International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

Frequency: 12

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 Volume 12, Issue 10 (October 2025), Pages: 226-236

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 Original Research Paper

Does employee engagement mediate the impact of organizational trust on employee loyalty and intention to leave among hospital workers?

 Author(s): 

 Altanchimeg Zanabazar 1, *, Gantugs Gankhuyag 1, 2, Shurentsetseg Bira 1, Tungalag Jargalsaikhan 3

 Affiliation(s):

  1Department of Management, Business School, National University of Mongolia, Ulan Bator, Mongolia
  2Department of Management Sciences, Shihihutug University, Ulan Bator, Mongolia
  3Department of Marketing and Trade, Business School, National University of Mongolia, Ulan Bator, Mongolia

 Full text

    Full Text - PDF

 * Corresponding Author. 

   Corresponding author's ORCID profile:  https://orcid.org/0000-0003-0467-4267

 Digital Object Identifier (DOI)

  https://doi.org/10.21833/ijaas.2025.10.023

 Abstract

This study explores the relationships between organizational trust (OT), employee engagement (EE), employee loyalty (EL), and intention to leave (ITL) among hospital workers in Mongolia. A total of 467 employees from three hospitals in Ulaanbaatar participated in the study, and structural equation modeling (SEM) with path analysis was applied to test the proposed model. The findings show that organizational trust plays a key role in improving employee loyalty and engagement while lowering the intention to leave. In addition, employee engagement mediates the link between organizational trust, loyalty, and turnover intention, suggesting that trust-building efforts should be supported by strategies to enhance engagement. These results underline the importance of organizational trust as a basis for employee commitment and retention in healthcare settings, where workforce stability is essential. By fostering a culture of trust, hospitals can strengthen loyalty, reduce turnover, and improve overall organizational performance.

 © 2025 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

 Organizational trust, Employee engagement, Employee loyalty, Intention to leave, Healthcare workforce

 Article history

 Received 8 March 2025, Received in revised form 28 September 2025, Accepted 4 October 2025

 Acknowledgment

The authors express their gratitude to each participant who willingly participated in this research. 

 Compliance with ethical standards

 Ethical considerations

The study was conducted consistent with the Ethical Code of Conduct for the Faculty members and Students of the National University of Mongolia. Participation was voluntary, and informed consent was obtained from all respondents. The anonymity and confidentiality of the participants’ data were strictly maintained throughout the study.

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Zanabazar A, Gankhuyag G, Bira S, and Jargalsaikhan T (2025). Does employee engagement mediate the impact of organizational trust on employee loyalty and intention to leave among hospital workers? International Journal of Advanced and Applied Sciences, 12(10): 226-236

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 Figures

  Fig. 1  

 Tables

  Table 1  Table 2  Table 3  Table 4  Table 5  Table 6 

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