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Health services research
Research
The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study
  1. Yong Lu1,
  2. Xiao-Min Hu2,
  3. Xiao-Liang Huang3,
  4. Xiao-Dong Zhuang4,
  5. Pi Guo1,
  6. Li-Fen Feng3,
  7. Wei Hu3,
  8. Long Chen3,
  9. Huachun Zou1,
  10. Yuan-Tao Hao1
  1. 1 Sun Yat-sen University, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, Department of Medical Statistics and Epidemiology, School of Public Health, Guangzhou, Guangdong, China
  2. 2 School of Computer Science and Technology, Guangdong University of Technology, Guangzhou, Guangdong, China
  3. 3 Government Affairs Service Center of Health Department of Guangdong Province, Guangzhou, Guangdong, China
  4. 4 Department of Cardiology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
  1. Correspondence to Dr Xiao-Min Hu; xmhu{at}ieee.org and Xiao-Liang Huang; huxiaom6{at}mail.sysu.edu.cn

Abstract

Objective To investigate the relationship between job satisfaction, work stress, work–family conflict and turnover intention, and explore factors associated with turnover intention, among physicians in Guangdong Province, China.

Methods From August to October 2013, physicians completed questionnaires and scales with regard to their job satisfaction, work stress, work–family conflict, and turnover intention. Binary logistic regression and structural equation modelling (SEM) were used in data analysis.

Results A total of 3963 physicians were approached, with 3563 completing the questionnaire. The mean score of the overall perception of turnover intention of physicians who worked in Guangdong was 2.71 on a scale ranging from 1 to 6. Hours worked per week, working in an urban/rural area, type of institution, and age significantly impacted on turnover intention. Turnover intention was directly and negatively related to job satisfaction, and it was directly, indirectly and positively related to work stress and work–family conflict.

Conclusion Job satisfaction, work stress, work–family conflict, hours worked per week, working in an urban/rural area, types of institution and age are influencing factors of turnover intention. Reducing working hours, raising salary, providing more opportunities for career development and training, supporting and encouraging physicians by senior managers could potentially contribute to the reduction in turnover intention.

  • Turnover intention
  • Job satisfaction
  • Work stress
  • Work-family conflict
  • Physicians

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-014894

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    Footnotes

    • Contributors YL and X-MH drafted the manuscript, performed statistical analyses and involved in the interpretation of the data. X-DZ and PG performed statistical analyses. X-LH, L-FF, WH, and LC played a major role in the field survey. H-CZ and Y-TH made a substantial contribution to the interpretation of the data and involved in revising manuscript. All authors read and approved the final manuscript.

    • Funding The research was financially supported by the Health Department of Guangdong Province, China.

    • Competing interests None declared.

    • Patient consent No patients involved in this study.

    • Ethics approval Health Department of Guangdong Province, China.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement Original data is available on request. Please contact the corresponding author for further information.