Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey

Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey

ObjectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.DesignCross-sectional survey.Sett...

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Published in:BMJ open Vol. 12; no. 4; p. e061922
Main Authors: Sun, Xiaoting, Zhang, Mengmeng, Lu, Zhanghong, Zhang, Zhaoyu, Zheng, Jialin Charlie, Cheng, Liming, Zeng, Lianhua, Qian, Yingli, Huang, Lei
Format: Journal Article
Language:English
Published: England British Medical Journal Publishing Group 11-04-2022
BMJ Publishing Group LTD
BMJ Publishing Group
Series:Original research
Subjects:
Attitudes
Burnout
Burnout, Professional - psychology
Careers
China
Cross-Sectional Studies
Employee turnover
Employment
health policy
Hospitals
Humans
Intention
Internship and Residency
Job satisfaction
medical education & training
Medical Education and Training
Physicians
Public health
Working hours
Workloads
China
public health
health policy
medical education & training
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Abstract ObjectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.DesignCross-sectional survey.SettingTen institutions from five geographical areas in China.Methods1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects.ResultsThe mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=−0.135), year of training (β=−0.687), career in medicine (β=−2.191), necessity of training (β=−0.695) and satisfaction with income (β=−1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators.ConclusionsThe turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
AbstractList OBJECTIVESThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention. DESIGNCross-sectional survey. SETTINGTen institutions from five geographical areas in China. METHODS1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects. RESULTSThe mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=-0.135), year of training (β=-0.687), career in medicine (β=-2.191), necessity of training (β=-0.695) and satisfaction with income (β=-1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators. CONCLUSIONSThe turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
ObjectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.DesignCross-sectional survey.SettingTen institutions from five geographical areas in China.Methods1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects.ResultsThe mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=−0.135), year of training (β=−0.687), career in medicine (β=−2.191), necessity of training (β=−0.695) and satisfaction with income (β=−1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators.ConclusionsThe turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
Objectives This study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention.Design Cross-sectional survey.Setting Ten institutions from five geographical areas in China.Methods 1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects.Results The mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=−0.135), year of training (β=−0.687), career in medicine (β=−2.191), necessity of training (β=−0.695) and satisfaction with income (β=−1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators.Conclusions The turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
This study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention. Cross-sectional survey. Ten institutions from five geographical areas in China. 1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects. The mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=-0.135), year of training (β=-0.687), career in medicine (β=-2.191), necessity of training (β=-0.695) and satisfaction with income (β=-1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators. The turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
Author Sun, Xiaoting
Cheng, Liming
Zeng, Lianhua
Huang, Lei
Lu, Zhanghong
Zhang, Zhaoyu
Zheng, Jialin Charlie
Qian, Yingli
Zhang, Mengmeng
AuthorAffiliation 2 Department of Psychiatry , Tongji Hospital, Tongji University School of Medicine , Shanghai , China
4 Teaching office , Renmin Hospital of Wuhan University , Wuhan , Hubei , China
1 Postdoctoral station , Shanghai Tenth People’s Hospital Affiliated to Tongji University , Shanghai , China
6 Department of Orthopedics , Tongji Hospital, Tongji University School of Medicine , Shanghai , China
3 Tongji University School of Medicine , Shanghai , China
5 Dean's Office , Tongji University School of Medicine , Shanghai , China
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– name: 2 Department of Psychiatry , Tongji Hospital, Tongji University School of Medicine , Shanghai , China
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  email: huanglei@tongji.edu.cn
  organization: Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35410941$$D View this record in MEDLINE/PubMed
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health policy
medical education & training
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Snippet ObjectivesThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national...
This study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised...
OBJECTIVESThis study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national...
Objectives This study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national...
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SubjectTerms Attitudes
Burnout
Burnout, Professional - psychology
Careers
China
Cross-Sectional Studies
Employee turnover
Employment
health policy
Hospitals
Humans
Intention
Internship and Residency
Job satisfaction
medical education & training
Medical Education and Training
Physicians
Public health
Working hours
Workloads
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Title Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey
URI http://dx.doi.org/10.1136/bmjopen-2022-061922
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