ObjectiveTo explore describe the mechanism between work stress, job satisfaction, perceived organizational support and turnover intention amongst family doctors in China, and to provide reference for improving the brain drain of family doctors.MethodUsing convenience sampling, a questionnaire survey was conducted among 2358 family doctors in 13 provinces in eastern, central and western China. Pearson correlation analysis and hierarchical regression analysis were used to explore the effects of job stress, job satisfaction and perceived organizational support on family doctors' turnover intention.ResultsFamily doctors' work stress was positively correlated with turnover intention (β = 0.631, p<0.001), job satisfaction played a partial mediating role in the influence path of work stress on turnover intention (β = 0.9175, p<0.001), perceived organizational support played a moderating role in the relationship between work stress, job satisfaction, and turnover intention (β = 0.124, p<0.05; β = −0.022, p<0.05).ConclusionHospital managers should take corresponding measures to reduce the work stress of family doctors, improve their job satisfaction, and provide more support and attention to family doctors to ensure the stable development of family doctors in China.
Objective This research aims to study the influence mechanism of psychological contract on the turnover intention of primary medical staff in the context of Corona Virus Disease 2019 (COVID‐19) fighting. Methods Six hundred and fifteen primary medical staff from 13 primary health care institutions in Jianghan District, Wuhan City, Hubei Province, China were selected by random sampling. Psychological contract, emotional exhaustion and turnover intention questionnaires were adjusted appropriately according to research needs, and 5‐point Likert scale was used to measure. Results Normal, interpersonal, and developmental contracts were negatively associated with turnover intention. Emotional exhaustion mediated the effects of interpersonal and developmental contracts on turnover intention. Conclusion The government should establish a long‐term incentive mechanism for primary medical staff, fully recognise the work of them in fighting against COVID‐19, pay close attention to the psychological state of them, and carry out timely and effective psychological intervention to alleviate their emotional exhaustion and reduce their turnover intention.
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