

mean (Newman, 1997) .

Variance measures the spread around the mean (Newman, 1997). A variance of zero

indicates that all the values are identical. Value for variance should not be negative,

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small values indicate that data is close to mean, whereas the high variance indicates

that the values are spread around the mean. Mean is used to analyze the relationship

between the nominal and the interval variables (Bryman & Bell , 2015). Moreover,

mean is used to compare the amount of variance between the variables.

The Pearson correlation coefficient was used to assess the strength of cause and

effect of the relationship between job satisfaction and employee turnover (Saunders et

al. , 2009).The coefficient lies between 0 ( no relationship between the variables ), 1

(positive relationship between the variables) and -1( negative relationship between the

variables). Saunders et al. (2009) further describes that the closer the coefficient is to

1, the stronger the linear relationship between the two variables, the closer the

coefficient is to 0, the weaker is the relationship. The cut-off point for the probability (p)

value in this study is 0,01(Bryman & Bell, 2015). Sample size was considered for the

statistical significance.

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Gender distribution

4.3. DEMOGRAPHIC DISTRIBUTION

Figure 4.1: Gender distribution

Figure 4.1 indicates that majority of respondents were females (60.6% ). Males consist of

39.4%. Literature reveals that health sector is dominated by women which is consistent

with the number of females who responded to the questionnaire in this study.

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20 to 29 30 to 39 40 to 49 50 to 59 60 and older

Figure 4.2: Age group distribution

Figure 4.2 depicts that respondents were categorized across the ages and majority

(30.3) of respondents were between 50-59 years, 20.2% was 40- 49 years, 19.3% was

30-39 years, 18,3% was 20 - 29 years and only 11 .9% was 60 years and older. Under

this variable, majority of respondents were on just about to go on pension (50-59 years

old), and their loyalty to the organisation counted. On other categories, respondents

were much younger and this might be influenced by the reputation of the organisation,

years of experience (below one year) and also because for many this was their first job.

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25 22.9%

Level3 Level4 Levels Level6 Level7 Level8 Level9

Figure 4.3: Job level distribution

Figure 4.3 indicates that respondents were categorized according to their job level, 22,

9% were on level 8, a total of 21.1 % were on level 9, while 18.3% were on level 7 and 6.

There were 9.2% respondents who were on level 5, and the remaining 8.3% were on

level 3. The respondents at level 4 and 6 made up 10.1 % of the entire sample. From the

sample size, senior administrative clerks (post level 8) dominated the sample; hence,

the massive respondents are under this category.

Less than 1 to 5 6 to 10 11 to 15 16 to 20 21 to 25 26 years 1 year years years years years years and

above

Figure 4.4: Job experience distribution

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Figure 4.4 reveals that respondents were categorized according to their job experience;

majority (24. 8%) of the respondents had been with the organisation for 6-1 0 years, with

2% who worked for the organisation between 1 and 5 years. The calculations show that

16. 5% had worked there for less than a year. The respondents with the lowest number

9.2% had more than 20 years of work experience within the organisation. Only 8.3% of

respondents had worked there for between 16 and 20 years.

50 45 40 35 30 25 20 15 10 5 0 f-----,---~----,------,,---- -,-----~----<

Figure 4.5: Qualification level distribution

Figure 4.5 indicates that respondents were categorized across the qualification level,

majority (45, %) of the respondents have a degree which is almost half of the

respondents. 20,2% of the respondents have a national certificate (matric), 12,8 % have

a diploma or advanced certificate, and the smallest sample (5,5%, 3,7% and 1.8%

respectively) group have honors, masters and higher certificate. The remaining has

other qualifications which did not fit into pre-existing categories. Out of context, the

department of health renders the most critical service to the communities which require

expertise for the job; hence most respondents have qualifications at the level of a first or

higher degree.

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40

35

30

25

20

15

10

5

0 +---------.-----r-----..,........--------,-----T' Health

services Corporate Health Specialised Infrastructure services programme hospital or planning

management services services

Figure 4.6: Distribution of respondents by division

Figure 4.6 indicates that respondents were categorized across divisions within the chief

directorate for health, where the majority (36,7%) of the respondents work under

corporate services, 33% work under specialized hospitals, 15,6% work under health

services, 12,8% work under specialized hospital services, and the smallest (1,8%)

respondents work under infrastructure or planning services. Corporate service division

is the only chief directorate with multiple sub-divisions as compared to the other

divisions; therefore, most respondents were from this division.

