Abstract
BackgroundThe shortage of primary medical staff is an important issue in the management of health human resources, and it is also a problem that all countries in the world need to face together. Since 2009, China has implemented a new series of medical system reforms and the shortage and loss of primary medical staff have been alleviated accordingly. However, China has a large population and it is difficult to distribute health human resources evenly across regions. This study aimed to explore the current status of turnover intention and its relationship with psychological capital, social support, and job burnout, as well as how these factors influence turnover intention of primary medical staff in Anhui province, China.MethodsUsing structured questionnaires to collect data, including demographic characteristics, turnover intention, psychological capital, social support, and Chinese Maslach Burnout Inventory scale. A total of 1152 primary medical workers of Anhui were investigated. Data were analyzed by t-test, analysis of variance (ANOVA), Pearson correlation analysis, and multiple linear regression model.ResultsTotal scores of turnover intention, psychological capital, social support, and job burnout of subjects were 14.15 ± 4.35, 100.09 ± 15.98, 64.93 ± 13.23 and 41.07 ± 9.437, respectively. Multiple linear regression showed the related factors of turnover intention were age, job position, work unit, and scores of job burnout. Pearson correlation showed psychological capital and social support were negatively correlated with turnover intention, while the score of job burnout was positively correlated with turnover intention.ConclusionThe improvement of psychological capital and social support and the reduction of job burnout may play an important role in reducing turnover intention of primary medical staff. Primary medical managers should strengthen the humanistic care for primary medical staff, optimize the incentive mechanism, and improve internal management of medical institutions for stability.
Highlights
The shortage of primary medical staff is an important issue in the management of health human resources, and it is a problem that all countries in the world need to face together
Our study focused on primary medical staff in Anhui to understand the status of their turnover intention, analyze the influencing factors of their turnover intention, and explore the relationship between psychological capital, social support, and job burnout and their turnover intention
The results showed a negative correlation between turnover intentions and psychological capital and social support (p < 0.05) and a positive correlation with job burnout (p < 0.05)
Summary
The shortage of primary medical staff is an important issue in the management of health human resources, and it is a problem that all countries in the world need to face together. With the outbreak of the coronavirus pandemic, a Chinese scholar proposed implementing various prevention and control measures in the community [3] This pandemic highlights the necessity of primary medical staff; it creates problems for them like increased workload, work pressure and job burnout, and reduced job satisfaction, having profound effects on job satisfaction and enthusiasm. During the Third Global Forum on Human Resources for Health, WHO revealed that by 2035, the world will have 12.9 million less medical staff members Under this circumstance, WHO has proposed a series of evidence-based global policy recommendations promoting the enthusiasm of medical staff in remote and rural areas by improving working conditions and creating incentives [7]
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