Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction

ObjectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sec...

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Published in:BMJ open 2020-10, Vol.10 (10), p.e036702
Main Authors: Ran, Li, Chen, Xuyu, Peng, Shuzhen, Zheng, Feng, Tan, Xiaodong, Duan, Ruihua
Format: Article
Language:English
Subjects:
Burnout
Burnout, Professional - epidemiology
China
Cross-Sectional Studies
Employee turnover
Health Services Research
healthcare
Humans
Hypotheses
Hypothesis testing
Intention
Job Satisfaction
Likert scale
mediating effect
Medical personnel
Nurses
Nursing Staff, Hospital
Personal Satisfaction
Personnel Turnover
Primary Health Care
Questionnaires
Research methodology
Surveys and Questionnaires
turnover intention
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description ObjectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sectional study.MethodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.ResultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p
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The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sectional study.MethodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.ResultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p&lt;0.001). The partial mediating effect of satisfaction was 0.047, making up 5.32% of the total effect. The goodness-of-fit was acceptable (Goodness of Fit Index=0.947, Comparative Fit Index=0.975, root mean square error of approximation=0.067, Non-Normed Fit Index=0.971, Incremental Fit Index=0.975). Age, education level, monthly income, hire form and night shift were also found significantly correlated with turnover intention, and no difference was found between physicians and nurses.ConclusionsThe turnover intention is significantly affected by job burnout, satisfaction and demographical characteristics including age, education level, monthly income, hire form and night shift. Satisfaction can be regarded as a mediator between job burnout and turnover intention. Relative measures can be taken to promote enthusiasm and satisfaction thus decreasing the turnover rate.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2019-036702</identifier><identifier>PMID: 33033013</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Burnout ; Burnout, Professional - epidemiology ; China ; Cross-Sectional Studies ; Employee turnover ; Health Services Research ; healthcare ; Humans ; Hypotheses ; Hypothesis testing ; Intention ; Job Satisfaction ; Likert scale ; mediating effect ; Medical personnel ; Nurses ; Nursing Staff, Hospital ; Personal Satisfaction ; Personnel Turnover ; Primary Health Care ; Questionnaires ; Research methodology ; Surveys and Questionnaires ; turnover intention</subject><ispartof>BMJ open, 2020-10, Vol.10 (10), p.e036702</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b644t-cd5d8579d3f01e8550b1039533db0c5383e0778307c948e959ee0c3be4e4c65d3</citedby><cites>FETCH-LOGICAL-b644t-cd5d8579d3f01e8550b1039533db0c5383e0778307c948e959ee0c3be4e4c65d3</cites><orcidid>0000-0002-2802-5547</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2449091433/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2449091433?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>112,113,230,314,727,780,784,885,3194,25753,27549,27550,27924,27925,37012,44590,53791,53793,55341,55350,74998,77466,77467,77468,77469,77473,77504,77532,77558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33033013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ran, Li</creatorcontrib><creatorcontrib>Chen, Xuyu</creatorcontrib><creatorcontrib>Peng, Shuzhen</creatorcontrib><creatorcontrib>Zheng, Feng</creatorcontrib><creatorcontrib>Tan, Xiaodong</creatorcontrib><creatorcontrib>Duan, Ruihua</creatorcontrib><title>Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><addtitle>BMJ Open</addtitle><description>ObjectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sectional study.MethodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.ResultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p&lt;0.001). The partial mediating effect of satisfaction was 0.047, making up 5.32% of the total effect. The goodness-of-fit was acceptable (Goodness of Fit Index=0.947, Comparative Fit Index=0.975, root mean square error of approximation=0.067, Non-Normed Fit Index=0.971, Incremental Fit Index=0.975). Age, education level, monthly income, hire form and night shift were also found significantly correlated with turnover intention, and no difference was found between physicians and nurses.ConclusionsThe turnover intention is significantly affected by job burnout, satisfaction and demographical characteristics including age, education level, monthly income, hire form and night shift. Satisfaction can be regarded as a mediator between job burnout and turnover intention. Relative measures can be taken to promote enthusiasm and satisfaction thus decreasing the turnover rate.