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Table 4.1: Frequency distribution for job satisfaction

Descriptive Statistics for job satisfaction Std.

Maximu Deviat N RanQe Minimum m Mean ion Variance

Good opportunities 109 3 0 3 .50 .689 .475 for promotion

Opportunities 109 2 1 3 2.93 .378 .143 somewhat limited*

Promotion on 109 3 0 3 1.44 1.258 1.582 ability

Dead-end job* 109 1 0 1 .41 .495 .245 Good chance for 109 1 0 1 .50 .502 .252 promotion

Very limited* 109 3 0 3 2.33 1.123 1.260 Infrequent 109 2 1 3 2.21 .982 .964 promotions*

Regular 109 1 0 1 .40 .493 .243 promotions

Fairly good chance 109 1 0 1 .43 .498 .248 for promotion Valid N (list wise) 109

4.2. Correlations for job satisfaction

Correlations Good Opport Prom De Good Ver lnfreq Regul Fairly opport unities otion ad- chan y uent ar good unities somew on en ce for limit promo prom chan for hat ability d prom ed* tions* otions cefor promot limited* job otion prom ion * otion

Good Pears 1 -. 713** .163 .26 .047 - -.375** -.104 .154 opportu on 4•• .04 nities Correl 6 for ation promoti Sig. .000 .091 .00 .628 .63 .000 .284 .109 on (2- 6 5

tailed) N 109 109 109 10 109 109 109 109 109

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9 Opport Pears -.713** 1 -.243* - .197* - -.158 -.237* -unities on .23 .11 .224* somew Correl 3· 7 hat ation limited* Sig. .000 .01 1 .01 .040 .22 .1 02 .01 3 .019

(2- 5 6 tailed) N 109 109 109 10 109 109 109 109 109

9 Promot Pears .1 63 -.243* 1 .13 .055 .39 -.106 -.439** -. 143 ion on on 7 4··

ability Correl ation Sig. .091 .011 .15 .567 .00 .273 .000 .137 (2- 6 0 tailed) N 109 109 109 10 109 109 109 109 109

9 Dead- Pears .264** -.233* .1 37 1 - - -.009 .032 .1 35 end on .213* .09 job* Correl 8

ation Sig. .006 .015 .1 56 .026 .31 .922 .743 .1 61 (2- 2 tailed) N 109 109 109 10 109 109 109 109 109

9 Good Pears .047 .1 97* .055 - 1 - -.424** -.494** .085 chance on .21 .05 for Correl 3• 2 promoti ation on Sig. .628 .040 .567 .02 .59 .000 .000 .382

(2- 6 1 tailed) N 109 109 109 10 109 109 109 109 109

9 Very Pears -.046 -.117 _394·· - -.052 1 .087 -.143 -limited* on .09 .456**

Correl 8 ation

Sig. .635 .226 .000 .3 .591 .366 .1 39 .000

(2- 1

tailed 2 )

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N 109 109 109 1 109 10 109 109 109 0 9 9

lnfreq Pear - -.158 - - - .0 1 .626* .096

uent son _375•• .106 .0 .424 87 .

Corre 0 ..

promo tions* lation 9

Sig. .000 .102 .273 .9 .000 .3 .000 .319

(2- 2 66

tailed 2 )

N 109 109 109 1 109 10 109 109 109

0 9 9

Regul Pear -.104 -.237* - .0 - - .626** 1 .379

ar son .439 3 .494 .1 ..

Corre ..

2 ..

43 promo tions lation

Sig. .284 .013 .000 .7 .000 .1 .000 .000

(2- 4 39

tailed 3 )

N 109 109 109 1 109 10 109 109 109

0 9

9

Fairly Pear .154 -.224* - .1 .085 - .096 .379* 1

good son .143 3 .4 .

chanc Corre 5 56

e for lation ..

promo Sig. .109 .019 .137 .1 .382 .0 .319 .000

tion (2- 6 00

tailed 1 )

N 109 109 109 1 109 10 109 109 109

0 9 9

**. Correlation is sianificant at the 0.01 level (2-tailed). *. Correlation is sianificant at the 0.05 level (2-tailed).

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4.4. Mean tests

4.4.1 Good opportunities for promotion

• The mean is 0.50 which shows that there were few people who supported this

section of the questionnaire and indicates that good opportunities for promotion

are needed which will ultimately result in non-job satisfaction.

