Factors in turnover intention of cardiothoracic surgery residents
Abstract Increasing numbers of cardiothoracic surgery residents are resigning, without completing their training. This study analyzes how their turnover intention is related to the training environment, and individual psychological factors. Responses by 57 Korean cardiothoracic surgery residents wer...
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Format: | Article |
Language: | English |
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Nature Portfolio
2023-11-01
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Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-023-46588-w |
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author | Ji Hye Yu Hyun Woong Roh Mi Ryoung Song Jang Hoon Lee Seokjin Haam Miran Kim |
author_facet | Ji Hye Yu Hyun Woong Roh Mi Ryoung Song Jang Hoon Lee Seokjin Haam Miran Kim |
author_sort | Ji Hye Yu |
collection | DOAJ |
description | Abstract Increasing numbers of cardiothoracic surgery residents are resigning, without completing their training. This study analyzes how their turnover intention is related to the training environment, and individual psychological factors. Responses by 57 Korean cardiothoracic surgery residents were analyzed. Their levels of depression, anxiety, grit, and empathy, working conditions, the effect of someone’s presence to discuss their concerns with, burnout, and turnover intention were identified as the research variables. Descriptive statistical analysis, correlation analysis, and structural equation modeling were used for data analysis. Burnout has the most significant relationship with turnover intention. It has a mediating effect on the influence of depression, grit (sustained interest), and working conditions, over turnover intention. Empathy, and the presence of someone to discuss concerns with, also affect turnover intention directly. The study also confirmed that grit and work satisfaction affect turnover intention indirectly, through burnout. The study identified both individual- and systemic-level factors for an effective training environment, to reduce cardiothoracic surgery residents’ tendencies of leaving the residency program, and supporting them for greater satisfaction with their career choice. In order to resolve negative emotions such as burnout and depression, and foster empathy, a human resource development program for the residents’ psychological support must be prepared. The program director should be adequately educated to take charge of the training program, oversee the residents’ education and welfare, and perform the roles of role-model and mentor. |
first_indexed | 2024-03-09T15:10:14Z |
format | Article |
id | doaj.art-c56b95d221f5420b95ac0a619b15e785 |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-03-09T15:10:14Z |
publishDate | 2023-11-01 |
publisher | Nature Portfolio |
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series | Scientific Reports |
spelling | doaj.art-c56b95d221f5420b95ac0a619b15e7852023-11-26T13:24:52ZengNature PortfolioScientific Reports2045-23222023-11-0113111010.1038/s41598-023-46588-wFactors in turnover intention of cardiothoracic surgery residentsJi Hye Yu0Hyun Woong Roh1Mi Ryoung Song2Jang Hoon Lee3Seokjin Haam4Miran Kim5Department of Medical Education, Ajou University School of MedicineDepartment of Psychiatry, Ajou University School of MedicineDepartment of Medical Education, Sungkyunkwan University School of MedicineDepartment of Pediatrics, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Obstetrics and Gynecology, Ajou University School of MedicineAbstract Increasing numbers of cardiothoracic surgery residents are resigning, without completing their training. This study analyzes how their turnover intention is related to the training environment, and individual psychological factors. Responses by 57 Korean cardiothoracic surgery residents were analyzed. Their levels of depression, anxiety, grit, and empathy, working conditions, the effect of someone’s presence to discuss their concerns with, burnout, and turnover intention were identified as the research variables. Descriptive statistical analysis, correlation analysis, and structural equation modeling were used for data analysis. Burnout has the most significant relationship with turnover intention. It has a mediating effect on the influence of depression, grit (sustained interest), and working conditions, over turnover intention. Empathy, and the presence of someone to discuss concerns with, also affect turnover intention directly. The study also confirmed that grit and work satisfaction affect turnover intention indirectly, through burnout. The study identified both individual- and systemic-level factors for an effective training environment, to reduce cardiothoracic surgery residents’ tendencies of leaving the residency program, and supporting them for greater satisfaction with their career choice. In order to resolve negative emotions such as burnout and depression, and foster empathy, a human resource development program for the residents’ psychological support must be prepared. The program director should be adequately educated to take charge of the training program, oversee the residents’ education and welfare, and perform the roles of role-model and mentor.https://doi.org/10.1038/s41598-023-46588-w |
spellingShingle | Ji Hye Yu Hyun Woong Roh Mi Ryoung Song Jang Hoon Lee Seokjin Haam Miran Kim Factors in turnover intention of cardiothoracic surgery residents Scientific Reports |
title | Factors in turnover intention of cardiothoracic surgery residents |
title_full | Factors in turnover intention of cardiothoracic surgery residents |
title_fullStr | Factors in turnover intention of cardiothoracic surgery residents |
title_full_unstemmed | Factors in turnover intention of cardiothoracic surgery residents |
title_short | Factors in turnover intention of cardiothoracic surgery residents |
title_sort | factors in turnover intention of cardiothoracic surgery residents |
url | https://doi.org/10.1038/s41598-023-46588-w |
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