The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study

1. 1
SEP, 2017
The relationship between
job satisfaction, work stress, work–family conflict,
and turnover intention among physicians
in Guangdong, China: a cross-sectional study
Stress
Management
Phuong Nguyen
Quan Nguyen
Quim Macià
Yong Lu, Xiao-Min Hu, Xiao-Liang Huang, Xiao-Dong Zhuang, Pi Guo,
Li-Fen Feng, Wei Hu, Long Chen, Huachun Zou, Yuan-Tao Hao

2. 2
Context, model, past studies,
purpose
INTRODUCTION
Sample, Measure,
Intervention/Procedure
METHOD
2
1
RESULTS
3
Conclusion, comparison,
limitation and suggestion
DISCUSSION
2
Methods

3. 3
INTRODUCTION
• Guangdong Province, China (Southern China)
• Investigate the relation -- Between -- Job
Satisfaction, Work stress, work- family conflict and
turnover intention among Physicians.
• Public hospitals had turnover intention -- because of
concerns about burnout, lack of support and chance
of promotion.
 Problem development system.

4. 4
INTRODUCTION
• Turnover intention – affected:
 Job strain, Workplace violence, Physician burnout, Job satisfaction, Organizational,
Others.
• There was no study on turnover intention among physicians in Guangdong since the most recent
health system reform (2009–2012). After we had our studio.
• In 2009 - fixed basic salary and performance.

5. 5
INTRODUCTION
• The purposes of this study were:
 Assess the turnover intention of physicians in Guangdong
 Explore the relationship - between - turnover intention and job satisfaction,
work stress and work–family conflict.

6. 6
METHOD
- Population: 192,107 physicians
- Sample: 3963
- Multistage stratified cluster random sampling
Participants and samplingSection 1 (Basic)
Socio-demographic information
Section 2 to 5
(Variables measured) - Likert scale
Job satisfaction: 8 items
Work stress: 4 items
Turnover intention: 4 items
Work–family conflict
- Questionnaire
- Survey in 5 sections
- Testing the questionnaire: EFA and CFA
Measuring instrument

7. 7
METHOD
- Binary logistic regression : whether the items of
job satisfaction, work stress and work–family
conflict dimensions could significantly affect
turnover intention
- SEM: verify the relationship between factors
Statistical analysisHypothetical model and hypothesis
Factors Influence
(negative/positive)
Factors
1 Job satisfaction Turnover
intention
2 Work stress Turnover
intention
3 Work stress Job satisfaction
4 Work-family conflict Turnover
intention
5 Work-family conflict Job satisfaction
6 Work-family conflict Work stress
(-)
(-)
(+)
(+)
(+)
(-)
Work
Stress
Job
Satisfaction
Work-family
Conflict
Turnover
intention
latent variable

8. 8
RESULTS
Socio-demographic information of participants
• 89.91%
02
RESPONSE
01
• 37.9% female, 62.1% male
03GENDER
• Average: 37.6±8.5
AGE
• 89.91%
05
MARITAL STATUS
04
• Bachelor’s degree: 57.6%
06
EDUCATION BACKGROUND
• Chief physician: 20.3%
• Resident physician: 39.5%
• Attending physician: 30.6%
PROFESSION STATUS
• Over 40h/week: 68.5%
• At least 4 night shift/month: 58.9%
08
WORKING HOURS
07
• Average: 14.2±9.5 (y)
09
EARS OF SERVICE
• Hospital: 62.4%
• Others: 37.6%
TYPE OF INSTITUTE

9. 9
RESULTS
Test of study modelsWork
Stress
Job
Satisfaction
Work-family
Conflict
Turnover
intention0.778
0.303
0.109
-1.061
-0.056
-0.139
Factors Influence Factors
1 Job
satisfaction
Turnover intention
2 Work stress Turnover intention
3 Work stress Job satisfaction
4 Work-family
conflict
Turnover intention
5 Work-family
conflict
Job satisfaction
6 Work-family
conflict
Work stress
(-)
(-)
(+)
(+)
(+)
(-)
standardised partial
regression coefficients

10. 10
RESULTS
Test of study models

11. 11
• Turnover Intention differ from countries
• There should be other factor affect to Turnover
intention
Turnover Intention
DISCUSSION
Comparison
• The more working times the higher turnover intention
• Work in rural have higher in turnover intention
• Work in health clinic and community health center higher
turnover than hospital
• Younger physician higher turnover intention
Socio-demographic characteristic

12. 12
• Significant affect turn over
• Consistent with previous studies in other countries
Job satisfaction
DISCUSSION
• Trouble Falling asleep because of work and nerves
caused by work are significant predictors of turnover
intention
• Work stress not only caused a decrease in work ability
and mental health problems but also resulted in
problems of physical function
Work stress
Comparison

13. 13
• Work–family conflict positively influenced turnover
intention, consistent with other researches
Work–family conflict
DISCUSSION
Comparison

14. 14
• Causal relationships between factor
• The instrument in this study was not a commonly
used international scale
DISCUSSION
Limitation
Suggestion

15. 15
• Turnover intention of physicians was significantly
associated with job satisfaction, work stress, work–
family conflict and socio-demographic factors,
including hours worked per week, working in an
urban/rural area, type of institution, and age.
• To reduce turnover intention: focusing on job
satisfaction, work stress and work–family conflict,
especially job satisfaction.
DISCUSSION
Conclusion

16. 16
The end.