• Standard deviation is 0.689 and approximately close to 1 and it shows that there is

not too of variation among the sample which answered the questionnaire regarding

the opportunities for promotion.

4.4 2 Opportunities somewhat limited

• The mean is 2.93 and it is approximately 3 and according to the calculation,

showing that the respondents were unsure on whether opportunities are somewhat

limited in the organisation or they are available but then the respondents are

unaware of this opportunity.

• Standard deviation is 0.378 which indicates few variations in the attitudes towards

opportunities are somewhat limited in the organisation.

4.4.3 Promotion on ability

• The mean is 1.44 indicating that there is slight agreement on promotion being a

factor that enhances job satisfaction.

• Standard deviation is 1.258 portraying not much of variation which means that

there is slight agreement that promotion exerts an influence on job satisfaction.

4.4.4 Dead-end job

• The mean is 0.41 indicating that people had different views regarding the statement

that the respondent perceived themselves as working in a position that was

essentially a dead-end job and consensus was not fully reached as this statement

could perhaps be one of the aspects which result in job dissatisfaction.

• Standard deviation is 0. 495 meaning that there were varying ideas amongst

people who filled in the questionnaires.

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4.4.6 Good chance for promotion

• The mean is 0.05 rounded off to whole number is 0 therefore in this regard people

agreed that good chance of promotion is indeed a critical factor in enhancing job

satisfaction.

• However standard deviation 0.502 in relation to the mean shows that there is not

much of variation among the respondents.

4.4.7 Very limited

• The mean is 2.33 and according to the questionnaire it shows that the respondents

were sure on whether or not opportunities were very limited in the organisation for

them to reach job satisfaction.

• Standard deviation is 1.123 showing a quite huge variation though there is

agreement among people but there were others with valid reasons who thought

differently with regards the submission from the statement.

4.5. CORRELATIONS FOR EMPLOYEE TURNOVER CONTRIBUTORY FACTORS

All the statements are at 1 which shows that the relationship is positive and is significant

at the 0.05 level (2-tailed). Very limited and infrequent promotions are -0. 713, -0.046

and -0.375 respectively reflecting therefore that they are negatively correlated to each

other. Good opportunities for promotion correlation with Good chance for promotion and

Dead-end job are at 0.027 and 0.264 respectively, showing a positive relationship

towards each other.

Table 4.3: Frequency table for employee turnover

Std. N Minimum Maximum Mean Deviation Variance

I think a lot about 109 2 7 5.52 1.614 2.604 leaving the organisation.

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I am currently 109 3 5 4.12 .836 .699 searching for employment outside this organisation .

When possible I will 109 1 5 3.66 1.002 1.004 leave the organisation.

Valid N (list-wise) 109

Correlations for employee turnover I am currently searching for When

I think a lot employment possible I will about leaving outside this leave the the organisation organisation organisation

I think a lot about Pearson 1 -.479** .054 leaving the Correlation organisation. Sig. (2- .000 .580

tailed)

N 109 109 109 I am currently Pearson -.479** 1 -.305 ..

searching for Correlation employment Sig. (2- .000 .001 outside this tailed) organisation. N 109 109 109 When possible I will Pearson .054 -.305** 1 leave the Correlation organisation . Sig. (2- .580 .001

tailed)

N 109 109 109 **. Correlation is significant at the 0.01 level (2-tailed}.

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4.5. 1 I think a lot about leaving the organisation.

• The mean is 5.52, suggesting that there is a moderate agreement in the intention

of respondents wanting to leave the organisation.

• The standard deviation is 1.614, indicating that there is not much of variation

among the respondents.

4.5.2 I am currently searching for employment outside this organisation.

The mean is 4.12 and according to the questionnaire it shows that people neither

agree nor disagree. Standard deviation is 0.836, revealing that there are slightly

different views among respondents regarding the statement.

