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

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036702
Author(s):  
Li Ran ◽  
Xuyu Chen ◽  
Shuzhen Peng ◽  
Feng Zheng ◽  
Xiaodong Tan ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Turnover Intention ◽  
Goodness Of Fit ◽  
Night Shift ◽  
Cross Sectional Study ◽  
Job Burnout ◽  
Mediating Effect ◽  
Monthly Income ◽  
Cross Sectional ◽  
Fit Index

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<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.

scholarly journals Health Literacy Regarding Infectious Disease Predicts COVID-19 Preventive Behaviors: A Pathway Analysis

2021 ◽  
pp. 101053952110139
Author(s):  
Hui Wang ◽  
Pak Leng Cheong ◽  
JianWei Wu ◽  
Iat Kio Van
Keyword(s):  
Infectious Disease ◽  
Health Literacy ◽  
Goodness Of Fit ◽  
Influencing Factor ◽  
Cross Sectional Study ◽  
Situational Factors ◽  
Preventive Behaviors ◽  
Cross Sectional ◽  
Concept Model ◽  
Fit Index

Health literacy has been identified as one vital determinant of public health and healthy behaviors, but very few studies regarding infectious disease prevention have been found. This descriptive cross-sectional study aimed to validate the pathway of infectious disease-specific health literacy (IDSHL), COVID-19 (coronavirus disease 2019) preventive behaviors, and their determinants. A sample of 1459 casino workers in Macao was eligible for analysis. The concept model was verified with a comparative fit index of 0.937 and goodness-of-fit index of 0.971. Government responses was a significant determinant of situational factors (helpfulness of health information, resource accessibility, and organizational training adequacy), while situational factors showed a direct effect on COVID-19 preventive behaviors. Education and organization training adequacy was the strongest influencing factor of IDSHL, which should be a key target of intervention programs for COVID-19.

scholarly journals The causes, consequences, and mediating effects of job burnout among hospital employees in Taiwan

2012 ◽  
Vol 2 (1) ◽  
pp. 15 ◽  
Author(s):  
Yea-Wen Lin
Keyword(s):  
Emotional Exhaustion ◽  
Turnover Intention ◽  
Job Burnout ◽  
Mediating Effect ◽  
Hierarchical Regression ◽  
Mediating Effects ◽  
Cross Sectional Survey ◽  
High Turnover ◽  
Cross Sectional ◽  
Hospital Employees

For the purpose of explaining the causes, consequences and mediating effects of burnout on relevant variables, the researcher conducted a cross-sectional survey of 371 hospital employees in Taiwan. Four principal findings are made. First, with respect to the three components of burnout experienced by hospital employees, the most frequently reported is emotional exhaustion, being also the most problematic among hospital employees compared with employees in other industries. Second, while increased workload coupled with role conflict increases the likelihood of burnout among hospital employees, improved work autonomy and social support reduce its likelihood. Next, the study finds a direct correlation between employees’ perceptions of low levels of emotional exhaustion and depersonalization and high levels of organizational commitment. In contrast, employees’ perceptions of high levels of emotional exhaustion and depersonalization lead to high turnover intention. Finally, the result of the hierarchical regression analysis demonstrates a partial mediating effect of burnout in the current study. These findings suggest the need for hospital management to improve their wellbeing and incentive strategies, to embark upon regular investigations into job burnout and to adopt appropriate measures to meet the professional development needs of hospital employees.

Psychometric Testing of the Persian Version of the Perceived Perioperative Competence Scale–Revised

2017 ◽  
Vol 25 (3) ◽  
pp. E162-E172
Author(s):  
Neda Mirbagher Ajorpaz ◽  
Mansoureh Zagheri Tafreshi ◽  
Jamileh Mohtashami ◽  
Farid Zayeri ◽  
Zahra Rahemi
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Psychometric Properties ◽  
Goodness Of Fit ◽  
Psychometric Testing ◽  
Cross Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Competence Scale ◽  
Fit Index

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale–Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) 5 .90, goodness-of-fit-index (GFI) 5 .86, adjusted goodness-of-fit index (AGFI) 5 .90, normed fit index (NFI) 5 .84, and root mean square error of approximation (RMSEA) 5 .04. High validity and reliability indicated the scale’s value for measuring perceived perioperative competence of Iranian OR students.

scholarly journals How self-stigma affects patient activation in persons with type 2 diabetes: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034757
Author(s):  
Asuka Kato ◽  
Yuko Fujimaki ◽  
Shin Fujimori ◽  
Akihiro Isogawa ◽  
Yukiko Onishi ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Goodness Of Fit ◽  
Patient Activation ◽  
Self Care ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fit Index

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.

scholarly journals Psychometric Properties of the Athens Insomnia Scale in Occupational Computer Users

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 89
Author(s):  
Mohamed Sherif Sirajudeen ◽  
Md. Dilshad Manzar ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Abdulrhman Albougami ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Goodness Of Fit ◽  
Factor Model ◽  
Cross Sectional Study ◽  
Computer Users ◽  
Cross Sectional ◽  
Athens Insomnia Scale ◽  
Study Results ◽  
Fit Index

