This study proposes an integrated model and alternative methodology in the
study of voluntary employee turnover. A causal model comprising four catego
ries of variables: personal, job-related, environmental, and employee orien
tations is formulated. This model is tested on a sample of 415 hospital emp
loyees over a 12-month period, employing the statistical procedure of event
history analysis. During this period, 88 employees voluntarily left the ho
spital, representing a turnover rate of 21 percent. Consistent with expecta
tions, the personal variable of kinship responsibility, the job-related var
iable of autonomy and the employee orientations of job satisfaction, organi
zational commitment, and intent to leave had significant effects on employe
es' decision to quit. The variables of sex and age were observed to play a
moderating role in the analysis. Kinship responsibility had a significant n
egative relationship with turnover for females and males, and for those emp
loyees older than 30 years of age. The theoretical, empirical, and practica
l implications of the findings are discussed.