scholarly journals Mediation role of perceived social support and burnout on financial satisfaction and turnover intention in primary care providers: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huosheng Yan ◽  
Lingzhi Sang ◽  
Hongzhang Liu ◽  
Cancan Li ◽  
Zijing Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Primary Care ◽  
Turnover Intention ◽  
Structural Equation ◽  
Perceived Social Support ◽  
Maslach Burnout Inventory ◽  
Primary Care Providers ◽  
Equation Modeling ◽  
Financial Satisfaction ◽  
Care Providers

Abstract Background Turnover intention is a major cause of reduced team morale and low work efficiency. It hinders work performance and reduces the quality of medical services. This study aimed to investigate the relationship between financial satisfaction and turnover intention and its mediators among primary care providers. Methods Multi-stage random cluster sampling was used to select 1241 participants from four counties and three districts in Anhui province, China. Data were collected using a self-administered questionnaire. Turnover intention was assessed with a turnover intention assessment scale. Perceived social support and burnout were measured with the 12-item Perceived Social Support Scale and the Chinese version of the Maslach Burnout Inventory, respectively. Structural equation modeling was used for data analysis. Results The findings showed high turnover intention among primary care providers (mean score 14.16 ± 4.337), and most providers reported low financial satisfaction (mean score 2.49 ± 0.990). The mean perceived social support score was 64.93 ± 13.229, and only 6.1% of primary care providers reported no burnout. Compared with participants with high financial satisfaction, those with low financial satisfaction were more likely to report higher turnover intention (β = − 0.216, p < 0.001), less perceived social support (β = 0.181, p < 0.001), and more severe burnout (β = − 0.123, p < 0.05). Turnover intention may be related to perceived social support (β = − 0.147, p < 0.001) and burnout (β = 0.239, p < 0.001). Furthermore, the effect of financial satisfaction on turnover intention was significantly mediated by perceived social support (β = − 0.027, p < 0.001) and burnout (β = − 0.029, p < 0.05). Conclusions Turnover intention is associated with financial satisfaction, with this association mediated by perceived social support and burnout. A reasonable mechanism needs to be established to improve financial satisfaction and perceived social support and reduce burnout among primary care providers.

scholarly journals Mediation Role of Social Support and Burnout Between Financial Satisfaction and Turnover Intention in Primary Care Providers: A Cross-Sectional Study

2020 ◽  
Author(s):  
Huosheng Yan ◽  
Lingzhi Sang ◽  
Hongzhang Liu ◽  
Cancan Li ◽  
Zijing Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Primary Care ◽  
Turnover Intention ◽  
Structural Equation ◽  
Maslach Burnout Inventory ◽  
Primary Care Providers ◽  
Equation Modeling ◽  
Financial Satisfaction ◽  
Care Providers ◽  
High Turnover

Abstract Background: Turnover intention is a major cause of reduced team morale and low work efficiency. It hinders work performance and reduces the quality of medical services. This study aimed to investigate the relationship between financial satisfaction and turnover intention and its mediators among primary care providers.Methods: Stratified sampling was used to select 1241 participants from three counties in Anhui province, China. Data were collected using self-administered questionnaire. Turnover intention was assessed with a turnover intention assessment scale. Social support and burnout were measured with the 12-item Perceived Social Support Scale and the Chinese version of the Maslach Burnout Inventory, respectively. Structural equation modeling was used for data analysis.Results: The findings showed high turnover intention among primary care providers (mean score 14.16±4.337), and most providers reported low financial satisfaction (mean score 2.49±0.990). The mean social support score was 64.93±13.229, and only 6.1% of primary care providers reported no burnout. Compared with participants with high financial satisfaction, those with low financial satisfaction were more likely to report higher turnover intention (β=−0.216, p<0.001), more social support (β=0.181, p<0.001), and more severe burnout (β=−0.123, p<0.05). Turnover intention may be related to social support (β=−0.147, p<0.001) and burnout (β=0.239, p<0.001). Furthermore, the effect of financial satisfaction on turnover intention was significantly mediated by social support (β=−0.027, p<0.001) and burnout (β=−0.029, p<0.05).Conclusions: Turnover intention is associated with financial satisfaction, with this association mediated by social support and burnout. A reasonable mechanism needs to be established to improve the financial satisfaction and social support and reduce burnout among primary care providers.

scholarly journals Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis

2019 ◽  
Vol 16 (19) ◽  
pp. 3555 ◽  
Author(s):  
Huiwen Li ◽  
Beibei Yuan ◽  
Qingyue Meng ◽  
Ichiro Kawachi
Keyword(s):  
Primary Care ◽  
Work Environment ◽  
Multilevel Analysis ◽  
Contextual Factors ◽  
Maslach Burnout Inventory ◽  
Primary Care Providers ◽  
Personal Accomplishment ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Work Support