4.5.3 When possible I will leave the organisation.

Mean is 3.66 and according to the questionnaire, this shows that people neither

agreed nor disagreed. Standard deviation is 1.002 which also shows that not all people

who responded to the question agree with the assertion in the statement.

4.6. CORRELATION FOR EMPLOYEE TURNOVER

Correlation is at 1 which is positive but the correlation between "I think a lot about

leaving the organisation" and "I am currently searching for employment outside this

organisation" is -0.479 which is negatively correlated. The interpretation is that there is

no relationship between the two given alternatives but between "When possible I will

leave the organisation" is 0.054 approximately 1 which positively correlated.

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4.7. EMPLOYEE TURNOVER DISTRIBUTION

Table 4.4: Employee turnover distribution

Statements ! .. f j g

Q

~ i i> ! ti .!! .?- ~ Q ,,

~~ cu

~ I I ,,

I ~ Q

j, t i Q C ~ J C 0 ·- 0 ;z i I: i ;z

1 I think a lot about leaving the 0 7.3 1.8 25.7 2.8 21 .1 41.3

organisation. 2 I am currently searching for employment 0 0 29.4 29.4 0 0 41 .2

outside this organisation. 3 When possible I will leave the 0 17,4 0 46.8 5.5 4.6 25.7

organisation

The table above indicates that majority (61.7%) of respondents agree that they have

intention to quit the employment whereas 9.1% disagree. Almost a quarter (25.7%) of

the respondents was not sure of whether to remain with or quit the employment.

Furthermore, 29.4% of respondents disagree that they were currently engaged in

employment seeking, whereas 41 .3% agreed that they are actually looking for job

opportunities outside the organisation. 29.4% of respondents are unsure about looking

for employment outside the organisation. Moreover, 17.4% of respondents are reluctant

to quit the organisation, in contrast to 35.8% of respondents who agree that they are

willing to leave the organisation. Others are unsure (pegged at 46.8%) whether to

remain with or leave the organisation.

4.8. JOB SATISFACTION DISTRIBUTION

The full results of job satisfaction are attached as Appendix B. The job satisfaction facet

ranges from coworker, job in general, supervision, and work on present, pay up until

opportunities for promotion. The table depicts that majority of the respondents regard

their colleagues as easy to work with. Contrarily, most respondents (77.1 %) are not

satisfied with the supervision that they are subjected to in the organisation. Job

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satisfaction is regarded as a major challenge by majority of respondents (85.3% ).

Minority are happy about the pay, whereas the rest of the respondents (92.5%) are not

satisfied with pay. Most respondents (72.5%) do see very limited opportunity for

promotion.

4.9. CONCLUSION

Chapter four presented and discussed the results, offering some solid interpretation of

the findings based on the quantitative data in the form of SPSS. The next chapter

discusses the limitations, recommendations of the study, contributions and makes some

final conclusion.

CHAPTER 5: RECOMMENDATIONS AND CONCLUSIONS

5.1. INTRODUCTION

This chapter discusses the overview of the study, objectives of the study and how they

were achieved, limitations of the study and recommendations based on the findings.

The chapter ends with a conclusion that links the various strands of the undertaking.

5.2 OVERVIEW OF THE STUDY

5.2.1. CHAPTER 1: PROBLEM AND ITS SETTINGS

Problems faced by the Department were discussed in this chapter. Based on the

general problems identified , research questions and objectives were formulated. The

importance of the study was discussed and limitations were briefly discussed in the

initial chapter.

5.2.2. CHAPTER 2: LITERATURE REVIEW

Both independent and dependent variables of the research problem were discussed in

in some detail in this chapter. The following variables were discussed:

• Employee turnover and the sub variables, and employee turnover costs.

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• Job satisfaction and its sub variable, factors affecting job satisfaction and

dissatisfaction, and the measurement of job satisfaction.

• Work-related quality of life, its components and the measurement for the work

related quality of life.

5.2.3. CHAPTER 3: RESEARCH DESIGN AND METHODOLOGY

Research design and the methodology used were intensively discussed. Sampling

method used was discussed as well. Target population was identified and then from

this, the sample was justified. For collection of data, the instrument used was discussed

and the reason proffered for why it was chosen. Reliability and validity of data was

tested for accuracy in a bid to ensure the quality of data. Ethics was taken into account

as well.

