scholarly journals The Influence of Job satisfaction, Resilience and Work engagement on Turnover Intention among Village Doctor in China:a cross-sectional study

2019 ◽  
Author(s):  
Xuewen Zhang ◽  
Liyan Bian ◽  
Xue Bai ◽  
Dezhong Kong ◽  
Li Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Village Doctor ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Rural Residents ◽  
Village Doctors ◽  
Negative Effect ◽  
The Village

Abstract Background As the gatekeepers of rural residents ‘health, the team of village doctors plays a vital role in improving the health level of rural residents. However, a large number of village doctor’s turnover, or even dozens of them turnover collectively, threatening the stability of the village medical team. This research evaluated the influence of job satisfaction, resilience, work engagement on turnover intention of village doctor and explored the mediating role of resilience and work engagement between job satisfaction and turnover intention among village doctor in China.Methods A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among the village doctors with a sample size of 2693 from 1345 rural hospitals or clinics of Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on literature and measured on 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used.Results As high as 46.9% of the participants had a high turnover intention and no less than 26.3% of the participants had a medium turnover intention. Job satisfaction not only has a direct negative effect on turnover intention(β=-0.37, p < 0.001), but also has an indirect effect on it through work engagement(β= -0.04, p < 0.001), work engagement has a direct negative impact on turnover intention(β= -0.13, p < 0.002), and resilience had an indirect negative effect on turnover intention through the mediating effect of work engagement(β= -0.09, p < 0.001). The results of this study strongly verified that job satisfaction, resilience, work engagement were early, powerful predicators of turnover intention.Conclusion According to the results, reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, strong psychological coping mechanism for work stress, should be taken seriously to improve job satisfaction. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.

scholarly journals The Influence of Job Satisfaction, Resilience and Work Engagement on Turnover Intention among Village Doctors in China：a cross-sectional study

2020 ◽  
Author(s):  
Xuewen Zhang ◽  
Liyan Bian ◽  
Xue Bai ◽  
Dezhong Kong ◽  
Li Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Negative Impact ◽  
Mediating Effect ◽  
High Turnover ◽  
Rural Residents ◽  
Bivariate Correlation ◽  
Village Doctors ◽  
Negative Effect

Abstract Background: As the gatekeepers of rural residents’ health, teams of village doctors play a vital role in improving rural residents’ health. However, the high turnover of village doctors – both individually and collectively – threaten the stability of village medical teams. This research evaluated the influence of job satisfaction, resilience , and work engagement on the turnover intention of village doctors, and explored the mediating role of resilience and work engagement between job satisfaction and the turnover intention of village doctors in China. Methods: A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among village doctors with a sample size of 2693 from 1345 rural clinics in Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on available literature, and measured on a 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA), and Structural Equation Modelling (SEM) were used. Results: As high as 46.9% of participants had a high turnover intention and no less than 26.3% of participants had a medium turnover intention. Job satisfaction not only has a direct negative effect on turnover intention(β=-0.37, p < 0.001), but also an indirect effect through work engagement(β= -0.04, p < 0.001), which has a direct negative impact on turnover intention (β= -0.13, p < 0.002) , and resilience had an indirect negative effect on turnover intention through the mediating effect of work engagement(β= -0.09, p < 0.001). The results of this study strongly verified that job satisfaction, resilience, and work engagement were early, powerful predicators of turnover intention. Conclusion: According to the results, the following should be taken seriously to improve job satisfaction: reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, and strong psychological coping mechanisms for work stress. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.

scholarly journals The Influence of Job Satisfaction, Resilience and Work Engagement on Turnover Intention among Village Doctors in China：a cross-sectional study

2019 ◽  
Author(s):  
Xuewen Zhang ◽  
Liyan Bian ◽  
Xue Bai ◽  
Dezhong Kong ◽  
Li Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Negative Impact ◽  
Mediating Effect ◽  
High Turnover ◽  
Rural Residents ◽  
Bivariate Correlation ◽  
Village Doctors ◽  
Negative Effect

