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Retaining Those Who Care

2025-12Artigo científico Acesso aberto
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dc.contributor.authorPoeira, Ana
dc.contributor.authorNunes, Lucília
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2026-01-14T15:55:25Z
dc.date.available2026-01-14T15:55:25Z
dc.date.issued2025-12
dc.descriptionPublisher Copyright: © 2025 by the authors.
dc.description.abstractBackground/Objectives: The global shortage of healthcare professionals has exacerbated ethical and organizational challenges that threaten the sustainability of health systems. High turnover rates, combined with the emigration and attrition of qualified nurses, make it essential to understand how institutional factors affect professional well-being and workforce retention. This essay examines how organizational ethics—particularly ethical climate, organizational justice, and ethical leadership—influence healthcare professionals’ experiences and their intentions to remain in or leave the sector. Methods: The discussion adopts a conceptual and reflective approach, drawing on key theories and empirical findings from the literature on organizational ethics and turnover. It explores the relationships between ethical environments, professional recognition, and moral well-being within healthcare organizations. Results: Evidence suggests that ethical and fair organizational climates strengthen trust, professional commitment, and long-term retention. Conversely, perceptions of injustice, lack of recognition, or moral distress tend to increase dissatisfaction and the intention to leave the profession. Conclusions: The essay underscores ethics as a central component of workforce sustainability in healthcare and calls for leadership and policy actions that move beyond individual coping strategies toward systemic ethical practices promoting fairness, recognition, and well-being at work.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent297133
dc.identifier.doi10.3390/healthcare13233014
dc.identifier.issn2227-9032
dc.identifier.otherPURE: 149009864
dc.identifier.otherPURE UUID: 43b7c080-6996-4db7-af3a-90761f260322
dc.identifier.otherScopus: 105024756520
dc.identifier.urihttp://hdl.handle.net/10362/199061
dc.identifier.urlhttps://www.scopus.com/pages/publications/105024756520
dc.language.isoeng
dc.peerreviewedyes
dc.subjectethical leadership
dc.subjecthealthcare systems
dc.subjectleader conscientiousness
dc.subjectmoral courage
dc.subjectpersonnel turnover
dc.subjectretention
dc.subjectworkforce sustainability
dc.subjectLeadership and Management
dc.subjectHealth Policy
dc.subjectHealth Informatics
dc.subjectHealth Information Management
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleRetaining Those Who Careen
dc.title.subtitleEthical Climate, Leadership, and Workforce Sustainability in Healthcareen
dc.typejournal article
degois.publication.issue23
degois.publication.titleHealthcare (Switzerland)
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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