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

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.

Relationship between Employee’s Satisfaction, Engagement and Turnover Intention

“…Moving on, study conducted by Zhang et al (2020) has also showed supporting result towards result obtained by author of which based on their study that has the aim to evaluate the influence of job satisfaction, resilience, and work engagement on turnover intention, and explored the mediating role of work engagement and resilience between job satisfaction and the turnover intention of village doctors in China. It was found out that both job satisfaction and work engagement have a direct negative effect towards turnover intention of which are in line with result obtained by the author.…”

Relationships Between Job Stress, Psychological Adaptation and Internet Gaming Disorder Among Migrant Factory Workers in China: The Mediation Role of Negative Affective States

“…Some potentially important mediators between job stress and IGD need to be further explored in future work. For example, great workload may lead to work-life imbalance and unhealthy lifestyle ( Cheung and Yip, 2016 ; Zhang, 2020 ), including excessive Internet gaming. Other dimensions of job stress, such as role and dignity as well as utilization of skills, may be associated with one’s self-esteem and self-efficacy which may further influence IGD.…”