5.2.4. CHAPTER 4: RESEARCH RESULTS

Chapter 4 submitted the findings and interpretation of the data gleaned from the

research was discussed. Data collected was analysed using various methods and more

specifically the quantitative data was discussed herein.

5.2.5. CHAPTER 5: RECOMMENDATIONS AND CONCLUSIONS

Recommendations and the final conclusion are suggested in this chapter. Limitations of

the study are discussed as well.

5.3. OBJECTIVE OF THE STUDY RESTATED

The research objectives were set to:

5.3.1. Determine the correlation between employee turnover intention and job

satisfaction

5.3.2. Determine factors that enhance job satisfaction

5.3.3. Determine the extent to which employees want to quit their current posts in the

organisation

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5.3.4. Determine the levels of employee job satisfaction.

5.4. HOW EACH OBJECTIVE WAS ACHIEVED

Objective 1: To determine the correlation between employee turnover and job

satisfaction

Based on the findings, there is a positive correlation between employee turnover and job

satisfaction. Probability of 0.054 was calculated from the data and this indicates the

positive correlation between job satisfaction and employee turnover. Therefore,

employee retention depends on job satisfaction according to the findings of this study

and this confirms also the behaviorist theory of motivation which was discussed in the

literature review.

Objective 2: To determine factors that enhances job satisfaction

Minority (9.2%) of the respondents are happy about the salary whereas the rest of the

respondents (92.5%) are not satisfied. Majority (of respondents (87. 2 %) were

persuaded to indicate that they are not well paid. Both pay and promotion are

motivational factors which enhance job satisfaction and which could have been

considered for employee retention. However, this does not mean that other motivational

factors are not important; this is what was identified as the main cause of the problem

related to dissatisfaction with the current position in the organisation.

Objective 3: To determine the extent to which employees want to quit their current

organisation

Majority of the respondents ( 41.3%) strongly agree that they want to leave their current

job. Majority of the respondents ( 41.2%) strongly agree that they are searching for a

new job. Minority of respondents (25.7%) agree that when possible they would most

definitely leave the organisation. Almost half of the organisation is planning to leave the

organisation, suggesting that the employee retention and organisational performance

may be negatively affected. Moreover, this is likely to cause a negative impact on the

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budget because replacement and appointment of the new candidate goes with an

enlarged budget.

Objective 4: To determine the employee job satisfaction levels

Majority of respondents (77 .1 % ) are not satisfied with the supervision that they currently

get from those in positions of authority. Job satisfaction is regarded as a major

challenge by the majority of respondents in this study (85.3%). Almost all the

respondents (96.3%) see opportunities for promotion as somewhat limited in their

current organisation. Therefore, there is low level of job satisfaction of which results in

high employee turnover.

5.5. CONCLUSION

The set objectives of the study were obtained and were discussed in this chapter. The

positive correlation between employee turnover and job satisfaction were identified.

5.6. LIMITATIONS OF THE STUDY

The duration that this study took is identified as a limitation. The research is a one-off

study and the results cannot be generalised to other organisations that experience the

same challenges of high staff turnover. The length of the questionnaire is considered as

some limitation because there were more than 110 questions to be completed by the

participants. It is a time-consuming and tiring process to complete lengthy questionnaire

especially for the employees because they were also doing their work. The

questionnaire might have interrupted their work schedule. Not all the factors that

determine job satisfaction and employee turnover were intensively discussed even

though they were hinted at and mentioned in the study.

The participants selected might not have given the full and true picture of the

organisation. The sampling method chosen might not reflect accurate results , because

the margin of error is high (outside the range of -0.01 - 0.05). It might not be easy to

access information, since the people who worked for the Human Resource Management

Directorate who had access to the information had left the organisation. The behaviour

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and attitude of the participants towards the proposed topic also compromised the

accuracy of the results obtained from the data.

5.7. RECOMMENDATIONS

It is recommended that the researchers come up with the model designed for the of

work related quality of life in South Africa context. It has always been components and

framework for work related quality of life. Because most people had left the organisation,

therefore, it recommended that retention strategy continuously be reviewed for

improvement. HRM is advised to implement the motivational factors according to what

the motivational theorists say about employees and their relationship to professional

tasks so as to enhance job satisfaction, because other HR processes such as

performance management development system (PMDS) were neglected. On the other

hand, occupational skills dispensation (OSD) is only awarded to certain individuals

under the nursing field and other health practitioners, thereby excluding the others.

