ArticleInternational journal for equity in health2023
The mediating role of job satisfaction and presenteeism on the relationship between job stress and turnover intention among primary health care workers.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A global prevalence of turnover intention among doctors: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Job Satisfaction and Retention of Family Medicine Physicians in Primary Healthcare Centers in the Al-Qassim Region of Saudi Arabia: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- The Association Between Job Stress and Intention to Leave in Healthcare Institutions: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- The Mediating Effect of Perceived Occupational Stress and Job Satisfaction on the Impact of Type D Personality on Turnover Intention Among Chinese General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- Association between emotional intelligence and turnover intention among nurses in Saudi Arabia: a cross-sectional mediation analysis.BMC nursing · 2026Article
- Mindfulness, Self-Efficacy, Job Stress, and Job Satisfaction in Associated Factors of Turnover Intention: A Regression-Based Path Analysis Among Direct Care Workers.Healthcare (Basel, Switzerland) · 2026Article
- The relationship between perceived organizational support and presenteeism among pediatric nurses in China: professional identity plays a mediating role.BMC nursing · 2026Article
- Are caregivers for older adults satisfied with the care robots in the workplace? A cross-sectional study in China.Frontiers in public health · 2026Article
- Development and External Validation of a Machine Learning Model for Risk Stratification of Presenteeism in Clinical Nurses: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- The impact of quality of work life, professional identity, and job burnout on presenteeism among family doctors: a cross-sectional study in China.Frontiers in public health · 2026Article
- Article
- Temporal and Contextual Variations in Job Satisfaction Between Physicians and Nurses: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Applying Meta-Analytic Structural Equation Modeling to Examine the Relationships Among Work Stress, Job Burnout, and Turnover Intention in Taiwanese Nurses.Healthcare (Basel, Switzerland) · 2025Review
- Presenteeism and its relationship with resilience among pre-hospital emergency technicians: a multicenter cross-sectional study.BMC health services research · 2025Article
- Exploring organizational politics, psychological well-being, work-life balance, and turnover intentions in Ghanaian hospitals: a conservation of resource theory perspective.BMC health services research · 2025Article
- Relationships Between Nurses' Personal and Professional Characteristics and Career Decision Regret, Occupational Stress and Turnover Intention: A Descriptive Cross-Sectional Study.International journal of nursing practice · 2025Article
- Psychological distress and turnover intention among Chinese nurses: a moderated mediation model of job satisfaction and social support.BMC nursing · 2025Article
- Present situation and influencing factors of presenteeism among nurses in China: a cross-sectional multicenter study.BMC nursing · 2025Article
- Exploring Nurses' Quit Intentions: A Structural Equation Modelling and Mediation Analysis Based on the JD-R and Social Exchange Theories.Healthcare (Basel, Switzerland) · 2025Article
- The relationship between person-vocation fit and burnout among resident physicians: A single-center cross-sectional survey.PloS one · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTurnover problems among primary health care workers are a significant contributor to the shortage of health human resources. This study aims to determine the relationship between job stress and turnover intention among primary health care workers, as well as to examine the mediating effects of job satisfaction and presenteeism on this relationship.
methodsStratified random sampling and quota sampling were used to select 703 primary health care workers in Jilin Province, China in January 2020. Validated scales were used to measure turnover intention, job stress, job satisfaction, and presenteeism among primary health care workers. The study utilized a partial least squares structural equation modeling (PLS-SEM) approach to test the research hypotheses.
resultsThe turnover intention score of primary health care workers in Jilin Province was 2.15 ± 1.03, and 19.5% of respondents reported a higher turnover intention. Significant sex and occupation differences were found, with a higher rate of turnover intention for male and doctor groups among primary health care workers. This study also revealed a positive correlation between job stress and turnover intention (β = 0.235, P < 0.001), a significant negative correlation between job satisfaction and turnover intention (β= -0.347, P < 0.001), and a significant positive correlation between presenteeism and turnover intention (β = 0.153, P < 0.001). Moreover, the study revealed a significant indirect effect of job stress on turnover intention which was mediated by job satisfaction (β = 0.183, P < 0.001) and presenteeism (β = 0.078, P < 0.001).
conclusionWe confirmed the positive association between job stress and presenteeism with turnover intention, as well as the negative association between job satisfaction and turnover intention. Moreover, our study confirmed the mediating role of job satisfaction and presenteeism in the relationship between job stress and turnover intention. This study provides scientific evidence to address the turnover problem among primary health care workers.
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