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Understanding the individual turnover decision as a temporal process : an interpretive study of physicians

Though turnover researchers have called for a deeper understanding of the temporal and contextualized process of individual voluntary turnover, little empirical progress in this direction has been made. Adopting Price's (1977) dynamic conceptualization of turnover as moving from one social system to another, and drawing upon knowledge across organizational, social psychological and psychological domains, this exploratory thesis uses in-depth topical life histories to examine individual experiences with stay/leave decision processes in their construed context. / Findings challenge longstanding assumptions of linearity and continuity in turnover decision processes, as well as the conventional wisdom that utility-maximizing logic underlies these decisions. The data suggest that the pursuit of context-self congruence is a driving force in stay/leave decision processes, and that self-concept, emotions and psychological states may be under-studied influencers of these decisions. Results further uncover decision process characteristics previously rendered inaccessible to researchers, due to the predominant use of correlational studies in turnover research. These characteristics include: a) pivotal points of transition; b) the story lines that underlie influencing factors; c) the nature and role of context; and d) the consequences of engaging in these decision processes, for participants and for their workplaces, regardless of the outcome. / This idiographic study, using a purposive sample from a single population of Quebec physicians, is intended to provide turnover researchers with a starting point for cross-group retrospective and longitudinal comparisons. It also aims to stimulate hypothesis generation that accounts for time and the contextual conditions under which particular factors are likely to affect the turnover decision. From a practical viewpoint, this thesis begins to answer the call from Canadian and Quebec Health Care Human Resource specialists for a deeper understanding of the psychosocial aspects of Canadian healthcare worker turnover and retention (British Columbia Office of the Auditor General, 2004; Dubois & Dussault, 2002).

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.115627
Date January 2008
CreatorsKlag, Malvina.
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageDoctor of Philosophy (Desautels Faculty of Management.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 003132992, proquestno: AAINR66620, Theses scanned by UMI/ProQuest.

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