ArticleBMC health services research2026
Associations of job satisfaction and work-family conflict with turnover intention among nursing assistants in chinese long-term care: the mediating role of psychological health.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study examines the relationships among job satisfaction, work-family conflict, psychological distress, and turnover intention among nursing assistants in China, with a particular focus on the mediating role of psychological distress.
methodsA cross-sectional survey was conducted among 240 nursing assistants from Jiangsu and Fujian provinces between December 2023 and March 2024. Standardized instruments measured job satisfaction, work-family conflict, psychological distress (K10), and turnover intention. Pearson correlation and mediation analyses were performed using PROCESS Macro (Model 4) to assess relationships and mediating effects.
resultsJob satisfaction was negatively associated with turnover intention (r=-0.30, p < 0.01) and psychological distress (r=-0.23, p < 0.01). Work-family conflict was positively correlated with psychological distress (r = 0.52, p < 0.01) and turnover intention (r = 0.48, p < 0.01). Mediation analyses indicated that psychological distress partially explained the associations of job satisfaction and work-family conflict with turnover intention, accounting for 17.64% and 27.22% of the total effects, respectively.
conclusionJob satisfaction and work-family conflict demonstrate both direct associations with turnover intention and indirect associations through psychological distress. These findings suggest that integrating psychological health protection into workforce management strategies, alongside reducing work-family conflict and strengthening organizational resources, may represent a viable approach to improving retention in China's long-term care sector. CLINICAL TRIAL NUMBER: Not applicable.
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