Abstract Background: As the gatekeepers of rural residents’ health, teams of village doctors play a vital role in improving rural residents’ health. However, the high turnover of village doctors – both individually and collectively – threaten the stability of village medical teams. This research evaluated the influence of job satisfaction, resilience, and work engagement on the turnover intention of village doctors, and explored the mediating role of resilience and work engagement between job satisfaction and the turnover intention of village doctors in China. Methods: A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among village doctors with a sample size of 2693 from 1345 rural clinics in Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on available literature, and measured on a 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA), and Structural Equation Modelling (SEM) were used. Results: As high as 46.9% of participants had a high turnover intention and no less than 26.3% of participants had a medium turnover intention. Job satisfaction not only has a direct negative effect on turnover intention(β=-0.37, p < 0.001), but also an indirect effect through work engagement(β= -0.04, p < 0.001), which has a direct negative impact on turnover intention(β= -0.13, p < 0.002), and resilience had an indirect negative effect on turnover intention through the mediating effect of work engagement(β= -0.09, p < 0.001). The results of this study strongly verified that job satisfaction, resilience, and work engagement were early, powerful predicators of turnover intention. Conclusion: According to the results, the following should be taken seriously to improve job satisfaction: reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, and strong psychological coping mechanisms for work stress. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.

scholarly journals The influence of personality, alexithymia and work engagement on burnout among village doctors in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xuewen Zhang ◽  
Xue Bai ◽  
Liyan Bian ◽  
Min Wang
Keyword(s):  
Work Engagement ◽  
Time Management ◽  
Structural Equation ◽  
Job Burnout ◽  
Mediating Effect ◽  
Rural Residents ◽  
Cross Sectional ◽  
Village Doctors ◽  
Negative Effect ◽  
Positive Effect

Abstract Background In China, as the “gatekeepers”of rural residents’ health, the primary-level village doctors, play a very crucial role in ensuring and serving the health level of rural residents. However, the burnout of village doctors is gravely threatening the stability of rural primary medical system step by step. This study systematically evaluated the effects of personality, work engagement and alexithymia on burnout of village doctors, and further measured and assessed the mediating effect of alexithymia and work engagement in the association between personality and burnout. Methods The subjects were 2684 village doctors in Jining, Shandong Province, China, from May to June 2019. Sociodemographic characteristics, alexithymia, personality, work engagement and job burnout were quantitated by self-completed questionnaire and measured by Likert 5–7 scale. One-way ANOVA, Person correlation analysis, and Structural Equation Modelling (SEM) were used for statistical analysis and mediating effect evaluation. Results 2693 questionnaires were collected in total, of which 2684 were valid, with an effective rate of 96.2%. 65.2% of village doctors were diagnosed with burnout, and 54.3% showed moderate to severe emotional exhaustion, 61.6% showed moderate to severe low sense of personal achievement, and 33.9% showed moderate to severe depersonalization burnout. Personality had a direct positive effect on work engagement (β = 0.50, p < 0.001), a direct negative effect on alexithymia (β = − 0.52, p < 0.001) and burnout (β = − 0.50, p < 0.001) respectively. Work engagement had a direct negative effect on burnout (β = − 0.10, p < 0.001), while alexithymia had a direct positive effect on burnout (β = 0.16, p < 0.001). In the path between personality and burnout, both work engagement 95%CI:(− 0.17)–(− 0.08), and alexithymia 95%CI:(− 0.36)–(− 0.09), have significant mediating effects. These results strongly confirm that personality, alexithymia, and work engagement are early and powerful predicators of burnout. Conclusion According to the results, medical administrators should pay attention to the personality characteristics of village doctors in vocational training, practice selection and job assignment, encourage village doctors to reflect on their own personality actively, and to reduce job burnout by obtaining necessary social support, constructing reasonable achievable career expectations, improving time management ability, and participating in psychological counselling programs.

scholarly journals Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: evidence from a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tao Zhang ◽  
Jing Feng ◽  
Heng Jiang ◽  
Xin Shen ◽  
Bo Pu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Professional Identity ◽  
General Practitioners ◽  
Turnover Intention ◽  
Structural Equation ◽  
Maslach Burnout Inventory ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Cross Sectional Survey ◽  
Negative Effect

