Evidence map›Paper›PMID 41803819›Full record

Observational studyBMC medical education2026

Factors associated with university dropout intention among health sciences students: the mediating role of academic burnout and satisfaction with education.

Laura Melisa Candelo-Meneses, Melany Andrea Castro-Velasco, Carlos Alberto Henao Periañez, Marcio Alexander Castillo-Díaz

Abstract readObservational Study
In one paragraph

Observational study in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Validity and measurement invariance of theFrontiers in medicine · 2026
    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.

Laura Melisa Candelo-MenesesFacultad de Salud, Escuela de Enfermería, Programa de Enfermería, Universidad del Valle, Cali, Valle del Cauca, Colombia.ORCID http://orcid.org/0009-0006-6259-490X
Melany Andrea Castro-VelascoFacultad de Salud, Escuela de Enfermería, Programa de Enfermería, Universidad del Valle, Cali, Valle del Cauca, Colombia.ORCID http://orcid.org/0009-0009-9667-4045
Carlos Alberto Henao PeriañezFacultad de Salud, Escuela de Enfermería, Universidad del Valle, Cali, Valle del Cauca, Colombia.ORCID http://orcid.org/0000-0002-1018-3969
Marcio Alexander Castillo-DíazDepartamento de Psicología/Maestría en Psicometría y Evaluación Educativa, Facultad de Ciencias Sociales, Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras. marcio.castillo@unah.edu.hn.ORCID http://orcid.org/0000-0002-9489-7036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUniversity dropout in health sciences programs threatens the stability of the future healthcare workforce, particularly in Latin American public universities facing structural and institutional constraints. Dropout intention is a strong predictor of actual dropout and reflects the interaction of personal, relational, and institutional factors. However, integrative models that examine these factors simultaneously and their mediating mechanisms remain limited. This study aimed to evaluate an explanatory model of university dropout intention among health sciences students, considering the mediating role of academic burnout and satisfaction with education.

methodsA cross-sectional observational study was conducted between March and September 2025 among undergraduate health sciences students at a public university in Cali, Colombia. A proportionate stratified random sample was obtained. Data were collected using validated self-report instruments assessing personal, relational, and institutional risk factors, academic burnout, satisfaction with education, and university dropout intention. Structural equation modeling was applied using the weighted least squares mean and variance adjusted (WLSMV) estimator to examine direct and indirect (mediated) effects.

resultsThe sample comprised 320 undergraduate health sciences students (69.1% female; mean age = 22.46 ± 3.47 years). The final structural model demonstrated adequate fit and explained 86.3% of the variance in university dropout intention. Academic burnout emerged as the strongest predictor of dropout intention, whereas satisfaction with education showed a significant protective effect. Several personal, relational, and institutional factors were directly and indirectly associated with dropout intention. Dysfunctional support networks and vocational decision-making were positively associated with dropout intention directly and through academic burnout and satisfaction with education, whereas curricular support and functional support networks were negatively associated with dropout intention primarily through higher satisfaction with education.

conclusionsUniversity dropout intention among health sciences students is a multidimensional phenomenon mediated by personal, relational, and institutional factors. Interventions aimed at enhancing satisfaction with education and preventing academic burnout are essential to strengthen student retention and well-being in health sciences education.

Indexed as

Burnout, ProfessionalIntentionPersonal SatisfactionStudent DropoutsStudents, Health OccupationsAcademiaAdultColombiaCross-Sectional StudiesFemaleHumansMaleUniversitiesYoung AdultHealth sciences studentsStructural equation modelStudent burnoutStudent SatisfactionUniversity dropout intention

Identifiers

PMID41803819
PMCPMC13085532

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.