Moreover, it is recommended that HRM revise the organisational structure to restructure

where necessary and appoint new candidates to fill in the existing vacant posts to

improve on organisational performance. It is further recommended that the organisation

benchmark to other organisations in order to learn and implement the best practice

model under HRM.

5.8. SUGGESTIONS FOR FUTURE RESEARCH

It is recommended that other organisations such as non-profit organisations, civil society

and other government departments be considered in future for further investigations on

factors that affect job satisfaction and result in high employee turnover. Moreover, the

private sector should also be considered as this problem is likely to be experienced in

any organisation irrespective of its nature as public or private.

Because the study was a case study, it is recommended that in future cross sectional,

longitudinal study be conducted for further investigation. This essentially points to the

observation that the time allocated to this current study was limited and that in future the

same topic be revisited to engage with research participants over an extended period.

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Qualitative approach in the form of interviews and focus group discussions and even the

mixed method of research approach could be considered in a bid to extend the findings

and for complementary purposes.

5.9. FINAL CONCLUSION

This chapter discussed overview of the study, the objectives and how they were

obtained, limitations of the study, recommendations of the study that seek to add value

to the organisation. Although there were limitations identified in terms of the body of

knowledge regarding the high employee turnover and the work related quality of life,

much research is yet to be done on job satisfaction in South Africa. The main objective

of the study was to determine the relationship between high employee turnover and job

satisfaction. Based on the research findings, there is positive correlation between

employee turnover and job satisfaction. Therefore, recommendations are suggested to

enhance job satisfaction and reduce employee turnover within the organisation studied

in this research.

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APPENDICES

APPENDIX A - Data collection instrument(-s) -

Questionnaire of the study

SECTION A: Demographic information

1. Gender

Male Female

1 2

2. Age group

20-29 1

30-39 2

40-49 3

50- 59 4

60 and 5

older

3. Indicate your post level in the appropriate block

Level 3 Level 7

Level 4 Level8

Level 5 Level 9

Level 6 Level 10

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4. Number of years of work experience in the Department

0-5 1

6-10 2

11-15 3

16-20 4

21 -25 5

26-30 6

31 -35 7

36-40 8

40 and 9

more

5. Qualification level

National Certificate (Matric) 1

Higher Certificate 2

Diploma or Advanced Certificate 3

Bachelor Degree or Advanced 4

Diploma

Honors Degree or Postgraduate 5

Diploma

Maste(s Degree 6

Doctoral Degree 7

Other 8

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6. In which chief directorate do you work?

Health services

Corporate services

Health programme

management

Special ized hospital

services

Infrastructure or planning

services

1

2

3

4

5

SECTION B: EMPLOYEE TURNOVER SCALE

Listed below are statements that reflect on your intention to leave your organisation in the near

future. Please indicate the degree of your agreement and disagreement with each statement by

crossing out the answer that best represents your point of view.

Statements Cl Cl ... ... C) Cl Cl cu Cl 0 Cl

Cl . !!? ... C: ... Cl Cl C) Cl Cl C) Cl ... ,, cu Cl Cl cu ... C) >- .!!? ... ...

.2'- C) cu Q) C) C) cu >-

,, cu cu Cl .2'-- -0) cu >- ... >- cu ... ; Cl ; ... C)

C: Cl .r:. .r:. .r:. Cl C: 0 ,,

C) - C) ,, 0 ... 0 'i 0 ... - -u, ::E u, z u, ::E u,

1 I think a lot about leaving the organisation. 1 2 3 4 5 6 7

2 I am currently searching for employment outside 1 2 3 4 5 6 7

this organisation.

3 When possible I will leave the organisation. 1 2 3 4 5 6 7

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SECTION C: JOB SATISFACTION SCALE

Listed below are ninety (90) short phrases representing possible feelings individuals might have

about their job content and job context. Think of the work you do at present. How well does each

of the following words or phrases describe your work?

• No= 0

• Unsure= 1

• Yes= 3

For each statement, please make a cross at the number that corresponds to your response.

