Geriatric nursing (New York, N.Y.) · 2026
The effect of perceived stress on turnover intention among Chinese geriatric caregivers of nursing institutions: The mediation of psychological resilience and coping style.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Fan Li-Hong, Luo Qing-Ping, Huang Wen-Cheng, Pan Guo-Qing, Yi Li-Juan
Аннотация
OBJECTIVE: This study, based on the stress-coping theory, aims to examine the impact of perceived stress, psychological resilience, and coping styles on turnover intention among geriatric caregivers in China. It also aims to explore potential mediating pathways.
METHODS: A multi-center cross-sectional survey was conducted from September to December 2024. This survey included 408 geriatric caregivers across China. Structural equation modeling (SEM) with robust maximum likelihood estimation was employed to analyze the direct and indirect relationships among variables.
RESULTS: The mean turnover intention score was 12.61. Perceived stress had a significant direct effect on turnover intention (β = 0.288, P < 0.001, 95% CI: 0.177-0.394) and exerted an indirect effect through four significant pathways: (a) psychological resilience (β = 0.093, P < 0.001, 95% CI: 0.043-0.149); (b) positive coping style (β = 0.026, P < 0.001, 95% CI: 0.008-0.056); (c) negative coping style (β = 0.057, P < 0.001, 95% CI: 0.006-0.113); and (d) the sequential mediation of psychological resilience and positive coping style (β = 0.044, P = 0.001, 95% CI: 0.019-0.071).
CONCLUSION: Perceived stress influences turnover intention both directly and indirectly through psychological resilience and coping styles. Policymakers and institutional managers can design age-specific retention schemes and strengthen institutional training for caregivers, specifically by enhancing their psychological resilience and promoting adaptive coping strategies to reduce turnover intention among geriatric caregivers.
METHODS: A multi-center cross-sectional survey was conducted from September to December 2024. This survey included 408 geriatric caregivers across China. Structural equation modeling (SEM) with robust maximum likelihood estimation was employed to analyze the direct and indirect relationships among variables.
RESULTS: The mean turnover intention score was 12.61. Perceived stress had a significant direct effect on turnover intention (β = 0.288, P < 0.001, 95% CI: 0.177-0.394) and exerted an indirect effect through four significant pathways: (a) psychological resilience (β = 0.093, P < 0.001, 95% CI: 0.043-0.149); (b) positive coping style (β = 0.026, P < 0.001, 95% CI: 0.008-0.056); (c) negative coping style (β = 0.057, P < 0.001, 95% CI: 0.006-0.113); and (d) the sequential mediation of psychological resilience and positive coping style (β = 0.044, P = 0.001, 95% CI: 0.019-0.071).
CONCLUSION: Perceived stress influences turnover intention both directly and indirectly through psychological resilience and coping styles. Policymakers and institutional managers can design age-specific retention schemes and strengthen institutional training for caregivers, specifically by enhancing their psychological resilience and promoting adaptive coping strategies to reduce turnover intention among geriatric caregivers.