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Article

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

1
Centre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany
2
Business Division Nursing Directorate, Nursing Science, Core-Team III Delirium Management und Dementia Care Charité—University Medicine, 10117 Berlin, Germany
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Clinic for Internal Medicine, University Medical Centre Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany
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Wiesbaden Business School, College RheinMain University of Applied Science, 65183 Wiesbaden, Germany
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Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany
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Department of Internal Medicine, Infectious Diseases and Pulmonary Medicine, Charite - University Medicine, 10117 Berlin, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(8), 2714; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082714
Received: 21 March 2020 / Revised: 7 April 2020 / Accepted: 12 April 2020 / Published: 15 April 2020
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. View Full-Text
Keywords: quality of care; job satisfaction; intention to leave; inpatient patient care; hospital staff quality of care; job satisfaction; intention to leave; inpatient patient care; hospital staff
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MDPI and ACS Style

Koch, P.; Zilezinski, M.; Schulte, K.; Strametz, R.; Nienhaus, A.; Raspe, M. How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians. Int. J. Environ. Res. Public Health 2020, 17, 2714. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082714

AMA Style

Koch P, Zilezinski M, Schulte K, Strametz R, Nienhaus A, Raspe M. How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians. International Journal of Environmental Research and Public Health. 2020; 17(8):2714. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082714

Chicago/Turabian Style

Koch, Peter, Max Zilezinski, Kevin Schulte, Reinhard Strametz, Albert Nienhaus, and Matthias Raspe. 2020. "How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians" International Journal of Environmental Research and Public Health 17, no. 8: 2714. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082714

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