Strategic Human Resource Management: An Analysis of Career Abandonment for Healthcare Technicians in the Provision of Care at Nampula Central Hospital (HCN)

Article Sidebar

Main Article Content

Milton Jorge Medala
Criscêncio Luis Sande Botão

This study aimed to understand the factors that contributed to the abandonment of the health technician career at the Nampula Central Hospital. The research adopted a quantitative, descriptive approach, using bibliographic and case study procedures. The universe consisted of 188 employees who abandoned their health technician career, from which a sample of 30 participants was extracted, selected through non-probabilistic convenience sampling. The results show that abandonment occurred mainly in areas considered strategic by the Ministry of Health, namely Pharmacy Technician, General Medicine Technician, Maternal and Child Health Nursing Technician, General Nursing Technician, and Anesthesia Technician, representing 96.70% of the cases analyzed. Occupational stress was found to be one of the main factors associated with abandonment, and 26.6% of participants reported being under pressure due to excessive tasks and shift work. It was also observed that 50% of respondents stated that the decision to abandon their career was not related to financial factors, but to a loss of professional interest and a desire to face new challenges. On the other hand, 46.67% indicated the search for better salary conditions as the main motivation, while 3.33% stated that they no longer identified with the technical training they had obtained.


Abandoning a career as a health technician stems from a combination of organizational, motivational, and economic factors, requiring institutional strategies aimed at professional development, improving working conditions, and strengthening motivation in the hospital context.

Strategic Human Resource Management: An Analysis of Career Abandonment for Healthcare Technicians in the Provision of Care at Nampula Central Hospital (HCN). (2026). International Journal of Latest Technology in Engineering Management & Applied Science, 15(3), 1000-1010. https://doi.org/10.51583/IJLTEMAS.2026.150300086

Downloads

References

Aires, Robert Henrique Santos. (2020). Factors that influence the abandonment of the nursing profession. Monograph presented in the Bachelor of Nursing course at Faculdade Maria Milza. Centro Universitário Maria Milza, Bahia, Brazil. [Accessed January 22, 2025]. Available at: https://unimam.com.br/institucional/biblioteca/

Bilhim, João Abreu de Faria. (2009). Strategic Human Resource Management (4th ed.). Technical University of Lisbon: Higher Institute of Social and Political Sciences, Lisbon, Portugal.

Buffon, Viviane Aline; Roeder, Barbara Laís; De Barros, Liana Leal; Sobral, Ana Cristina Lira; Simm, Eduardo Bolicenha; Bark, Guilherme Dorabiallo; Bark, Samir Ale. (2023). Prevalence of burnout syndrome in healthcare professionals during the COVID-19 pandemic. [Accessed December 26, 2024]. Available at: https://doi.org/10.1590/SciELOPreprints.6079

Candaten, A. E. (2015). Analysis of the association between the intention to abandon the profession and work-related stress of nurses in a hospital in Serra Gaucha/RS. Master’s thesis in Nursing. Federal University of Rio Grande do Sul, Brazil. [Accessed February 21, 2025]. Available at: http://hdl.handle.net/10183/210209

Caregnato, R. C. A., & Lautert, L. (2005). Stress of the multidisciplinary team in the surgery room. Brazilian Journal of Nursing, 58(5), 545–550. https://doi.org/10.1590/S0034-71672005000500009

Gentleman, A. M., Júnior, D. F. M., & Lopes, A. C. (2008). Stress among nurses working in intensive care units. Latin American Journal of Nursing, 16(1), 29–35. https://doi.org/10.1590/S0104-11692008000100005

Chiavenato, I. (2014). People Management: The new role of Human Resources in organizations (4th ed.). São Paulo, Brazil: Editora Monole.

European Communities Commission. (2002). How to adapt to changes in society and in the world of work: A new community health and safety strategy. [Accessed December 24, 2023]. Available at: http://www.msssi.gob.es/ciudadanos/saludAmbLaboral/docs/estrategiaSalud.pd

Cortese, C. G. (2012). Predictors of critical care nurses’ intention to leave the unit, hospital, and profession. Open Journal of Nursing, 2(3), 311–326. http://dx.doi.org/10.4236/ojn.2012.223046

Sampirre, R. H., Collado, C. H., & Lúcio, M. del P. B. (2013). Research Methodology (5th ed.). São Paulo, Brazil: Penso Editora.

