THE ROLE OF PROFESSIONAL COMMITMENT: A THEORETICAL REVIEW OF OCCUPATIONAL STIGMA AND TURNOVER INTENTION
Downloads
Objective: This study investigates the impact of occupational stigma on turnover intention among healthcare workers, with a focus on the mediating role of occupational self-esteem. Method: An integrated theoretical framework combining Conservation of Resources (COR) Theory, Social Identity Theory, and the Job Demands-Resources (JD-R) Model was employed to explain the psychological mechanisms underlying this relationship. Occupational stigma was conceptualized as a stressor that depletes personal resources, while occupational self-esteem was examined as a protective factor. Results: The findings reveal that occupational stigma significantly predicts turnover intention, but this effect is mediated by occupational self-esteem. Healthcare workers with higher levels of professional self-worth demonstrated greater resilience against stigma-induced resource depletion, thereby reducing disengagement and turnover intention. Novelty: This research advances the literature by introducing a comprehensive model that explicates how stigma translates into turnover through resource depletion processes and highlights occupational self-esteem as a critical buffer. The study provides actionable implications for healthcare institutions to design retention strategies through resilience-building, recognition systems, and supportive organizational cultures that mitigate stigma and foster employee well-being.
K. S. Gorman and K. M. Brennan, “It Takes All of Us: A Comprehensive Community Approach to Challenging Campus Stigma,” in A University-Wide Approach to Changing Campus Cultures of Mental Illness Stigma, Springer Nature Switzerland, 2025, pp. 199–207. doi: 10.1007/978-3-031-86496-4_12.
P. McGhee, “Humor in the ECE Classroom: A Neglected Form of Play Whose Time Has Come,” in Research on Young Children’s Humor, Springer International Publishing, 2019, pp. 83–106. doi: 10.1007/978-3-030-15202-4_6.
K. Harknett, D. Schneider, and S. Luhr, “Who Cares if Parents have Unpredictable Work Schedules?: Just-in-Time Work Schedules and Child Care Arrangements,” Soc Probl, vol. 69, no. 1, pp. 164–183, Sep. 2020, doi: 10.1093/socpro/spaa020.
M. Cheung, P. Leung, C. A. Leung, T. M. S. Chan, and S. Zhou, “How to Determine the Order of Authorship for Social Work Research,” Res Soc Work Pract, vol. 31, no. 3, pp. 227–233, Oct. 2020, doi: 10.1177/1049731520963187.
E. Framke et al., “Effects of a participatory organisational, core work task focused workplace intervention on employees’ primary healthcare consultations: secondary analysis of a cluster RCT,” Occup Environ Med, vol. 78, no. 5, pp. 330–335, Nov. 2020, doi: 10.1136/oemed-2020-106558.
Mr. S. S. Jadhav, “Impact of talent management practices on employee retention with respect to selected private hospitals in Sangli City,” International Journal of Trend in Scientific Research and Development, vol. Volume-2, no. Issue-3, pp. 1685–1691, Apr. 2018, doi: 10.31142/ijtsrd11617.
A. M. Shigihara, “‘(Not) forever talk’: restaurant employees managing occupational stigma consciousness,” Qualitative Research in Organizations and Management: An International Journal, vol. 13, no. 4, pp. 384–402, Aug. 2018, doi: 10.1108/qrom-12-2016-1464.
K. Sienicki, “Comment on the Paper Titled ’The Origin of Quantum Mechanical Statistics: Insights from Research on Human Language’ (arXiv preprint arXiv:2407.14924, 2024),” Dec. 2024, doi: 10.20944/preprints202411.2377.v1.
J. Yeon, I. Park, and D. Lee, “What creates trust and who gets loyalty in social commerce?,” Journal of Retailing and Consumer Services, vol. 50, pp. 138–144, Sep. 2019, doi: 10.1016/j.jretconser.2019.05.009.
Y.-L. Wu and E. Y. Li, “Marketing mix, customer value, and customer loyalty in social commerce: A stimulus-organism-response perspective,” Internet Research, vol. 28, no. 1, pp. 74–104, Feb. 2018, doi: 10.1108/intr-08-2016-0250.
L. Jin, X. Liu, and S. H. K. Tang, “High-technology zones, misallocation of resources among cities and aggregate productivity: evidence from China,” Appl Econ, vol. 54, no. 24, pp. 2778–2794, Nov. 2021, doi: 10.1080/00036846.2021.1998333.
R. Hashida et al., “Balance dysfunction the most significant cause of in-hospital falls in patients taking hypnotic drugs: A retrospective study,” PLoS One, vol. 17, no. 9, p. e0272832, Sep. 2022, doi: 10.1371/journal.pone.0272832.
D. P. Köhler and A. Rausch, “Expertise Development in the Workplace Through Deliberate Practice and Progressive Problem Solving: Insights from Business-to-Business Sales Departments,” Vocations and Learning, vol. 15, no. 3, pp. 569–597, Sep. 2022, doi: 10.1007/s12186-022-09301-y.
D. McVicar, “Fact Check: who has been hit hardest by the bedroom tax?,” Mar. 2015, doi: 10.64628/ab.tx9kwh6xt.
D. P. Damodaran and F. Zaman, “To Find out the Reasons as to Why CURB-65 Scores in Pneumonia Patients (Admitted in the Medical Admission Unit of a Busy District General Hospital in the U.K.) Are Not Documented in the Notes, by Junior Doctors.,” in A47. COMMUNITY ACQUIRED PNEUMONIA AND HEALTHCARE ASSOCIATED PNEUMONIA, American Thoracic Society, Apr. 2009, p. A1694. doi: 10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1694.
