Evidence map›Paper›PMID 28587508›Full record

ArticleScandinavian journal of primary health care2017

Threats or violence from patients was associated with turnover intention among foreign-born GPs - a comparison of four workplace factors associated with attitudes of wanting to quit one's job as a GP.

Mari Eneroth, Marie Gustafsson Sendén, Karin Schenck Gustafsson, Maja Wall, Ann Fridner

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Violence and abuse towards general practice staff by patients and the public: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  20. Model of Organizational Commitment Applied to Health Management Systems.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Mari Enerotha Department of Psychology , Stockholm University , Stockholm , Sweden.
Marie Gustafsson Sendéna Department of Psychology , Stockholm University , Stockholm , Sweden.
Karin Schenck Gustafssonb Department of Medicine , Centre for Gender Medicine Karolinska Institute , Karolinska , Sweden.
Maja Walla Department of Psychology , Stockholm University , Stockholm , Sweden.
Ann Fridnera Department of Psychology , Stockholm University , Stockholm , Sweden.
Stockholm University · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGeneral practitioners (GPs) are crucial in medical healthcare, but there is currently a shortage of GPs in Sweden and elsewhere. Recruitment of GPs from abroad is essential, but foreign-born physicians face difficulties at work that may be related to turnover intention, i.e. wanting to quit one's job. The study aims to explore the reasons to why foreign-born GPs may intend to quit their job.

designSurvey data were used to compare four work-related factors that can be associated with turnover intentions; patient-related stress, threats or violence from patients, control of work pace, and empowering leadership, among native-born and foreign-born GPs. These work-related factors were subsequently examined in relation to turnover intention among the foreign-born GPs by means of linear hierarchical regression analyses. The questionnaire consisted of items from the QPS Nordic and items constructed by the authors.

settingA primary care setting in a central area of Sweden. SUBJECTS: Native-born (n = 208) and foreign-born GPs (n = 73).

resultsTurnover intention was more common among foreign-born GPs (19.2% compared with 14.9%), as was the experience of threats or violence from patients (22% compared with 3% of the native-born GPs). Threats or violence was also associated with increased turnover intention. Control of work pace and an empowering leadership was associated with reduced turnover intention. PRACTICE IMPLICATIONS: The organisations need to recognise that foreign-born GPs may face increased rates of threats and/or violence from patients, which may ultimately cause job turnover and be harmful to the exposed individual.

Indexed as

Attitude of Health PersonnelJob SatisfactionPersonnel TurnoverViolenceAdultCross-Sectional StudiesFemaleForeign Professional PersonnelGeneral PractitionersHumansMaleMiddle AgedRegression AnalysisStress, PsychologicalSurveys and QuestionnairesSwedenforeign-born doctorsgeneral practitionerspersonnel turnoverPhysiciansregression analysisviolence

Identifiers

PMID28587508
PMCPMC5499322
OpenAlexW2622283407

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.