No. Facets of job satisfaction No Unsure Yes

People on Your Present Job (co-worker)

Think of the majority of people with whom you work or meet in connection with your work. How

well does each of the following words or phrases describe these people?

1 Stimulating 0 1 3

2 Boring* 0 1 3

3 Slow* 0 1 3

4 Helpful 0 1 3

5 Stupid* 0 1 3

6 Responsible 0 1 3

7 Likeable 0 1 3

8 Intelligent 0 1 3

9 Easy to make enemies* 0 1 3

10 Rude* 0 1 3

11 Smart 0 1 3

12 Lazy 0 1 3

13 Unpleasant* 0 1 3

14 Supportive 0 1 3

15 Active 0 1 3

16 Narrow interests* 0 1 3

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17 Frustrating* 0 1 3

18 Stubborn* 0 1 3

Job in General

Think of your job in general. All in all , what is it like most of the time?

19 Pleasant 0 1 3

20 Bad* 0 1 3

21 Great 0 1 3

22 Waste of time* 0 1 3

23 Good 0 1 3

24 Undesirable* 0 1 3

25 Worthwhile 0 1 3

26 Worse than most* 0 1 3

27 Acceptable 0 1 3

28 Superior 0 1 3

29 Better than most 0 1 3

30 Disagreeable* 0 1 3

31 Makes me content 0 1 3

32 Inadequate* 0 1 3

33 Excellent 0 1 3

34 Rotten* 0 1 3

35 Enjoyable 0 1 3

36 Poor* 0 1 3

Supervision

Think of the kind of supervision that you get on your job. How well does each of the following

words or phrases describe this?

37 Supportive 0 1 3

38 Hard to please* 0 1 3

39 Impolite* 0 1 3

40 Praises good work 0 1 3

41 Tactful 0 1 3

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42 Influential 0 1 3

43 Up-to-date 0 1 3

44 Unkind* 0 1 3

45 Has favourites* 0 1 3

46 Tells me where I stand 0 1 3

47 Annoying* 0 1 3

48 Stubborn* 0 1 3

49 Know job well 0 1 3

50 Bad* 0 1 3

51 Intelligent 0 1 3

52 Poor planner* 0 1 3

53 Around when needed 0 1 3

54 Lazy* 0 1 3

Work on Present Job

Think of the work you do at present. How well does each of the following words or phrases

describe your work?

55 Fascinating 0 1 3

56 Routine* 0 1 3

57 Satisfying 0 1 3

58 Boring* 0 1 3

59 Good 0 1 3

60 Gives sense of accomplishment 0 1 3

61 Respected 0 1 3

62 Exciting 0 1 3

63 Rewarding 0 1 3

64 Useful 0 1 3

65 Challenging 0 1 3

66 Simple 0 1 3

67 Repetitive* 0 1 3

68 Creative 0 1 3

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69 Dull* 0 1 3

70 Uninteresting* 0 1 3

71 Can see results 0 1 3

72 Uses my abilities 0 1 3

Pay

Think of the pay you get now. How well does each of the following words or phrases describe

your present pay?

73 Income adequate for normal expenses 0 1 3

74 Fair 0 1 3

75 Barely live on income* 0 1 3

76 Bad* 0 1 3

77 Comfortable 0 1 3

78 Less than I deserve* 0 1 3

79 Well paid 0 1 3

80 Enough to live on 0 1 3

81 Underpaid* 0 1 3

Opportunities for Promotion

Think of the opportunities for promotion that you have now. How well does each of the

following words or phrases describe these?

82 Good opportunities for promotion 0 1 3

83 Opportunities somewhat limited* 0 1 3

84 Promotion on ability 0 1 3

85 Dead-end job* 0 1 3

86 Good chance for promotion 0 1 3

87 Very limited* 0 1 3

88 Infrequent promotions* 0 1 3

89 Regular promotions 0 1 3

90 Fairly good chance for promotion 0 1 3

Note* reversed scored items. Thank you for your participation

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APPENDIX B: Data analysis for Job Satisfaction

No. Facets of job satisfaction No Unsure Yes

People on Your Present Job (co-workers)

Think of the majority of people with whom you work or meet in connection with your work. How

well does each of the following words or phrases describe these people?