G. Iacobucci, “Covid-19: High rates in hospitals have hampered elective care recovery, says NHS chief,” BMJ, p. o2909, Dec. 2022, doi: 10.1136/bmj.o2909.
M. Oortwijn, “Small firms more often develop strategies for opportunities instead of opportunities for strategies, which frequently leads to no-go decisions: a comparative case study on foreign entry into China,” in Proceedings of the 18th Annual High Technology Small Firms Conference, University of Twente, 2010. doi: 10.3990/2.268486279.
F. Vukadin and P. Tomanek, “The Integrative Framework Model on Stresses and Resources in the Teaching Profession According to Cramer et al. from the Perspective of Adult and Further Education Workers in Work with Refugees,” Clinical Social Work and Health Intervention, vol. 13, no. 3, pp. 34–38, Jun. 2022, doi: 10.22359/cswhi_13_3_04.
Z. Wang, H. Liu, H. Yu, Y. Wu, S. Chang, and L. Wang, “Associations between occupational stress, burnout and well-being among manufacturing workers: mediating roles of psychological capital and self-esteem,” BMC Psychiatry, vol. 17, no. 1, Nov. 2017, doi: 10.1186/s12888-017-1533-6.
L. L. Wen, K. Xiang, F. Gao, and J. Zhou, “Occupational Stigma Perception, Emotional Exhaustion State, and Professional Commitment Response: Understanding the Mechanisms Underlying Hotel Interns’ Perceptions of Career Prospects,” Front Psychol, vol. 13, Feb. 2022, doi: 10.3389/fpsyg.2022.798526.
B. Edens, “Depletion: Bridging the Gap Between Theory and Practice,” Environ Resour Econ (Dordr), vol. 54, no. 3, pp. 419–441, Sep. 2012, doi: 10.1007/s10640-012-9601-3.
C. Y. Prawasti, “Practice to be more ‘being’ than ‘having’: One alternative to boost self esteem: (570662013-006),” 2013, American Psychological Association (APA). doi: 10.1037/e570662013-006.
S. Rayani, M. Rayani, and F. Najafi-Sharjabad, “Correlation between anxiety and resilience of healthcare workers during COVID-19 pandemic in the southwest of Iran,” Environmental Science and Pollution Research, vol. 29, no. 15, pp. 21528–21536, Nov. 2021, doi: 10.1007/s11356-021-17284-x.
D. I. Oladapo, B. Efuwape, and T. Olatayo, “A Two-Parameter Ridge Estimator for Handling Extreme Multicollinearity Problems in Logistic Regression,” International Journal of Development Mathematics (IJDM), vol. 1, no. 4, pp. 191–200, Dec. 2024, doi: 10.62054/ijdm/0104.15.
L. Lindrianasari, “Big-five personality as a moderating variable in the relationship of CEO’s perception and the compensation received toward CEO’s desire to leave the company voluntarily,” Journal of Economics, Business & Accountancy Ventura, vol. 18, no. 2, p. 213, Aug. 2015, doi: 10.14414/jebav.v18i2.449.
N. Putri and R. B. Sularto, “Visum Et Repertum As Evidence In Uncovering The Occurrence of Criminal Acts,” Devotion : Journal of Research and Community Service, vol. 4, no. 2, pp. 596–600, Feb. 2023, doi: 10.36418/devotion.v4i2.411.
S. Faridullah and Dr. (CS) U. Srivastava, “‘A Comprehensive Examination of Employee Engagement and Its Effects on Job outcomes in Selected IT Firms,’” Educational Administration Theory and Practices, Apr. 2024, doi: 10.53555/kuey.v30i4.2204.
D. C. Ganster and J. Schaubroeck, “The Moderating Effects of Self-Esteem on the Work Stress–Employee Health Relationship,” in Occupational Stress, CRC Press, 2020, pp. 167–177. doi: 10.1201/9781003072430-15.
A. Nairn, P. Bottomley, and J. Ormrod, “‘Those Who Have Less Want More. But Does it Make Them Feel Bad?’: Deprivation, Materialism and Self-Esteem in Childhood,” in Childhood and Consumer Culture, Palgrave Macmillan UK, 2010, pp. 194–208. doi: 10.1057/9780230281844_13.
M.-L. Germain, “Psychopathy, Leadership, and Strategies for Human Resource Professionals,” in Psychopathy in the Workplace, Springer International Publishing, 2024, pp. 185–199. doi: 10.1007/978-3-031-55214-4_10.
P. W. Corrigan, A. C. Watson, and L. Barr, “The Self–Stigma of Mental Illness: Implications for Self–Esteem and Self–Efficacy,” J Soc Clin Psychol, vol. 25, no. 8, pp. 875–884, Oct. 2006, doi: 10.1521/jscp.2006.25.8.875.
J. C. Phelan, B. G. Link, and J. F. Dovidio, “Stigma and prejudice: One animal or two?,” Social Science & Medicine, vol. 67, no. 3, pp. 358–367, Aug. 2008, doi: 10.1016/j.socscimed.2008.03.022.
H. Stuart and N. Sartorius, “Employment Inequity and Workplace Stigma,” in Paradigms Lost, Paradigms Found, Oxford University Press, 2022, pp. 148-C9.P55. doi: 10.1093/med/9780197555804.003.0009.
H. Kusluvan, O. Akova, and S. Kusluvan, “Occupational stigma and career commitment: Testing mediation and moderation effects of occupational self-esteem,” Int J Hosp Manag, vol. 102, p. 103149, Apr. 2022, doi: 10.1016/j.ijhm.2022.103149.
Copyright (c) 2025 Zhao Yaosong, Ooi Boon Keat
This work is licensed under a Creative Commons Attribution 4.0 International License.
