Background: Healthcare industry pursues in retaining customers to provide them with best health services and in return gained revenue through their staff support and exceptional performance, this created challenges for the organization due to demanding work schedule and emotional stress while delivering patient care, hence higher tendency levels to withdraw from the organization exist. Aim: The primary objective of this study is to investigate the relationship between organizational commitment (OC) and intention to leave (IL) in the health care sector, with the focus on how these factors affect employee retention and by influencing their job satisfaction. The focus of this study was to investigate the role of toxic work environment (TWE) as a potential mediator in the relationship between OC and IL. Method: A quantitative descriptive cross sectional design was used targeting the largest healthcare company employees in United Arab Emirates (Abu Dhabi healthcare company –SEHA), 367 participants responded to the questionnaire. SmartPLS and SPSS 26 version used to analyze the data. Findings: The statistical analysis of the study revealed significant findings, which showed that organizational commitment (OC) negatively influences intention to leave (IL) with a beta coefficient (β) of -0.545 and a p-value which is less than 0.05, and likewise affects a toxicity negatively -0.411, p factory (TWE) where β is < 0.05. Furthermore, TWE has been shown to significantly influence IL (β = 0.529, p < 0.05) and mediate the relationship between OC and IL. Conclusion: OC impacts the IL in different ways and at different levels. Yet, there needs to be more research investigating the correlation between these two variables in the health sector. The relationship between OC and IL requires further elucidation. This study evaluated the mediation influence of the TWE notion, which helps employees feel safe and comfortable.
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