Evidence map›Paper›PMID 32326518›Full record

ArticleInternational journal of environmental research and public health2020

How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians.

Peter Koch, Max Zilezinski, Kevin Schulte, Reinhard Strametz, Albert Nienhaus, Matthias Raspe

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  9. Psychological safety, job satisfaction, and the intention to leave among German early-career physicians.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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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

6 authors at 3 institutions in 1 country.

Peter KochCentre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Max ZilezinskiBusiness Division Nursing Directorate, Nursing Science, Core-Team III Delirium Management und Dementia Care Charité-University Medicine, 10117 Berlin, Germany.ORCID 0000-0001-9225-1672
Kevin SchulteClinic for Internal Medicine, University Medical Centre Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Reinhard StrametzWiesbaden Business School, College RheinMain University of Applied Science, 65183 Wiesbaden, Germany.ORCID 0000-0002-9920-8674
Albert NienhausCentre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Matthias RaspeDepartment of Internal Medicine, Infectious Diseases and Pulmonary Medicine, Charite - University Medicine, 10117 Berlin, Germany.ORCID 0000-0003-3916-6297
Charité - Universitätsmedizin Berlin · DEUniversität Hamburg · DERheinMain University of Applied Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

German hospitals are now confronted with major challenges from both shortages and fluctuations in the numbers of physicians and nurses. This makes it even more important that physicians and nurses do not prematurely leave patient care. The objective of the present study was to improve our understanding of the factors that trigger intentions to leave the profession. For this purpose, data from 1060 young physicians and nurses in hospital care were analysed. Intentions to leave the profession was assessed with the Copenhagen Psychosocial Questionnaire (COPSOQ). In the first step, the association was determined between intention to leave the profession and the factors of perceived quality of care and job satisfaction. In a second step, a mediation analysis was performed to determine the effect of perceived quality of care after correction for the possible mediator of job satisfaction. There were statistically significant negative associations between perceived quality of care and intention to leave the profession (beta: -2.9, 95% CI: -4.48--1.39) and job satisfaction and intention to leave the profession (beta: -0.5, 95% CI: -0.64--0.44). The effect of perceived quality of care on intention to leave the profession was partially mediated by job satisfaction. Thus, high perceived quality of care and high job satisfaction are both important factors that tend to prevent young physicians and nurses from leaving their professions.

Indexed as

Job SatisfactionNursesNursing Staff, HospitalPersonnel TurnoverAdultCross-Sectional StudiesFemaleHumansIntentionQuality of Health CareSurveys and QuestionnairesYoung Adulthospital staffinpatient patient careintention to leavejob satisfactionquality of care

Identifiers

PMID32326518
PMCPMC7216191
OpenAlexW3016590101

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.