Burnout is a common and growing phenomenon in the health care setting. The objective of the present study is to examine contextual factors in the workplace associated with burnout among primary care providers (PCPs) in Shandong Province, China. A cross-sectional survey was conducted among 951 PCPs nested within 48 primary health institutions (PHIs). Burnout was measured using the Maslach Burnout Inventory–Human Services Survey (MBI–HSS). We used two-level random intercept linear regression models to examine individual- versus workplace-level risk factors for burnout. The result revealed that 33.12%, 8.83% and 41.43% PCPs were experiencing a high degree of emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). In multilevel analysis, the most significant and common individual-level predictors of burnout were lack of perceived work support and autonomy. At the institutional level, workload was positively related to EE (odds ratio (OR): 6.59; 95% confidence interval (CI): 3.46–9.72), while work support was related to higher PA (OR: 3.49; 95% CI: 0.81–6.17). Greater attention should be paid to the influence of the work environment factors (workload and work support) to prevent burnout. Strategies such as increasing human resources allocated to PHIs and establishing a supportive work environment are encouraged to prevent and reduce burnout among PCPs in China.

scholarly journals Mediating Effects of Risk Perception on Association Between Social Support and Coping with COVID-19: An Online Survey

2020 ◽  
Author(s):  
Dian-Jeng Li ◽  
Nai-Ying Ko ◽  
Yu-Ping Chang ◽  
Cheng-Fang Yen ◽  
Yi-Lung Chen
Keyword(s):  
Social Support ◽  
Risk Perception ◽  
Structural Equation ◽  
Online Survey ◽  
Perceived Social Support ◽  
Active Coping ◽  
Equation Modeling ◽  
Mediation Model ◽  
Mediating Effects ◽  
And Coping

Abstract Backgrounds:This study aimed to develop a model for estimating the mediating effects of risk perception and confidence on the association between perceived social support and active coping with the coronavirus disease 2019 (COVID-19) pandemic among people in Taiwan. Methods:The data of 1,970 participants recruited from a Facebook advertisement was analyzed. Perceived social support, active coping with COVID-19, risk perception and confidence were evaluated using self-administered questionnaires.Results:The structural equation modeling was applied to verify the direct and indirect effects between variables. The mediation model demonstrated that lower perceived social support was significantly associated with a higher level of active coping with COVID-19, and this was mediated by a higher level of risk perception. Conclusions:The present study identified the importance of risk perception on the public’s coping strategies during the COVID-19 pandemic.

scholarly journals Social and Psychological Factors Associated With Adolescent Physical Activity

2016 ◽  
Vol 13 (9) ◽  
pp. 957-963 ◽  
Author(s):  
Jeanette M. Garcia ◽  
John R. Sirard ◽  
Ross Larsen ◽  
Meg Bruening ◽  
Melanie Wall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Psychological Factors ◽  
Structural Equation ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Sem Analysis ◽  
Self Report ◽  
Equation Modeling ◽  
Cross Sectional

Objective:The purpose of this study was to examine, using structural equation modeling, the associations between nominated friend physical activity (PA), friend social support with individual PA-related psychological factors, and adolescent PA.Methods:Data were obtained from EAT 2010 (Eating and Activity Among Teens), a large cross-sectional study conducted in 20 middle and high schools. The sample consisted of 1951 adolescents (mean age: 14.25 ± 1.96, 54% female, 68% ethnic minorities). PA, parent and friend social support (perceived social support for PA from parents and friends), and psychological measures (PA enjoyment, PA self-efficacy, and PA barriers) were assessed by self-report questionnaires. The SEM analysis consisted of 1 observed variable: friend PA, and 2 latent constructs: psychological factors, perceived social support.Results:The model was a good fit, indicating that there were significant direct effects of both friend PA (P < .01) and psychological factors (P < .0001) on adolescent PA. In addition, psychological factors mediated the association between friend PA and adolescent PA.Conclusion:The results of this model suggest that psychological factors and friend PA are associated with adolescent PA, and that psychological factors may play an important role. Future studies should further examine the association of both friend PA and psychological variables with adolescent PA.

scholarly journals The role of perceived social support in the theory of planned behavior in predicting entrepreneurial intention: Evidence from a Nigerian university

2021 ◽  
Vol 6 (2) ◽  
pp. 141-153
Author(s):  
Yazeed Muhammed ◽  
Mohammed Dantsoho ◽  
Adamu Abubakar
Keyword(s):  
Social Support ◽  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Structural Equation ◽  
Influence Factor ◽  
Perceived Social Support ◽  
Entrepreneurial Intention ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling

Despite the usefulness of the theory of planned behavior in predicting intention and behavior in different domains, the sufficiency of its use in predicting and determining intention has been debated by many scholars. This paper extended the theory of planned behavior by including social support as a possible determinant of intention in the entrepreneurship domain while looking at one of the largest universities in Nigeria. Data were collected from 432 final year students of Ahmadu Bello University in Zaria using a simple random sampling technique. Structural equation modeling was adopted using partial least square technique for data analysis. Perceived social support, attitude towards entrepreneurship, and perceived behavioral control all were found to have a significant effect on entrepreneurial intention, while subjective norms had an insignificant effect. The study found perceived social support to be an important social influence factor in the theory of planned behavior because of its influence on entrepreneurial intention. Hence, perceived social support is recommended to be included as a major construct in the theory of planned behavior.

