ArticleBMC psychiatry2022
The association between fear of malpractice and burnout among Chinese medical workers: The mediating role of legal consciousness.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Medical disputes and turnover intention among physicians and medical technicians: evidence from a cross-sectional study in Xuzhou, China.BMC health services research · 2026Article
- Malpractice fear and career decision regret among resident physicians: a cross-sectional study.BMC medical education · 2026Article
- "The weight of words": a phenomenological study of Chinese neonatologists' lived experiences of delivering bad news.BMC medical ethics · 2026Article
- Procedural anxiety, self-efficacy and fear of malpractice during invasive procedures among emergency medicine residents: a cross-sectional study.BMC medical education · 2026Article
- Burnout, PTSD, and Medical Error: The Medico-Legal Implications of the Mental Health Crisis Among Frontline Healthcare Professionals During COVID-19.Medicina (Kaunas, Lithuania) · 2026Review
- Malpractice fear and work motivation in anesthesiologists: an occupational self-efficacy perspective.BMC anesthesiology · 2026Article
- Evaluation of Malpractice Fear, Burnout, and Spiritual Well-Being among Physicians in Turkey: A Descriptive Study.Journal of religion and health · 2025Article
- Multidimensional perspectives on nurse burnout in China: a cross-sectional study of subgroups and predictors.BMC nursing · 2024Article
- Article
- Analysis of the characteristics, efficiency, and influencing factors of third-party mediation mechanisms for resolving medical disputes in public hospitals in China.BMC public health · 2024Article
- Article
- Analysis of the characteristics and risk factors affecting the judgment results of medical damage liability disputes in 3172 second-instance and retrial cases in China.Human resources for health · 2023Review
- Psychometric Properties and Factor Structure of the Slovak Version of the Copenhagen Burnout Inventory.International journal of environmental research and public health · 2022Article
- The infinite game in the public healthcare system: don't stop playing.Discover health systems · 2022Article
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Authors and funding
3 authors.
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Abstract
backgroundAs a major reason for defensive medicine, the status and effect of "fear of malpractice" among Chinese medical staff is an important topic that needs to be studied. Our study investigated fear of malpractice among Chinese medical workers, assessed its association with burnout, and explored the mediating role of legal consciousness between these factors.
designA quantitative, cross-sectional study.
settingAll respondents were investigated using a self-report questionnaire. Demographic characteristics and measurements including a fear of malpractice scale, and a burnout and legal consciousness scale were employed. The effect of fear of malpractice on burnout was examined by carrying out a binary regression analysis. A mediation model was used to test the mediating role of legal consciousness.
participantsThe study sample included 1031 doctors and nurses (297 male and 734 female; age = 36.3 ± 8.98).
resultsThe average score of fear of malpractice was 20.97 ± 5.34. Respondents with higher levels of fear of malpractice were more prone to burnout ([OR] = 2.865; 95% CI 1.942-4.226). Legal consciousness partially and negatively mediated the effect of fear of malpractice on burnout.
conclusionHigh levels of fear of malpractice were found among Chinese medical workers, and this fear had a significant effect on burnout. Legal consciousness may be a resource that can alleviate burnout.
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