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Fouzia Pervaiz
Muhammad Riaz Khan
Dr. Abid Hussain
Aqsa Batool
Ayesha Shabbir
Ammar Younas
Alisher Jumagulov


Turnover intentions, Economical crisis, Job performance, Medical Staff


Pakistan's public health sector is essential for rural healthcare. The industry has struggled to retain physicians, nurses, and paramedics due to their high intention to leave. In Pakistan's public health sector, doctors, nurses, and paramedical personnel performance and intention to leave are affected by career shock, stress, commitment, and development. A quantitative survey questionnaire was used to capture data from physicians, nurses, and paramedics working in public health. The regression study examined career factors and the performance and intention to leave of Doctors, Nurses, and Paramedical staff. The performance of physicians, nurses, and paramedical staff is hindered by career shock and tension, whereas career dedication and advancement are advantageous. In addition, the studies indicate that career shock and stress increase the intention to leave among doctors, nurses, and paramedical professionals, whereas career commitment and development decrease this intention. The study demonstrates that Pakistani public health organizations manage career aspects to enhance the performance of Doctors, Nurses, and Paramedical personnel and reduce their intention to leave. To retain and enhance high-performing physicians, nurses, and paramedics, organizations must provide professional development, reduce career shock and stress, and encourage career dedication. This study contributes to our understanding of career determinants, public health worker performance, and intention to leave developing nations. The study suggests how Pakistani public health organizations can manage career aspects in order to enhance the performance of Doctors, Nurses, and Paramedical personnel and decrease their intention to leave.

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