Work stress, social support, and burnout in junior doctors: A cross-sectional study

2011 ◽  
Vol 26 (S2) ◽  
pp. 1578-1578 ◽  
Author(s):  
A. Bowers ◽  
A. Sochos
Keyword(s):  
Social Support ◽  
Structural Equation ◽  
Improve Patient Care ◽  
Maslach Burnout Inventory ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Junior Doctors ◽  
Management Support ◽  
Cross Sectional ◽  
Medical Trainees

BackgroundBurnout is known to be higher in doctors than in the general population and is associated with adverse patient outcomes. By identifying factors that can lead to burnout, interventions can be implemented to support the health of the workforce and improve patient care.AimThe aim of this study is to (1) look at whether psychiatric trainees differ from medical trainees in the work−related stress they experience and the social support they perceive, within and outside the workplace. It also aims to (2) look at whether social support can mediate the stressor-burnout relationship in trainees.MethodThe sample consisted of 184 London based trainees. Participants were administered the Maslach Burnout Inventory (strain), the Specialist Doctors’ Stress Inventory (stressors) and the House and Wells social support scale. To explore the pathways and potential mediating effect of social support within the stressor-burnout relationship structural equation modeling was applied to the data.Results42% of all doctors exhibited high levels of emotional exhaustion and depersonalization. Medical trainees were significantly more burnt out than psychiatric trainees (p < .01). Occupational stressors were significantly correlated with the core burnout dimensions. Family, consultant and top management support demonstrated significant correlations with burnout dimensions whereas co-worker support failed to reach significance. Direct, indirect and mediational pathways between study variables were found.ConclusionPsychological distress is still prevalent amongst our junior workforce. Medical trainees appear to exhibit more severe levels of burnout and suggestions to improve psychological wellbeing are discussed.

scholarly journals The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Janhavi Ajit Vaingankar ◽  
Edimansyah Abdin ◽  
Siow Ann Chong ◽  
Saleha Shafie ◽  
Rajeswari Sambasivam ◽  
...  
Keyword(s):  
Social Support ◽  
Mental Disorders ◽  
Marital Status ◽  
Mental State ◽  
Structural Equation ◽  
Perceived Social Support ◽  
Equation Modeling ◽  
Significant Other ◽  
Cross Sectional ◽  
Negatively Associated

Abstract Background This study investigated whether (i) mental disorders were associated with perceived social support and its subcomponents, (ii) current marital status was related to perceived social support, and (iii) ‘Married’ status influenced the relationship between mental state and perceived social support. Methods Data from a cross-sectional national survey comprising 6126 respondents were used. Lifetime diagnosis for five mental disorders was assessed with a structured questionnaire. Perceived social support was measured with the Multidimensional Scale of Perceived Social Support (MSPSS) that provides Global and subscale scores for Significant Other, Family and Friends. Multiple linear regression analyses were conducted to address the research questions with MSPSS score as the dependent variable. Structural equation modeling (SEM) was performed to test mediation by marital status. Results All mental disorders included in the study, except alcohol use disorder (AUD), were significantly and negatively associated with Global MSPSS scores. After controlling for sociodemographic factors and chronic physical illness, major depressive disorder (β = - 0.299, 95% CI: -0.484 – -0.113, p = 002) and having any of the five mental disorders (β = - 0.133, 95% CI: -0.254 – -0.012, p = 032) were negatively associated with support from Significant Other, while support from Family and Friends was lower among all disorders, except AUD. Being married was positively associated with perceived social support in people with and without mental disorders. Results of the SEM partially support mediation by mental state - perceived social support relationship by ‘Married’ status. Conclusion Having mental disorders was associated with lower perceived social support. Being married has potential to influence this relationship.

scholarly journals Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohd Idzwan Mohd Salleh ◽  
Rosni Abdullah ◽  
Nasriah Zakaria
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Structural Equation ◽  
Care Delivery ◽  
Primary Care Providers ◽  
Equation Modeling ◽  
System Quality ◽  
Care Providers ◽  
Knowledge Quality ◽  
Electronic Health

Abstract Background The Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. Thus, evaluating whether the system has been effectively utilized is necessary, particularly regarding how it predicts the post-implementation primary care providers’ performance impact. Methods Convenience sampling was employed for data collection in three government hospitals for 7 months. A standardized effectiveness survey for EHR systems was administered to primary health care providers (specialists, medical officers, and nurses) as they participated in medical education programs. Empirical data were assessed by employing partial least squares-structural equation modeling for hypothesis testing. Results The results demonstrated that knowledge quality had the highest score for predicting performance and had a large effect size, whereas system compatibility was the most substantial system quality component. The findings indicated that EHR systems supported the clinical tasks and workflows of care providers, which increased system quality, whereas the increased quality of knowledge improved user performance. Conclusion Given these findings, knowledge quality and effective use should be incorporated into evaluating EHR system effectiveness in health institutions. Data mining features can be integrated into current systems for efficiently and systematically generating health populations and disease trend analysis, improving clinical knowledge of care providers, and increasing their productivity. The validated survey instrument can be further tested with empirical surveys in other public and private hospitals with different interoperable EHR systems.

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