Costa, D. T., & Martins, M. do C. F. (2011). Stress in nursing professionals: Impact of group conflict and physician power. Revista Escola de Enfermagem USP, 45(5), 1191–1197. https://doi.org/10.1590/S0080-62342011000500023

Duffield, C., Diers, D., O’Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, workload, work environment, and patient outcomes. Applied Nursing Research, 24(4), 244–255. https://doi.org/10.1016/j.apnr.2009.12.004

Gil, A. C. (2008). Methods and Techniques of Social Research (6th ed.). São Paulo, Brazil: Editora Atlas.

Gironés, A. L., Belvis, F., Julià, M., & Benach, J. (2018). Inequalities in healthcare in Mozambique: Needs, access, barriers and quality of care (Technical Report). Barcelona, Spain.

Griep, R. H., da Fonseca, M. J. M., Melo, E. C. P., Portela, L. F., & Rotenberg, L. (2013). Nurses in large public hospitals in Rio de Janeiro: Sociodemographic and work-related characteristics. Brazilian Journal of Nursing, 66, 151–157. https://doi.org/10.1590/S0034-71672013000700019

Hayes, L., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Laschinger, H. S., North, N., & Stone, P. (2006). Nurse turnover: A literature review. International Journal of Nursing Studies, 43, 237–263. https://doi.org/10.1016/j.ijnurstu.2005.02.007

Hospital Central Nampula. (2024). Annual activity report. Hospital Central.

International Council of Nurses. (2002). Career moves and migration: Critical questions. Geneva, Switzerland: ICN.

Jackson, S., & Maslach, C. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2, 99–113. https://doi.org/10.1002/job.4030020205

Lautert, L. (1995). The professional burnout of nurses. Doctoral thesis. Pontifical University of Salamanca, Spain.

Leineweber, C., Chungkham, H. S., Lindqvist, R., Westerlund, H., Runesdotter, S., Alenius, L. S., & Tishelman, C. (2016). Nurses’ practice environment and intention to leave. International Journal of Nursing Studies, 58, 47–58. https://doi.org/10.1016/j.ijnurstu.2016.02.003

London, G. M., Laverde, G. P., & Londoño, J. R. (2019). Hospital Management for Effective Administration (4th ed.). Rio de Janeiro, Brazil: Gen Grupo Editorial.

McVicar, A., Munn-Gidding, C., & Seebohm, P. (2003). Workplace stress in nursing: A literature review. Journal of Advanced Nursing, 44(6), 633–642.

Ministry of Health. (2013). Strategic Plan for the Health Sector 2014–2019 (extended to 2023). Maputo, Mozambique.

Ministry of Health. (2021). Annual Report: Human Resources of the National Health System. Maputo, Mozambique.

Ministry of Health. (2016). National Plan for the Development of Human Resources for Health 2016–2025. Maputo, Mozambique.

North, N., & Hughes, F. (2006). Methodological challenges in researching nursing turnover. Asia Pacific Journal of Health Management, 1(1), 45–51.

Oliveira, D. R. (2014). Intention to abandon the profession among nurses in Rio de Janeiro. Master’s thesis. Fiocruz, Brazil.

Oliveira, L. (2023). Intention to abandon professional and institutional work in Nursing. Undergraduate thesis. University of Vale do Taquari, Brazil.

World Health Organization. (2013). Universal Access to Health: World Health Report. WHO.

Peres, H. H. C., & Kurcgant, P. (1997). Recruitment and selection of nurses. Revista da Escola de Enfermagem da USP.

Poeira, A. F. da S., Mamede, R. N. F. P., & Martins, M. M. F. P. da S. (2019). Predictors of career change in Nursing. Revista de Enfermagem Referência, 4(22), 73–87.

Rios, I. C. (2008). Humanization and work environment in health professionals. Revista de Saúde Pública, 17(4), 151–160.

Robbins, S. P. (2009). Organizational Behavior (11th ed.). São Paulo, Brazil: Pearson Prentice Hall.

Rudman, A., Gustavsson, P., & Hultell, D. (2014). Nurses’ intention to leave in early career. International Journal of Nursing Studies, 51(4), 612–624.

Secaf, V., & Rodrigues, A. R. F. (1998). Nurses who stopped practicing nursing: Why? Revista Latino-Americana de Enfermagem, 6(2), 5–11.

Wheeler, H. (1998). Nurse occupational stress research. British Journal of Nursing, 7(1), 40–43.

Article Details

How to Cite

Strategic Human Resource Management: An Analysis of Career Abandonment for Healthcare Technicians in the Provision of Care at Nampula Central Hospital (HCN). (2026). International Journal of Latest Technology in Engineering Management & Applied Science, 15(3), 1000-1010. https://doi.org/10.51583/IJLTEMAS.2026.150300086