Evidence map›Paper›PMID 40978249›Full record

ArticleFrontiers in psychology2025

Turnover intention and the moderating role of career shocks an empirical study of medical staff in public hospitals in Guangzhou, China.

Fan Yang, Henrique Duarte, Jianping Chen, Chenxi Zu

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Fan YangThe Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Henrique DuarteBusiness Research Unit (BRU-IUL), Instituto Universitário de Lisboa (ISCTE-IUL), Lisbon, Portugal.
Jianping ChenGuizhou Cancer Hospital, Guiyang, China.
Chenxi ZuThe Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to explore how Leader-Member Exchange (LMX), Job Embeddedness (JE), Job Satisfaction (JS), and Career shocks (CS) affect hospital staff's turnover intention. By offering theoretical and practical insights, it reassures the reader of the study's value in curbing employee departures and building a more stable workforce. Methods: Using a longitudinal design and self-administered questionnaires, data were collected in two rounds from 500 medical staff in 12 tertiary public hospitals in Guangzhou, China, between May and September 2023. The data were analyzed with SPSS 26 and PROCESS macro for SPSS 4.1, including descriptive statistics, correlation analysis, and mediation and moderation analyses. Results: LMX, JE, and JS were significantly negatively correlated with Turnover Intention (TI) ( Discussion: CS can temporarily intensify the relationships between LMX, JE, JS, and TI under certain circumstances, likely due to heightened employee sensitivity to leadership support, work environment, and career development. This moderation effect also highlights that employees' demand for organizational support increases when facing career challenges, and high-quality LMX and JE can provide essential assistance for employees to navigate career shocks. Conclusion: By investigating the impact of LMX, JE, JS, and CS on turnover intention, this study offers a fresh perspective on the occupational behavior of medical staff in public hospitals. The findings not only enrich LMX and career shocks theories but also provide practical guidance for managers. This guidance empowers managers to reduce employee turnover intention, making them feel capable and ready to implement these strategies. As a primary goal, the abstract should render the general significance and conceptual advance of the work clearly accessible to a broad readership. References should not be cited in the abstract. Leave the Abstract empty if your article does not require one - please see the "Article types" on every Frontiers journal page for full details.

Indexed as

career shocksjob embeddednessjob satisfactionleader-member exchangemedical staffpublic hospitalsturnover intention

Identifiers

PMID40978249
PMCPMC12447323

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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.