Dataset Information

Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.

ABSTRACT:

Background

General Practitioners (GPs) report high levels of burnout, job dissatisfaction, and turnover intention. The complexity of presenting problems to general practice makes diagnostic uncertainty a common occurrence that has been linked to burnout. The interrelationship between diagnostic uncertainty with other factors such as burnout, job satisfaction and turnover intention have not been previously examined.

Objectives

To examine associations between diagnostic uncertainty, emotional exhaustion (EE), depersonalization (DP), job satisfaction, and turnover intention in GPs.

Methods

Seventy general practices in England were randomly selected through the Oxford-Royal College of General Practitioners Research and Surveillance Centre (RCGP-RSC). A total of 348 GPs within 67 these practices completed a 10-item online questionnaire which included questions on GP characteristics, work-life balance, job satisfaction, sickness presenteeism, diagnostic uncertainty, turnover intention as well as EE and DP. Associations between diagnostic uncertainty and each of EE, DP, job satisfaction, and turnover intention were evaluated in multivariate mixed-effect ordinal logistic regressions whilst adjusting for covariates, to account for the correlation in the three outcomes of interest.

Results

Almost one-third of GPs (n = 101; 29%) reported experiencing >10% of diagnostic uncertainty in their day-to-day practice over the past year. GPs reporting greater diagnostic uncertainty had higher levels of EE [OR = 3.90; 95% CI = (2.54, 5.99)], job dissatisfaction [OR = 2.01; 95% CI = (1.30, 3.13)] and turnover intention [OR = 4.51; 95% CI = (2.86, 7.11)]. GPs with no sickness presenteeism had lower levels of EE [OR = 0.53; 95% CI = (0.35, 0.82)], job dissatisfaction [OR = 0.56; 95% CI = (0.35, 0.88)], and turnover intention [OR = 0.61; 95% CI = (0.41, 0.91)].

Conclusion

Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care.

SUBMITTER: Zhou AY

PROVIDER: S-EPMC9360551 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.

Zhou Anli Yue AY Zghebi Salwa S SS Hodkinson Alexander A Hann Mark M Grigoroglou Christos C Ashcroft Darren M DM Esmail Aneez A Chew-Graham Carolyn A CA Payne Rupert R Little Paul P de Lusignan Simon S Cherachi-Sohi Sudeh S Spooner Sharon S Zhou Andrew K AK Kontopantelis Evangelos E Panagioti Maria M

Frontiers in psychiatry 20220726

<h4>Background</h4>General Practitioners (GPs) report high levels of burnout, job dissatisfaction, and turnover intention. The complexity of presenting problems to general practice makes diagnostic uncertainty a common occurrence that has been linked to burnout. The interrelationship between diagnostic uncertainty with other factors such as burnout, job satisfaction and turnover intention have not been previously examined.<h4>Objectives</h4>To examine associations between diagnostic uncertainty, ...[more]

PMID: 35958644

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Project description:BackgroundA high turnover rate in nursing has become a global concern. Mental health issues may increase the turnover intention of nurses and lead to turnover behaviors. However, very little is known about the role of bidirectional associations between emotional exhaustion and depression/anxiety on turnover intention. This study aimed to examine the associations among depression, anxiety, emotional exhaustion and turnover intention, and to test the role of bidirectional associations between depression, anxiety, and emotional exhaustion on turnover intention among nurses.MethodsAn online multicenter cross-sectional study was conducted in Hunan Province, China, from December 2021 to February 2022. The questionnaire collected data from the Turnover Intention Scale, the Emotional Exhaustion Scale, the Patient Health Questionnaire-2, and the Generalized Anxiety Disorder Scale-2, as well as sociodemographic information. Data analysis was performed by univariate analysis, Pearson correlation analysis, multiple linear regression analysis, and structural equation modeling.ResultsThe average turnover intention score among Chinese nurses was 14.34 ± 3.75. The prevalence of depression and anxiety was 25.9% and 22.3%, respectively. Depression (r = 0.378, P < 0.001), anxiety (r = 0.391, P < 0.001), and emotional exhaustion (r = 0.532, P < 0.001) were positively associated with turnover intention. Emotional exhaustion partially mediated the associations between depression/anxiety and turnover intention, with both mediating effects accounting for 60.7%. The mediating ratios of depression/anxiety on the associations between emotional exhaustion and turnover intentions were 17.6% and 16.5%, respectively.ConclusionsDepression, anxiety, and emotional exhaustion showed significant positive effects on turnover intention among nurses. Emotional exhaustion played a partial mediation role between depression/anxiety and turnover intention, while depression/anxiety played no significant mediation role between emotional exhaustion and turnover intention.