Background: Various studies have shown that insomnia is associated with computer use. The Athens Insomnia Scale (AIS) is an 8-item tool that has been widely used for screening insomnia. No studies have investigated the psychometric validity of AIS in occupational computer users. Objective: the current research aimed to test the psychometric properties of the AIS among occupational computer users. Materials and Methods: a sample of four hundred and twenty-four occupational computer users (age: 20–65 years and body mass index: 21.6 ± 3.5 kg/m2) completed an AIS and a socio-demographic questionnaire in this cross-sectional study. Results: a confirmatory factor analysis demonstrated that the three-factor model had an adequate fit (the goodness of fit index (0.95), incremental fit index (0.90) and χ2/df (2.61)). Evidence was found for configural, scalar and metric invariance of the 3-factor model across gender groups. A moderate level of internal consistency was implied by a Cronbach’s alpha of 0.66. Conclusion: the findings of the present research support the validity of AIS for screening insomnia, as demonstrated by the scale’s psychometric properties; its internal consistency, internal homogeneity, item discrimination, and factorial validity.

scholarly journals Correlation between Job Satisfaction, Job Burnout and Turnover Intention of Surgical Nurses: A Cross-sectional Study in China

2021 ◽  
Author(s):  
Yueping Zhong ◽  
Xiaomei Zhang ◽  
Ya Wang ◽  
Rong Wei ◽  
Ling Cao ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Turnover Intention ◽  
Cross Sectional Study ◽  
Job Burnout ◽  
Satisfaction Level ◽  
Hospital Organization ◽  
Cross Sectional ◽  
Main Research ◽  
Nursing Managers ◽  
Surgical Nurses

Abstract Aim: To determine the correlation between job satisfaction, job burnout and turnover intention of surgical nurses.Background: Quite a number of studies have shown that there is a certain correlation between job satisfaction and job burnout of nurses, but researches on job satisfaction, job burnout and turnover intention of surgical nurses are relatively rare.Design: A descriptive correlational design was used in this study. Study participants were recruited from surgical nurses from Affiliated Hospital of Nantong University in Nantong, China. The main research method is questionnaire survey. The relationship between job satisfaction and job burnout and turnover intention of surgical nurses was analyzed by single factor analysis and correlation analysis.Results: A total of 506 participants was recruited from April to August 2020. The results show that there were significant differences in age and annual income of surgical nurses (P < 0.05). The job satisfaction level of surgical nurses was negatively correlated with emotional exhaustion of job burnout scale (r = -0.292, P < 0.05), negatively correlated with depersonalization (r = -0.424, P < 0.05), and negatively correlated with turnover intention (r = -0.375, P < 0.05).Conclusion: The findings indicate that the job satisfaction level of surgical nurses needs to be improved. Nursing managers should pay attention to the construction of hospital organization and culture, actively create supportive nursing work environment, strengthen the vocational training of junior nurses, further optimize the distribution of nursing human resources and welfare, reduce the job burnout and turnover rate of surgical nurses, and improve the job satisfaction of external nurses, so as to ultimately improve the quality of nursing.

scholarly journals Construct Validity of the Vietnamese Version of Maslach Burnout Inventory-General Survey

2021 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Huong Thi Thu NGUYEN ◽  
Kazuyo KITAOKA ◽  
Khue Minh PHAM ◽  
Ngoc Thi Minh NGUYEN ◽  
Tran Bao NGUYEN ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Goodness Of Fit ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
General Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Back Ground ◽  
Fit Index

Back ground and Purpose: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. The purpose of this study is to validate the Vietnamese version of Maslach Burnout Inventory-General Survey (MBI-GS) for burnout measuring in Vietnam. Methods: using cross-sectional study, factorial validity of MBI-GS was tested by exploratory factor analysis then accompanied by confirmatory factor analysis. Pearson’s correlation is used to check criterion-related validity. Results: the model of three factors structure without item 8 and 9 was suggested as the best fit model with chi-square (X2 = 285.13, P < .0001), root mean square error of approximation (RMSEA = 0.07), comparative fit index (CFI = 0.92), goodness of fit index (GFI = 0.91). Conclusions: The construct validity of Vietnamese version of Maslach Burnout Inventory-General Survey is acceptable for use in future investigations regarding burnout.

scholarly journals Occupational Identity, Job Satisfaction and Their Effects on Turnover Intention among Chinese Pediatricians: A Cross-sectional Study

2020 ◽  
Author(s):  
Wanjun Deng ◽  
Zhichun Feng ◽  
Xinying Yao ◽  
Tingting Yang ◽  
Jun Jiang ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Turnover Intention ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Mediating Effect ◽  
Occupational Identity ◽  
Cross Sectional ◽  
Effect Analysis ◽  
North East ◽  
South Central

