1820 - TURNOVER INTENTION IN HEALTHCARE SERVICES: AN APPLICATION OF THE AFFECT THEORY OF SOCIAL EXCHANGE Authors : Carlos Peixeira Marques - University of Tras-os-Montes and Alto Douro; CETRAD - The Centre for Transdisciplinary Development Studies, Carmem Leal - University of Tras-os-Montes and Alto Douro; CETRAD - The Centre for Transdisciplinary Development Studies Friday, June 22, 2018 - Slot 6 (09:00 - 10:30) LÖGBERG BUILDING / L-205   The purpose of this paper is to test how, in the framework of the Affect Theory of Social Exchange, affective attachment to the organisation, resulting from knowledge exchange, acts as a barrier to employee attrition in Portuguese healthcare organisations. A model was designed to accommodate all the endogenous variables from the theory (exchange, affect, group cohesion, and affective attachment) and empirically tested using a survey of 409 employees. Findings support the theory?s adequacy to explain how affective attachment is developed and how it restrains employee leave, a process affecting and harming health systems and organizations in most OECD countries, Portugal included. Regarding knowledge exchange, findings suggest that personalisation promotes attachment, thus hindering turnover intentions. To the authors? knowledge, this is the first paper to fully integrate the endogenous variables that frame the Affect Theory of Social Exchange in studying either turnover intentions or knowledge exchange. Keywords : Affect Theory of Social Exchange

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