Project description:BackgroundTurnover among general practitioners (GPs) is an issue of growing concern. Therefore, identification of the variables which associated with GPs' decision in staying in or leaving their employer institutions is necessary.ObjectiveThe aim of this study was to investigate the relationship between work stress, job satisfaction, and turnover intention, and explore factors associated with turnover intention of GPs in China.MethodsWe conducted a cross-sectional survey among GPs in 6 provinces in China, utilizing a combination of stratified and purposive sampling methods, from April to October 2019. Data were collected using self-administered questionnaires and scales measuring their demographic characteristics, work stress, job satisfaction, and turnover intention. Statistical methods such as t test, one-way analysis of variance (ANOVA), multiple linear regression, exploratory factor analysis (EFA), and structural equation modeling (SEM) were used.ResultsOut of 386 GPs, 10.4% had higher turnover intention and 31.9% had medium turnover intention. The mean score of the overall perception of turnover intention of GPs was 2.24 on a scale ranging from 1 to 6. Over 80.0% of GPs had moderate to high level work stress. The facets that GPs were most dissatisfied were payment, welfare, training opportunity and career development. professional title, practicing setting, and work intensity associated with turnover intention (P < 0.05) significantly. Work stress, not only directly associated with turnover intention (β = 0.608, P < 0.001), but also presented an indirect association on turnover intention through job satisfaction (β = 0.042, P < 0.05). Meanwhile, job satisfaction also had a direct negative effect on turnover intention (β=-0.345, P < 0.001).ConclusionsWork stress, job satisfaction, professional title, practicing setting, and work intensity were influencing factors on turnover intention in Chinese GPs. Work stress had not only positive direct effects on turnover intention, but also had an indirect effect on turnover intention through job satisfaction as a mediator. Reducing workload, raising income, providing more opportunities for training and career development could potentially contribute to retaining and attracting GPs.

Project description:BackgroundYoung nurses are the backbone of the intensive care unit nursing team. Their turnover intentions not only directly impact the physiological health and life outcomes of critically ill patients but also significantly affect the efficient operation of the healthcare system. Previous research has noted the association between nurse emotional exhaustion and turnover intentions. However, few studies have examined how both external and internal resources simultaneously moderate this relationship, especially among young intensive care unit nurses. This study explore the potential mechanisms by which emotional exhaustion affects turnover intentions among young intensive care unit nurses. On this basis, it investigates how organizational justice and organizational-based self-esteem, as critical work resources, moderate the relationship between emotional exhaustion and turnover intentions.MethodsA cross-sectional survey design was adopted. A total of 490 questionnaires were distributed, with a final valid response rate of 91.2%. SPSS 27.0 was utilized for descriptive analysis and Pearson correlation analysis. AMOS 25.0 was employed to construct the Structural Equation Model and the Bootstrap test.ResultsEmotional exhaustion among young intensive care unit nurses positively predicts turnover intention, with job performance playing a mediating role. The indirect effect of job performance accounts for 3.24% of the total effect. Organizational justice and organizational-based self-esteem respectively moderated the relationship between emotional exhaustion and turnover intention. The combined indirect effects accounted for 17.18% and 12.76% of the total effect, respectively. Organizational justice and organizational-based self-esteem, as well as organizational justice, organizational-based self-esteem, and job performance, respectively played a chain mediating role between emotional exhaustion and turnover intention. The indirect effect accounted for 3.82% and 3.63% of the total effect, respectively.ConclusionEmotional exhaustion has a positive predictive effect on turnover intention among young intensive care unit nurses, with job performance playing a mediating role. Organizational justice and organizational-based self-esteem, as key work resources, moderated this relationship, mitigating the impact of emotional exhaustion on turnover intention.Clinical trial numberNot applicable.

Dataset Information

Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.

Background

Objectives

Methods

Results

Conclusion

Publications

Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.

Similar Datasets

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