1 Stimulating 29.4 33.9 36.7

2 Boring* 52.3 385 9.2

3 Slow* 61.5 38.5 0

4 Helpful 36.7 54.1 9.2

5 Stupid* 51.4 48.6 0

6 Responsible 21 .1 57.8 21.1

7 Likeable 0 56.9 43.1

8 Intelligent 0 46.8 53.2

9 Easy to make enemies* 57.8 42.2 0

10 Rude* 0 55 45

11 Smart 7.3 92.7 0

12 Lazy* 55 36.7 8.3

13 Unpleasant* 52.3 47.7 0

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14 Supportive 0 22 78

15 Active 0 0 100

16 Narrow interests* 0 0 100

17 Frustrating* 14.7 73.4 11 .9

18 Stubborn* 56 41 .3 2.8

Job in General

Think of your job in general. Overall , what is it like most of the time?

19 Pleasant 25.7 74.3 0

20 Bad* 17.4 33 49.5

21 Great 23.9 68.8 7.3

22 Waste of time* 12.8 51.4 35.8

23 Good 21 .1 47.7 31.2

24 Undesirable* 68.8 15.6 15.6

25 Worthwhile 0 60.6 39.4

26 Worse than most* 3.7 43.1 53.2

27 Acceptable 65.1 22 .9 11 .9

28 Superior 0 56 44

29 Better than most 0 55 45

30 Disagreeable* 84.4 15.6 0

31 Makes me content 0 22.9 77.1

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32 Inadequate* 57.8 42.2 0

33 Excellent 0 32.4 67.6

34 Rotten* 0 48.6 51.4

35 Enjoyable 8.3 26.6 65.1

36 Poor* 23.9 56 20.2

Supervision

Think of the kind of supervision that you get on your job. How well does each of the following

words or phrases describe this?

37 Supportive 8.3 29.4 62.4

38 Hard to please* 52.3 0 47.7

39 Impolite* 16.5 10.1 73.4

40 Praises good work 0 32.1 67.9

41 Tactful 0 58.7 41 .3

42 Influential 74.3 25.7 0

43 Up-to-date 31.2 36.7 32.1

44 Unkind* 15.6 20.2 64.2

45 Has favourites* 10.1 12.8 77.1

46 Tells me where I stand 46.8 0 53.2

47 Annoying* 49.5 0 50.5

48 Stubborn* 37.6 27.5 34.6

49 Know job well 0 21 .1 78.9

I

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50 Bad* 10.1 20.2 69.7

51 Intelligent 32.1 16.5 51.4

52 Poor planner* 25.7 0 74.3

53 Around when needed 54.1 24.8 21 .1

54 Lazy* 0 65.1 34.9

Work on Present Job

Think of the work you do at the moment. How well does each of the following words or phrases

describe your work?

55 Fascinating 5.5 65.1 29.4

56 Routine* 9.2 5.5 85.3

57 Satisfying 85.3 14.7 0

58 Boring* 0 70.6 29.4

59 Good 22 22 56

60 Gives sense of accomplishment 26.6 20.2 53.2

61 Respected 11 19.3 69.7

62 Exciting 77.1 22.9 0

63 Rewarding 83.5 16.5 0

64 Useful 11 45 44

65 Challenging 32 .1 0 67.9

66 Simple* 47.7 52 .3 0

67 Repetitive* 0 11 .9 88.1

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68 Creative 49.5 45 5.5

69 Dull* 59.6 40.4 0

70 Uninteresting* 0 20.2 79.8

71 Can see results 10.1 42.2 47.7

72 Uses my abilities 25.7 0 74.3

Pay

Think of the pay you get now. How well does each of the following words or phrases describe

your present pay?

73 Income adequate for normal expenses 61 .5 38.5 0

74 Fair 66.1 33.9 0

75 Barely live on income* 12.8 30.3 56.9

76 Bad* 0 19.3 80.7

77 Comfortable 89 0 11

78 Less than I deserve* 0 16.5 83.5

79 Well paid 87.2 12.8 0

80 Enough to live on 22 10.1 67.9

81 Underpaid* 0 7.3 92.7

Opportunities for Promotion

Think of the opportunities for promotion that you have now. How well does each of the

following words or phrases describe these?

82 Good opportunities for promotion 57.8 38.5 3.7

82