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

DOI

10.2991/978-94-6239-626-5_69How to use a DOI?

Keywords

Competency; Work Environment; Organizational Citizenship Behavior (OCB); Turnover Intention; Employee Retention

Abstract

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

Copyright

© 2026 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Kusuma Chandra Kirana
AU  - Lestari Andayani
AU  - Syamsul Hadi
PY  - 2026
DA  - 2026/04/15
TI  - The Influence of Competence, Work Environment, and Organizational Citizenship Behavior (OCB) on Paramedic Retention with Turnover Intention as an Intervening Variable
BT  - Proceedings of the 1st International Conference on Business, Economic, and Social Sustainability (ICOBES 2025)
PB  - Atlantis Press
SP  - 935
EP  - 949
SN  - 2352-5428
UR  - https://doi.org/10.2991/978-94-6239-626-5_69
DO  - 10.2991/978-94-6239-626-5_69
ID  - Kirana2026
ER  -