Meta-analysis of the impact of role stress on the turnover intention of medical staff in tertiary hospitals.

Abstract

BACKGROUND\nThis study aimed to conduct a meta-analysis on the effect of role stress on the turnover intention of medical staff in tertiary hospitals.\n\n\nMETHODS\nBased on the inclusion and exclusion criteria of literatures, we searched the English language databases Science Direct, PubMed, Springerlink, CBM, ISI, and Web of Science for studies published between January 2000 and October 2020 on the effect of role stress on the turnover intention of medical staff in tertiary hospitals. Publications were strictly screened according to the standards, and RevMan5.3 was adopted to conduct a meta-analysis of the relevant data. The influence of role stress and its various dimensions, such as role conflict, role ambiguity, and role overload on medical staff in tertiary hospitals turnover intention was analyzed. The Q test was adopted for heterogeneity analysis and the Egger s test adopted to detect publication bias.\n\n\nRESULTS\nA total of 12 publications meeting the requirements were included in this study. The results showed that the combined correlation coefficient r between total role stress and turnover intention was 0.2503 (95% CI: 0.2235‒0.3489). There was also a positive correlation between role stress and the turnover intention of medical staff in tertiary hospitals (r=0.2503). The meta-analysis results of each dimension of role stress showed turnover intention was positively correlated with role conflict (r=0.2838), role ambiguity (r=0.2628), and role overload (r=0.2687).\n\n\nCONCLUSIONS\nThe greater the role stress of medical staff in tertiary hospitals, the stronger the turnover intention. Measures must be taken to avoid the loss of medical staff and improve the quality of medical services.