ArticleBMJ open2020
Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.
- Burnout among doctors in China: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis.Bulletin of the World Health Organization · 2022Pooled it
- Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention.Frontiers in public health · 2022Pooled it
- Systematic and meta-based evaluation on job satisfaction of village doctors: An urgent need for solution issue.Frontiers in medicine · 2022Pooled it
- How organizational commitment shapes IPC execution through job satisfaction among infection prevention and control professionals.Frontiers in public health · 2026Article
- A study on the relationship between work stress and turnover intentions among critical care nurses: mediating roles of job satisfaction and burnout.Frontiers in public health · 2026Article
- Occupational calling promotes career construction among medical students: empirical evidence for public health workforce reserve.Frontiers in public health · 2026Article
- Perceived fulfillment of multilevel psychological contract responsibilities, job burnout, and turnover intention among primary care physicians: a structural equation modeling analysis.Frontiers in public health · 2026Article
- Turnover Intention and Associated Factors Among Night-Shift Midwives in China: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Factors associated with turnover intention among institutional long-term care workers in China: a multi-center cross-sectional study in China.Frontiers in public health · 2026Article
- Identifying Nurses at Risk of Nursing Interruptions During Medication Administration Using Machine Learning: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Impact of Work Goals on Quiet Quitting Among Chinese Primary Health Professionals Based on Goal Setting Theory: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Mediating Effect of Turnover Intention on the Relationship Between Job Burnout and Quiet Quitting in Nurses.Journal of advanced nursing · 2025Article
- The impact of workplace violence, organizational climate, authentic leadership on job satisfaction among physicians in tertiary hospitals: the mediating role of job burnout.BMC health services research · 2025Article
- Abusive supervision and nurses' deviant behaviors: the moderating effect of self-efficacy.BMC nursing · 2025Article
- A predictive study of factors associated with burnout, compassion fatigue, and moral distress among emergency nurses.Scientific reports · 2025Article
- Workplace violence, career identity, and turnover intentions: the mediating role of job burnout among newly recruited rotational nurses.BMC nursing · 2025Article
- Presenteeism and Chinese clinical nurses' turnover intention: the mediating role of frustration and job burnout.BMC nursing · 2025Article
- The influencing factors of turnover intention among pediatric healthcare workers: a moderated mediation model.Human resources for health · 2025Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.
designCross-sectional study.
methodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.
resultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p<0.001). The partial mediating effect of satisfaction was 0.047, making up 5.32% of the total effect. The goodness-of-fit was acceptable (Goodness of Fit Index=0.947, Comparative Fit Index=0.975, root mean square error of approximation=0.067, Non-Normed Fit Index=0.971, Incremental Fit Index=0.975). Age, education level, monthly income, hire form and night shift were also found significantly correlated with turnover intention, and no difference was found between physicians and nurses.
conclusionsThe turnover intention is significantly affected by job burnout, satisfaction and demographical characteristics including age, education level, monthly income, hire form and night shift. Satisfaction can be regarded as a mediator between job burnout and turnover intention. Relative measures can be taken to promote enthusiasm and satisfaction thus decreasing the turnover rate.
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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.