Abstract Background The complex interrelationships between professional identity, job satisfaction, burnout, and turnover intention among general practitioners (GPs) are insufficiently understood in China. This study aimed to investigate the interrelationships between professional identity, job satisfaction, burnout, and turnover intention in China, and to examine whether job satisfaction and burnout played mediating roles between professional identity and turnover intention. Methods A cross-sectional survey was conducted between October, 2017 and February, 2018 in China. The participants were selected using a multistage stratified random sampling method. Data were collected with a self-administered questionnaire from 3236 GPs (response rate, 99.8%) working in community health institutions in China. Professional identity was measured by the 13 items scale, and job satisfaction scale with an 11-item designed by Shi et al. was employed. Burnout was measured using a 22-item Maslach Burnout Inventory-Human Services Survey, and turnover intention was measured with a 6 items scale. Descriptive statistics were calculated and groups’ differences were estimated Student’s t-test and analyses of variance. Pearson’s correlation analysis was used to assess the degree of correlation among different dimensions of professional identity, job satisfaction, burnout, and turnover intention. Structural equation modeling analysis was applied to examine the interrelationships among these study variables based on the hypothesized model. Results The proposed model achieved a good model fit. Job satisfaction had a direct negative effect on turnover intention (β = − 0.38, P < 0.001), burnout had a direct positive effect on turnover intention (β = 0.37, P < 0.001), and professional identity had an indirect negative effect on turnover intention through the mediating effect of job satisfaction and burnout. Conclusions Our study elucidated the pathways linking professional identity, job satisfaction, and burnout to turnover intention of GPs. This revealed that turnover intention was significantly affected by job satisfaction and burnout, and the effects of professional identity on turnover intention can be mediated by job satisfaction and burnout.

Job crafting and turnover intention: The mediating role of work engagement and job satisfaction

2020 ◽  
Vol 48 (2) ◽  
pp. 1-9 ◽  
Author(s):  
Taotao Zhang ◽  
Bingxiang Li
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Employee Turnover ◽  
Structural Equation ◽  
Job Crafting ◽  
Equation Modeling ◽  
Employee Turnover Intention ◽  
Validated Questionnaire

The aims in this study were to examine the influence of job crafting, job satisfaction, and work engagement on employee turnover intention, and to investigate the role of work engagement and job satisfaction as mediators in the relationship between job crafting and employee turnover intention. A validated questionnaire was used to collect data from 212 employees of a service company in China. The results of structural equation modeling showed that work engagement and job satisfaction partially mediated the job crafting–turnover intention relationship. These findings extended prior research and confirmed that job crafting, job satisfaction, and work engagement were each a predictor of employee turnover intention. These findings suggest that the turnover intention of employees could be reduced through generating job-crafting behaviors, and by improving job satisfaction and work engagement.

scholarly journals JOB OUTCOMES PADA PROFESI AKUNTAN DI DAERAH ISTIMEWA YOGYAKARTA: MODAL SOSIAL SEBAGAI VARIABEL ANTESEDEN

2018 ◽  
Vol 7 (2) ◽  
pp. 135-149
Author(s):  
Arya Samudra Mahardhika
Keyword(s):  
Job Satisfaction ◽  
Social Capital ◽  
Job Performance ◽  
Turnover Intention ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling ◽  
Job Outcomes ◽  
Cognitive Dimension ◽  
Negative Effect

Abstract One of the important aspect in improving employees’ job performance is social capital. Social capital consists of three dimensions: the structural dimension, cognitive dimension and relational dimension (Leana and Buren III, 1999; Leana and Pil, 2006). This study aimed to investigate the influence of social capital on employees’ job outcomes (job performance, job satisfaction, and turnover intention). This study used sample of the accounting professions (staff accountants and management accountants) at companies in Yogyakarta. The number of samples in this study were 105 respondents. This hypotheses were tested using Structural Equation Modeling-Partial Least Square (PLS-SEM) using software WarpPLS 3.0. The results of this study found that structural dimensions and dimension relational effect on job outcomes, which is a positive influence on job performance and job satisfaction, as well as the negative effect on the desire out, while the cognitive dimension show a positive effect on job satisfaction and the negative effect on turnover intention but did not show influence on job.