Abstract Objectives This study contributes to research on the paediatrician shortage by examining occupational identity, job satisfaction and their effects on turnover intention among pediatricians in China. Methods This study employed a multi-stage stratified random sampling method to conduct a questionnaire survey. Of the 4906 survey recipients, valid data were collected from 4198 of the respondents (85.6%). Participants were from seven regions of China (south, central, north, east, northwest, southwest, northeast). Pediatricians who volunteered and provided informed, written consent participated.We analysed the collected data with descriptive analyses, one-way analysis, and pearson correlation analysis in SPSS 23.0; common method bias in AMOS 24.0; and mediating effect analysis in SPSSMARO.Results There were significant differences among the respondents in terms of TI based on age, education, marital status, region, type and grade of practice setting, professional title, years in practise, workload, rest days, and monthly income. Occupational identity and job satisfaction were both negatively related to turnover intention, and occupational identity was positively correlated with job satisfaction(r1=-0.601, p<0.001; r2=-0.605, p<0.001). And the result also showed that job satisfaction plays a mediating role in the association between occupational identity and turnover intention among Chinese pediatricians. Conclusions To reduce turnover intention among pediatricians in China, it is crucial to focus on three aspects: work condition, workload and salary. We suggest healthcare managers should increase investment in pediatric, carry out reforms on salary mechanism and pay more attention to female and young pediatricians.

scholarly journals Occupational Identity, Job Satisfaction and Their Effects on Turnover Intention among Chinese Pediatricians: A Cross-sectional Study

2020 ◽  
Author(s):  
Wanjun Deng ◽  
Zhichun Feng ◽  
Xinying Yao ◽  
Tingting Yang ◽  
Jun Jiang ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Turnover Intention ◽  
Pearson Correlation ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Mediating Effect ◽  
Occupational Identity ◽  
Cross Sectional ◽  
North East ◽  
South Central

Abstract Objectives This study contributes to research on the paediatrician shortage by examining occupational identity, job satisfaction and their effects on turnover intention among pediatricians in China. Methods This study employed a multi-stage stratified random sampling method to conduct a questionnaire survey. Of the 4906 survey recipients, valid data were collected from 4198 of the respondents (85.6%). Participants were from seven regions of China (south, central, north, east, northwest, southwest, northeast). Pediatricians who volunteered and provided informed, written consent participated.All variables including basic socio-demographic and work-related characteristics, occupational identity, job satisfaction and turnover intention were based on available literature, and measured on a 5- point Likert scale.Such statistical methods as exploratory factor analysis (EFA), descriptive analysis, common method bias, one-way analysis, pearson correlation analysis and mediating effect analysis were used.Results There were significant differences among the respondents in terms of turnover intention based on age, education, marital status, region, type and grade of practice setting, professional title, years in practise, workload, rest days, and monthly income. Occupational identity and job satisfaction were both negatively related to turnover intention, and occupational identity was positively correlated with job satisfaction(r1=-0.601, p<0.001; r2=-0.605, p<0.001). And the result also showed that job satisfaction plays a mediating role in the association between occupational identity and turnover intention among Chinese pediatricians.Conclusions To reduce turnover intention among pediatricians in China, it is crucial to focus on three aspects: work condition, workload and salary. We suggest healthcare managers should increase investment in pediatric, carry out reforms on salary mechanism and pay more attention to female and young pediatricians.

scholarly journals Healthcare professionals’ knowledge, attitudes and practices toward deprescribing: a protocol of cross-sectional study (Desmedica Study—Brazil)

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e044312
Author(s):  
Fabiane Raquel Motter ◽  
Nathalia Margarida Cantuaria ◽  
Luciane Cruz Lopes
Keyword(s):  
Factor Analysis ◽  
Goodness Of Fit ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Psychometric Characteristics ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Fit Index ◽  
Knowledge Attitudes And Practices

BackgroundDeprescribing is the planned and supervised process of dose reduction or stopping of medication that might be causing harm, or no longer be of benefit. It is an activity that should be a normal part of care/the prescribing cycle. Although now broadly recognised, there are still challenges in its effective implementation.ObjectivesTo develop and validate an instrument to measure Brazilian healthcare professionals’ knowledge, attitudes and practices towards deprescribing.MethodsThis study will include the following steps: (1) development of the preliminary instrument; (2) content validation; (3) pilot study; (4) evaluation of psychometric characteristics. After the elaboration of items of the instrument through the literature review, we will use a hybrid Delphi method to develop and establish the content validity of the instrument. Further, a pilot survey will be performed with 30 healthcare professionals. Finally, for the evaluation of psychometric characteristics, a cross-sectional study will be accomplished with a representative sample of different healthcare professionals from different Brazilian states using respondent-driven sampling. Exploratory factor analysis and confirmatory factor analysis will be performed. For assessing the model fit, we will use the ratio of χ2 and df (χ2/df), comparative fit index, the goodness of fit index and root mean square error of approximation. In addition, the reliability of the instrument will be estimated by test–retest reproducibility and Cronbach’s alpha coefficient (α).Ethics and disseminationThe Ethics Committee for Research at the University of Sorocaba (ethics approval number: 3.848.916) approved the study. Study findings will be circulated to healthcare professionals and scientists in the field through publication in peer-reviewed journals and conference presentations.

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