Healthcare Professionals’ Intent to Stay in Hospital


The article being analyzed is drawn from the medical discourse examining the factors that make healthcare workers choose to stay or leave a hospital. From across different literature analyses, the choice is governed by the conditions within the healthcare system. Several factors contribute to the dilemma: organizational policy, education opportunity, supervision, performance appraisal benefit mechanism, and supervision. Most of these issues are dissatisfying to medical professionals, which in response opt for other alternatives. Therefore, the countermeasures by hospitals and the stakeholders of healthcare systems have an essential role in building the intent to stay attractive. The problem is particularly prevalent in developing countries than the developed especially due to the limited number of these medical experts. For instance, according to research statistics, the magnitude of intention to leave was up by more than 33% in Ethiopia with exceptionally low employee turnover (Worku et al., 2019). According to World Health Organization, WHO, there is a low ratio between the population and the workforce density (Zaheer et al., 2019). It is coupled with skill imbalance, low motivation, and even distribution challenges which further promote the intent to leave. In the developed states, the prime cause issues with job satisfaction. Another significant contributor is burnout due to overworking, equally triggered by the limited number of personnel. The success of professional intervention strategies is therefore dependent on their capacity to address the factors. This article is analyzed equally majors on the same content with somewhat more in-depth analysis.

This essay will focus on the writing conventions used in an article from the International Journal for Quality Healthcare titled Factors associated with healthcare professionals’ intent to stay in hospital, vol. 26 (2014). The article Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories” is written by Ingrid Gilles, Bernard Burnand, and Isabelle Peytremann-Bridevaux (Gilles et al., 2014). The discourse analysis begins with a brief analysis of the background information relating to the objectives of the research. The introduction is comprehensive and provides an overview of the field under study to understand the common scientific frameworks in writing such papers. It is followed by the discussions of the actual evaluation of the linguistics of the article. It takes three forms: examining the article’s fundamental structure, the development of the topic, and finally, the used style, language, and tone. Every structure is considered from the type of language used to the vocabulary level and ease of non-scholars understanding the article (Gilles et al., 2014). Moreover, the essay assesses the writers’ organization of ideologies from the abstract, introduction, methodology to the conclusion. The role that the structure of a paper plays is not undermined; hence an in-depth analysis of the outline of the article is done. The writers effectively communicate in the article, “Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories” because they correctly apply the dictates of the communicative aspect of scientific research writing.

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The article, “Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories,” follows the formal structure of scientific research papers, especially those related to medicine. Each of its sections is divided using headings and subheadings. For instance, the abstract has the following parts; objectives, design, measures, participants, results, and conclusion. The abstract provides a synopsis of the general content covered by the study while hinting on the fundamental principles in each part. It also provides keywords; “workforce, intent to stay, job satisfaction, hospital governance” (Gilles et al., 2014 p. 158). The authors follow with an introduction where they offered an overview of the general scope of the problem analyzed. It is highly detailed with a diagrammatic illustration of the theoretical models from previous literature; “Theoretical model (adapted from Boyle et al.s’ CMIS [17])” (Gilles et al., 2014 p. 162). The article offers an extensive description of the methodology and provides critical subsections as setting, samples, and data collection and measures. It also includes information on the statistical outcomes of the experiments conducted. The experiments are followed by a data analysis section which provides meaning to the figures obtained. It uses various techniques and concludes with a discussion of features such as “baseline model and description of differences between professional groups” (Gilles et al., 2014 p. 162). The authors conclude by explaining the discussion part, which analyzes the research data, draws findings. It also identifies the limitations that the study faced during the entire process and the areas they could not effectively cover extensively. There is a list of bibliographic sources at the end of the article alongside acknowledgment and supplementary material. Throughout the paper’s structure, the researchers introduce their ideologies with clear and concise topic sentences with well-written concluding phrases.


There is adequate and accurate development of the topic with a smooth transition from one to another chronologically. The article begins by providing information on the shortage of healthcare professionals and the rise of the problem’s magnitude. The data is supported by statistics from past research findings, such as comparing the prevalence of the problem in the USA and Switzerland. It also introduces some of the factors stimulating the intent of healthcare professionals to leave hospitals. Some of the causative agents include workload and stress, and harsh working conditions, which reduce the career’s attractiveness (Gilles et al., 2014). The authors support their thesis will analysis of theoretical models presently applied in the study of such information. They use critical analysis to examine the reasons causing medical professionals to opt-out of their jobs. Accordingly, they provide the readers with an extensive data evaluation creating an informed perspective. The hypothesis is proved factually through the data collection process, which involved a remarkable number of participants. The study collected opinions from various health workers such as nurses, physicians, administrative, laboratory, and logistics staff. In the results discussion section, the researchers studied and evaluated the empirical data to generate conclusions that either supported or disputed their hypothesis. Some of the examination processes are shown by the data tables and schematic path diagrams (Gilles et al., 2014). Moreover, there is reference made to other experts in the field, especially noted in the introductory sections where they provide background information to explain the scope of the problem.

The style of the article is highly formal, with no gratuitous use of colloquialisms or profanity. Nonetheless, it uses personal pronouns in the discussion section stating the conclusions drawn from the research. The article is in the past tense as the outcome of a thorough study of the phenomenon, referring primarily to the empirical research results. The choice of vocabulary ranges from simple to complicated; there is an alternation between upper-level language and lower level, although the emphasis is on the former, “All regression coefficients and explained variance of the multi-group model are reported in Table 3. Given the observed differences between groups, we constrained, successively, each between-variables path, to identify these differences” (Gilles et al., 2014 p. 162). The technical terminologies mainly apply to the data analysis in formulating the mathematical relationships between the research variables. However, there is equal use of medium-level vocabulary, which does not require one to be a statistical enthusiast to understand fully and is used mainly in the other sections of the paper, which seemingly address pure theoretical propositions. Accordingly, some sentences appear rather sophisticated showing advanced expertise within the discourse. The authors express their ideologies both in active and passive voices in a relatively balanced magnitude. Additionally, the sentences are balanced, with subordinate and independent clauses used alternatively. There are almost no contractions used throughout the article, from the introduction to the conclusion. It also takes the format of a research analysis paper expressed in the data presentation and discussion. It is written in a relatively straightforward layout, although some sections require a slightly more informed audience to benefit fully from the information it provides. The article uses a matter-of-fact tone since it is research-oriented and responds to the set hypothesis.


The article “Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories” correctly captures the intended message. It explains the factors influencing healthcare professionals’ intent to leave hospitals, such as burnout, low motivation, and job dissatisfaction. It strictly adheres to principles of formal writing while appealing to both informed and uninformed audiences. The language structures and the choice of words are highly professional and wholly explain the study’s essence and findings. Moreover, the matter-of-fact tone that it employs helps maintain its formality, thereby improving readability, especially to scholars.

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Gilles, I., Burnand, B., & Peytremann-Bridevaux, I. (2014). Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories. International journal for quality in health care, 26(2), 158-166.

Worku, N., Feleke, A., Debie, A., & Nigusie, A. (2019). Magnitude of Intention to Leave and Associated Factors among Health Workers Working at Primary Hospitals of North Gondar Zone, Northwest Ethiopia: Mixed Methods. BioMed research international, 2019.

Zaheer, S., Ginsburg, L., Wong, H. J., Thomson, K., Bain, L., & Wulffhart, Z. (2019). Turnover intention of hospital staff in Ontario, Canada: exploring the role of frontline supervisors, teamwork, and mindful organizing. Human resources for health, 17(1), 1-9.

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