Associations between professional identity and turnover intent in prehospital emergency physicians: The mediating effect of burnout

Abstract

ContextThe prehospital emergency system is essential for reducing mortality and disability in emergency patients. However, the high turnover rate of prehospital emergency physicians (PEPs) remains the most prominent problems in the prehospital emergency system. Turnover intent (TI) is predictive of actual turnover behavior; however, previous studies have mainly focused on sociodemographic factors and job characteristics, ignoring many other potential psychological factors, such as professional identity (PI) and job burnout (JB).ObjectivesTo measure the level of PI, JB, and TI of PEPs in Beijing, China. We analyze the distribution of TI in different social demography PEPs and then further explore the influence of PI and JB on TI, to provide a reference and suggestions for government departments to reduce the TI of PEPs.MethodsAn online questionnaire was distributed to 552 PEPs in Beijing, and a total of 533 valid questionnaires were included. T-test and variance analysis were used to examine the differences in the distribution of TI among different sociodemographic PEPs. Pearson's correlation analysis was used to test the correlation between PI, JB, and TI. The SEM was used to analyze the relationships among PI, JB, and TI.ResultsUnivariate analysis showed that age, marital status, education, professional title, work experience, department and hukou were significantly associated with TI. Pearson's correlation analysis showed that PI was negatively associated with JB and TI, and JB was positively associated with TI. Professional treatment identity (PTI, β = −0.24, 95% CI: −0.38~-0.11), professional meaning identity (PMI, β = −0.12, 95% CI: −0.23~0.03), and emotional exhaustion (EE, β = 0.40, 95% CI: 0.28~0.51) seem to have direct impacts on TI. Given the mediating role played by EE, PTI may have an indirect negative effect on TI (β = −0.24, 95% CI: −0.32~0.16).ConclusionPI and JB of PEPs in China are closely related to TI, which may have unexpected effects on government departments to stabilize the team of PEPs through a series of control measures. According to the above results, the professional treatment of PEPs needs to be improved, and external learning opportunities should be increased. Legalization of medical rescue workers should also be on the agenda.

Effects of work-family conflict on turnover intention among primary medical staff in Huaihai Economic Zone: a mediation model through burnout

“…The motivation and tendency of in-service personnel to leave their current position is called turnover intention, which is a subjective factor that previously led to turnover behavior ( 10 ). Studies have found that turnover intention is associated with professional identity, work environment, burnout, job satisfaction, and stress ( 11 , 12 ). Scholars in China and abroad have shown through research on the current situation of medical staff that there is a significant positive correlation between burnout and turnover intention, namely, the higher the level of burnout among medical staff, the higher their turnover intention ( 13 – 17 ).…”

“…Although more and more research focuses on this relationship between work-family conflict and turnover intention among primary medical staff, there is limited research on the mediating role between work-family conflict and turnover intention. Especially in China, there is currently little research on the turnover intention of primary medical staff, and most studies focus solely on the turnover intention of doctors or nurses ( 12 , 16 , 17 , 22 , 23 , 35 , 37 ). In rare studies on the turnover intention of primary medical staff, burnout and turnover intention have been involved, but the relationship between work-family conflict and primary medical staff turnover intention has not been explored ( 7 , 9 ).…”

Relationships among perceived social support, mindful self-care, and resilience among a sample of nurses in three provinces in China: a cross-sectional study

“…Categorical data are presented as percentages ( 41 ). Secondly, in order to explore differences in resilience scores among multiple sociodemographic variables, independent sample t-test ( 42 ) or one-way analysis of variance (ANOVA) was used. Pearson correlation analysis was used to determine the correlation between perceived social support, mindful self-care, and resilience.…”

Moral distress, psychological capital, and burnout in registered nurses

“…15,16 In addition, personal factors such as demographic characteristics, psychological capital, and emotional intelligence, also play crucial roles in burnout. 17,18 Burnout among nurses has been associated with various negative consequences, including mental and physical illnesses, 19 turnover intention, 20 decreased job satisfaction, 21 and worse quality of care, 22 which challenge both the individuals and healthcare institutions. Thus, predicting the burnout among nurses is very important for nursing management.…”