Linking innovative human resource practices, employee attitudes and intention to leave in healthcare services

2017 ◽  
Vol 39 (1) ◽  
pp. 34-53 ◽  
Author(s):  
Panagiotis V. Kloutsiniotis ◽  
Dimitrios M. Mihail
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Affective Commitment ◽  
Intention To Leave ◽  
Well Being ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Content Type ◽  
Positive Effects ◽  
Positive Effect

Purpose Following an “employee-centric” approach, the purpose of this paper is to examine the effects of high-performance work systems (HPWS) on employees’ work engagement and job satisfaction, and the mediating effect of these variables on employees’ affective commitment and intention of leaving their hospital. Design/methodology/approach Structural equation modeling was used on a sample of 296 clinicians (doctors and nurses) across seven Greek regional hospitals. Findings The findings indicate a strong positive effect of HPWS on employees’ job satisfaction, affective commitment, and work engagement and a negative effect on their intention to leave. In addition, employees’ engagement and job satisfaction positively mediate the HPWS effects on employees’ affective commitment and negatively on their intention to leave. Practical implications The findings not only validate previous studies’ conclusions, but also provide evidence for the potential fruitfulness of the HPWS approach in improving employees’ outcomes and well-being in turbulent times. Originality/value Although the argument that HPWS has a positive effect on organizational performance and productivity is well established, there are considerably fewer studies that examine the positive effects of HPWS specifically on employees’ job attitudes and outcomes, and the processes through which HPWS influences health-related outcomes. Finally, this study confirms the argument that HPWS can be a fruitful approach even in a country severely affected by Europe’s debt crisis over the last five years.

scholarly journals PERAN CAREER PLATEAU DAN KEPUASAN KERJA DALAM MEMBENTUK TURNOVER INTENTION

2018 ◽  
Vol 26 (2) ◽  
pp. 163
Author(s):  
Rauly Sijabat
Keyword(s):  
Job Satisfaction ◽  
Turnover Intention ◽  
Structural Equation ◽  
Sem Analysis ◽  
Primary Data ◽  
Equation Modeling ◽  
Turnover Rates ◽  
High Turnover ◽  
Career Plateau ◽  
Negative Effect

High employee turnover rates are a classic problem that companies often encounter. The high turnover intensity can create instability and uncertainty about the condition of the workforce and the company itself. The results of previous research studies that have not been conclusive, led this study to examine the turnover intention with the career plateau approach and job satisfaction.Model and hypotheses were tested using primary data obtained through interviews using questionnaires on 100 respondents. The data obtained are then analyzed by using Structural Equation Modeling (SEM) analysis technique. The result of statistic test showed that career plateau proved to have a significant negative effect on job satisfaction, the career plateau proved to have a significant positive effect on turnover intention, and job satisfaction had a negative effect on turnover intention.

Rationale and Design of a Cluster Randomized Trial of a Village Doctor-Led Intervention on Hypertension Control in China

2021 ◽  
Author(s):  
Yingxian Sun ◽  
Zhao Li ◽  
Xiaofan Guo ◽  
Ying Zhou ◽  
Nanxiang Ouyang ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Village Doctor ◽  
Health Coaching ◽  
Multifaceted Intervention ◽  
Hypertension Control ◽  
Rural Residents ◽  
Village Doctors ◽  
Cluster Randomized ◽  
The Village

Abstract Background In China, hypertension prevalence is high and increasing while the control rate is low, especially in rural areas. Traditionally, village doctors play an important role in infectious disease control and delivering essential health services to rural residents. We aim to test the effectiveness of a village doctor-led multifaceted intervention compared to usual care on blood pressure (BP) control and cardiovascular disease (CVD) among rural residents with hypertension in China. Methods In the China Rural Hypertension Control Project (CRHCP), a cluster randomized trial, 163 villages were randomly assigned to the village doctor-led intervention and 163 villages to control. A total of 33,995 individuals aged ≥40 years with an untreated BP ≥140/90 mmHg or treated BP ≥130/80 mmHg or with an untreated BP ≥130/80 mmHg and a history of clinical CVD were recruited into the study. The village doctor-led multifaceted intervention is designed to overcome barriers at the healthcare system, provider, patient, and community levels. Village doctors receive training on standard BP measurement, protocol-based hypertension treatment, and health coaching. They also receive technical support and supervision from hypertension specialists/primary care physicians and performance-based financial incentives. Study participants receive health coaching on home BP monitoring, lifestyle changes, and adherence to medications. The primary outcome is BP control (&lt;130/80 mmHg) at 18 months in phase 1 and CVD events over 36 months in phase 2. Conclusions The CRHCP will provide critically important data on the effectiveness, implementation, and sustainability of a hypertension control strategy in rural China for reducing the BP-related CVD burden. Clinical trials registration ClinicalTrials.gov identifier NCT03527719

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