Title: Exploring the impact of organisational work factors on turnover intention due to job stress: a mixed-methods study in Vietnamese public hospitals

Authors: Manh-Hoang Nguyen; Xuan-Nhi Nguyen; Ngoc-Huyen Vo

Addresses: NTT Institute of International Education, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam ' Faculty of Business Administration, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam ' An Binh Hospital, Ho Chi Minh City, Vietnam

Abstract: In Vietnam, a noticeable trend has emerged where healthcare personnel are resigning or transitioning from public to private hospitals, underscoring the need to proactively manage and alleviate job stress and turnover. Therefore, this study aimed to construct a comprehensive framework that explores the organisational work factors influencing turnover intentions through job stress in the underexplored research context of the Vietnamese public healthcare sector. Using a sequential exploratory mixed-methods approach, the research began with ten in-depth interviews and a focus group discussion to identify critical organisational work factors potentially affecting job stress and turnover. This informed the development of a structural model, which was then validated through a survey of 308 medical staff across various hospitals. The findings suggest that work-family conflict, workload and working conditions are significant predictors of turnover intentions linked to job stress.

Keywords: working conditions; working relationships; work-family conflict; workload; career development; relative income; job stress; turnover intention; healthcare; Vietnam.

DOI: 10.1504/IJAMS.2026.151292

International Journal of Applied Management Science, 2026 Vol.18 No.1, pp.35 - 63

Received: 17 Jun 2024
Accepted: 25 Nov 2024
Published online: 22 Jan 2026 *

Full-text access for editors Full-text access for subscribers Purchase this article Comment on this article