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How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians

Author

Listed:
  • Peter Koch

    (Centre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany)

  • Max Zilezinski

    (Business Division Nursing Directorate, Nursing Science, Core-Team III Delirium Management und Dementia Care Charité—University Medicine, 10117 Berlin, Germany)

  • Kevin Schulte

    (Clinic for Internal Medicine, University Medical Centre Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany)

  • Reinhard Strametz

    (Wiesbaden Business School, College RheinMain University of Applied Science, 65183 Wiesbaden, Germany)

  • Albert Nienhaus

    (Centre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany
    Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany)

  • Matthias Raspe

    (Department of Internal Medicine, Infectious Diseases and Pulmonary Medicine, Charite - University Medicine, 10117 Berlin, Germany)

Abstract

German hospitals are now confronted with major challenges from both shortages and fluctuations in the numbers of physicians and nurses. This makes it even more important that physicians and nurses do not prematurely leave patient care. The objective of the present study was to improve our understanding of the factors that trigger intentions to leave the profession. For this purpose, data from 1060 young physicians and nurses in hospital care were analysed. Intentions to leave the profession was assessed with the Copenhagen Psychosocial Questionnaire (COPSOQ). In the first step, the association was determined between intention to leave the profession and the factors of perceived quality of care and job satisfaction. In a second step, a mediation analysis was performed to determine the effect of perceived quality of care after correction for the possible mediator of job satisfaction. There were statistically significant negative associations between perceived quality of care and intention to leave the profession (beta: −2.9, 95% CI: −4.48–−1.39) and job satisfaction and intention to leave the profession (beta: −0.5, 95% CI: −0.64–−0.44). The effect of perceived quality of care on intention to leave the profession was partially mediated by job satisfaction. Thus, high perceived quality of care and high job satisfaction are both important factors that tend to prevent young physicians and nurses from leaving their professions.

Suggested Citation

  • Peter Koch & Max Zilezinski & Kevin Schulte & Reinhard Strametz & Albert Nienhaus & Matthias Raspe, 2020. "How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2714-:d:345786
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    References listed on IDEAS

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    1. Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Linda Boos, 2007. "Deteriorated External Work Environment, Heavy Workload and Nurses' Job Satisfaction and Turnover Intention," Canadian Public Policy, University of Toronto Press, vol. 33(s1), pages 31-48, January.
    2. Anthony Scott & Hugh Gravelle & Steven Simoens & Chris Bojke & Bonnie Sibbald, 2006. "Job Satisfaction and Quitting Intentions: A Structural Model of British General Practitioners," British Journal of Industrial Relations, London School of Economics, vol. 44(3), pages 519-540, September.
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    1. Martina Schmiedhofer & Christina Derksen & Franziska Maria Keller & Johanna Elisa Dietl & Freya Häussler & Reinhard Strametz & Ilona Koester-Steinebach & Sonia Lippke, 2021. "Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses," IJERPH, MDPI, vol. 18(3), pages 1-16, January.

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