ArticleBMC health services research2018
What is behind high turnover: a questionnaire survey of hospital nursing care workers in Shanghai, China.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis.Frontiers in public health · 2023Pooled it
- The Race to Retain Healthcare Workers: A Systematic Review on Factors that Impact Retention of Nurses and Physicians in Hospitals.Inquiry : a journal of medical care organization, provision and financingPooled it
- The relationship between medical workers' presence of meaning in life and turnover intention: the mediating role of searching for meaning in life and professional happiness.Scientific reports · 2026Article
- Health care assistants in out of hours community palliative care: multiple qualitative organisational case studies.BMC palliative care · 2026Article
- The double-edged sword of rotational shift work: a qualitative study of worker perceptions in Saudi Arabia.Frontiers in psychology · 2026Article
- Investigation of job stability and influencing factors for graduates of public health-related majors in Jiangxi Province, China.BMC public health · 2025Article
- Association patterns of work-family balance, perceived stress and turnover intentions among female medical workers in China (2022-2023): integration network and pathway analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Work engagement, resilience and turnover intentions among nurses: a mediation analysis.BMC health services research · 2025Article
- Predictive factors of turnover intention of newly graduated nurses in their first year of employment: a longitudinal study.BMC nursing · 2024Article
- Effects of perceived stress on turnover intention of female healthcare staff: a serial multiple mediation model.BMC public health · 2024Article
- The impact of meaning in life and professional happiness on the turnover intention of health care workers: a cross-sectional study from China.Human resources for health · 2023Observational
- Sleep quality and the associated factors among in-hospital nursing assistants in general hospital: A cross-sectional study.Heliyon · 2022Article
- The Impact of the COVID-19 Pandemic on Future Nursing Career Turnover Intention Among Nursing Students.Risk management and healthcare policy · 2021Article
- The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review.Palliative medicine · 2020Article
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2 authors.
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Abstract
backgroundCurrently, hospital nursing care workers (hereafter referred to as HNCWs) have become an important part of the healthcare system in China. They exist in nearly all of the public hospitals and in some private hospitals, making up 20 to 30% of the total nursing staff and providing 30 to 40% of basic nursing care for patients. However, many studies have shown that the turnover rate of HNCWs is very high, with average annual rates of 20 to 45%. We conducted this survey to explore their turnover intentions and related factors and present some suggestions to improve their retention rate.
methodsA total of 514 HNCWs employed at 11 hospitals in Shanghai participated in this study. The inclusion criteria were as follows: (1) being a certified HNCW, (2) having worked as an HNCW for more than 1 year, and (3) volunteering to take part in the survey.
resultsThe overall turnover intention of the HNCWs was 41.3%. Influencing factors include education (βeta = 0.201, P = 0.000), wages (βeta = - 0.920, P = 0.000), management satisfaction, (βeta = - 0.213, P = 0.000), satisfaction with wages (βeta = - 0.612, P = 0.000), satisfaction with working hours (βeta = - 0.270, P = 0.000), satisfaction with their own work (βeta = - 0.066, P = 0.027), work stress (βeta = 0.726, P = 0.000), enjoyment of the job (βeta = - 0.141, P = 0.000) and hours of sleep (βeta = - 0.046, P = 0.037).
conclusionsDecreasing HNCWs' turnover intentions and the overall turnover rate is important for improving the quality of healthcare. More attention should be paid to this issue in the enactment of health policy.
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