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

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 management, Human resources, technical areas, career abandonment.

1. 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/ [Google Scholar] [Crossref]

2. 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. [Google Scholar] [Crossref]

3. 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 [Google Scholar] [Crossref]

4. 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 [Google Scholar] [Crossref]

5. 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 [Google Scholar] [Crossref]

6. 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 [Google Scholar] [Crossref]

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

8. 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 [Google Scholar] [Crossref]

9. 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 [Google Scholar] [Crossref]

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

11. 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 [Google Scholar] [Crossref]

12. 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 [Google Scholar] [Crossref]

13. Gil, A. C. (2008). Methods and Techniques of Social Research (6th ed.). São Paulo, Brazil: Editora Atlas. [Google Scholar] [Crossref]

14. 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. [Google Scholar] [Crossref]

15. 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 [Google Scholar] [Crossref]

16. 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 [Google Scholar] [Crossref]

17. Hospital Central Nampula. (2024). Annual activity report. Hospital Central. [Google Scholar] [Crossref]

18. International Council of Nurses. (2002). Career moves and migration: Critical questions. Geneva, Switzerland: ICN. [Google Scholar] [Crossref]

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

20. Lautert, L. (1995). The professional burnout of nurses. Doctoral thesis. Pontifical University of Salamanca, Spain. [Google Scholar] [Crossref]

21. 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 [Google Scholar] [Crossref]

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

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

24. Ministry of Health. (2013). Strategic Plan for the Health Sector 2014–2019 (extended to 2023). Maputo, Mozambique. [Google Scholar] [Crossref]

25. Ministry of Health. (2021). Annual Report: Human Resources of the National Health System. Maputo, Mozambique. [Google Scholar] [Crossref]

26. Ministry of Health. (2016). National Plan for the Development of Human Resources for Health 2016–2025. Maputo, Mozambique. [Google Scholar] [Crossref]

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

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

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

30. World Health Organization. (2013). Universal Access to Health: World Health Report. WHO. [Google Scholar] [Crossref]

31. Peres, H. H. C., & Kurcgant, P. (1997). Recruitment and selection of nurses. Revista da Escola de Enfermagem da USP. [Google Scholar] [Crossref]

32. 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. [Google Scholar] [Crossref]

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

34. Robbins, S. P. (2009). Organizational Behavior (11th ed.). São Paulo, Brazil: Pearson Prentice Hall. [Google Scholar] [Crossref]

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

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

37. Wheeler, H. (1998). Nurse occupational stress research. British Journal of Nursing, 7(1), 40–43. [Google Scholar] [Crossref]

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