</description><subject>Burnout</subject><subject>Burnout, Professional - epidemiology</subject><subject>China</subject><subject>Cross-Sectional Studies</subject><subject>Employee turnover</subject><subject>Health Services Research</subject><subject>healthcare</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Hypothesis testing</subject><subject>Intention</subject><subject>Job Satisfaction</subject><subject>Likert scale</subject><subject>mediating effect</subject><subject>Medical personnel</subject><subject>Nurses</subject><subject>Nursing Staff, Hospital</subject><subject>Personal Satisfaction</subject><subject>Personnel Turnover</subject><subject>Primary Health Care</subject><subject>Questionnaires</subject><subject>Research methodology</subject><subject>Surveys and Questionnaires</subject><subject>turnover intention</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkV9rHCEUxYfS0IQ0n6BQhD5Pch11ZuxDoSxtkhLoS_os_rnuzLI7btUN5NvX7Ww2yUupCoqe8_PqqaoPFC4pZe2V2azCFqe6ASprYG0HzZvqrAHO6xaEePtifVpdpLSC0riQQjTvqlPGoAzKzqrwIxhidnEKu0z05Ejerx8wknHKOOUxTERvwrQki2GcMCHZxnGj4yMZUK_zYHVEkrL2_jPJA5INulHnsejRe7SZBE9S2Uhe2z3sfXXi9TrhxWE-r359_3a_uKnvfl7fLr7e1ablPNfWCdeLTjrmgWIvBBgKTArGnAErWM8Quq5n0FnJe5RCIoJlBjly2wrHzqvbmeuCXqlDzSroUf3dCHGpdMyjXaPyFp0GXwDG8VZag9JYcG1TumlbXlhfZtZ2Z8r7bPmWqNevoK9PpnFQy_CgOsEbyUQBfDoAYvi9w5TVKpRvLu9XDecSJOWMFRWbVTaGlCL64w0U1D50dQhd7UNXc-jF9fFlcUfPU8RFcDkLivs_iVfPhmOh_3L8AdkbyeI</recordid><startdate>20201007</startdate><enddate>20201007</enddate><creator>Ran, Li</creator><creator>Chen, Xuyu</creator><creator>Peng, Shuzhen</creator><creator>Zheng, Feng</creator><creator>Tan, Xiaodong</creator><creator>Duan, Ruihua</creator><general>British Medical Journal Publishing Group</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2802-5547</orcidid></search><sort><creationdate>20201007</creationdate><title>Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction</title><author>Ran, Li ; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ran, Li</au><au>Chen, Xuyu</au><au>Peng, Shuzhen</au><au>Zheng, Feng</au><au>Tan, Xiaodong</au><au>Duan, Ruihua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction</atitle><jtitle>BMJ open</jtitle><stitle>BMJ Open</stitle><addtitle>BMJ Open</addtitle><date>2020-10-07</date><risdate>2020</risdate><volume>10</volume><issue>10</issue><spage>e036702</spage><pages>e036702-</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sectional study.MethodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.ResultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p&lt;0.001). The partial mediating effect of satisfaction was 0.047, making up 5.32% of the total effect. The goodness-of-fit was acceptable (Goodness of Fit Index=0.947, Comparative Fit Index=0.975, root mean square error of approximation=0.067, Non-Normed Fit Index=0.971, Incremental Fit Index=0.975). Age, education level, monthly income, hire form and night shift were also found significantly correlated with turnover intention, and no difference was found between physicians and nurses.ConclusionsThe turnover intention is significantly affected by job burnout, satisfaction and demographical characteristics including age, education level, monthly income, hire form and night shift. Satisfaction can be regarded as a mediator between job burnout and turnover intention. Relative measures can be taken to promote enthusiasm and satisfaction thus decreasing the turnover rate.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>33033013</pmid><doi>10.1136/bmjopen-2019-036702</doi><orcidid>https://orcid.org/0000-0002-2802-5547</orcidid><oa>free_for_read</oa></addata></record>
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subjects Burnout
Burnout, Professional - epidemiology
China
Cross-Sectional Studies
Employee turnover
Health Services Research
healthcare
Humans
Hypotheses
Hypothesis testing
Intention
Job Satisfaction
Likert scale
mediating effect
Medical personnel
Nurses
Nursing Staff, Hospital
Personal Satisfaction
Personnel Turnover
Primary Health Care
Questionnaires
Research methodology
Surveys and Questionnaires
turnover intention
title Job burnout and turnover intention among Chinese primary healthcare staff: the mediating effect of satisfaction
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