Evidence map›Paper›PMID 39548526›Full record

ArticleBMC health services research2024

Turnover intention among healthcare workers in Shenzhen, China: the mediating effect of job satisfaction and work engagement.

Ke Xu, Lin Lei, Zhuang Guo, Xiaoying Liu, Yu Shi, Guiyuan Han, Kaihao Lin, Weicong Cai, Chenxi Lu, Xinying Li and 2 more

Abstract read
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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Ke Xu *School of Public Health, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China.
Lin Lei *Shenzhen Center for Chronic Disease Control, Shenzhen, Guangdong Province, China.
Zhuang Guo *School of Public Health, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China.
Xiaoying LiuNational Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China.
Yu ShiNational Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China.
Guiyuan HanNational Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China.
Kaihao LinShenzhen Center for Chronic Disease Control, Shenzhen, Guangdong Province, China.
Weicong CaiShenzhen Center for Chronic Disease Control, Shenzhen, Guangdong Province, China.
Chenxi LuNational Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China.
Xinying LiNational Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China.
Yichong Li *National Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China. yichongli.cvd@139.com.
Ke Peng *National Clinical Research Center for Cardiovascular Diseases, Fuwai Shenzhen Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong Province, China. drpengke@163.com.

Funding

Grant from the National Clinical Research Center of Cardiovascular Diseases, Shenzhen Grant No.NCRCSZ-2024-001Guangdong Basic and Applied Basic Research Foundation No. 2021A1515110307, No. 2021A1515220173Guangdong Introducing Innovative and Enterpreneurial Teams 2019ZT08Y481Shenzhen Clinical Research Center for Cardiovascular Disease Fund No.20220819165348002Shenzhen Science and Technology Program No. JCYJ20230807150800002The Young Talent Program of the Academician Fund, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen No.YS-2020-006
6 · The paper itself

Abstract

backgroundTo ensure workforce stability in China's healthcare system and maintain high-quality care, it is essential to comprehensively understand the interplay of factors contributing to turnover intention of healthcare workers. This study aims to examine the associations between potential factors and turnover intention in healthcare workers and explore the mediating effect of job satisfaction and work engagement in the association between them.

methodsIn this cross-sectional study, a random sample of 1060 healthcare workers working in 98 public medical institutions were recruited to rate their turnover intention in 2018 in Shenzhen, China. Information on socio-demographic characteristics, job-related factors, turnover intention, job satisfaction, work engagement, work stress and doctor-patient relationship of participants were collected. Pearson's chi-squared tests and binary logistic regression analyses were performed to explore the association between these factor and turnover intention. Mediation analysis was used to explore the roles of potential mediators and moderators.

resultsThe results showed that age (OR: 0.35, 95%CI: 0.16 to 0.72), tenure (OR: 0.98, 95%CI: 0.96 to 0.99), administrative positions (OR: 0.33, 95%CI: 0.16 to 0.63), and night shift frequency (OR: 1.84, 95%CI: 1.26 to 2.67) were significantly associated with turnover intention. We identified the mediating effect of job satisfaction and work engagement in the relationship between administrative positions and turnover intention, while the suppressing effect in the relationship between professional titles and turnover intention. Additionally, we found that monthly income plays a moderating role in the relationship between work engagement and turnover intention, and in the association between professional titles and turnover intention.

conclusionsGreater job satisfaction and engagement, along with reasonable remuneration, were found to be associated with lower turnover intention among healthcare workers. Employers should proactively monitor the dynamic interactions among these factors and then develop more tailored interventions in order to alleviate the ongoing loss of healthcare workers.

Indexed as

Health PersonnelIntentionJob SatisfactionPersonnel TurnoverWork EngagementAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAdministrative positionsHealthcare workerJob satisfactionMonthly incomeProfessional titlesTurnover intentionWork engagement

Identifiers

PMID39548526
PMCPMC11568684

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.