School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia.
BMJ Open. 2023 May 23;13(5):e067266. doi: 10.1136/bmjopen-2022-067266.
To determine the pooled prevalence of turnover intention among healthcare workers in Ethiopia.
A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline.
Electronic databases of Science Direct, Medline, African Journals Online, Excerpta Medica Database, Scopus and Google Scholar were searched to identify studies published in the English language before 31 December, 2021.
Studies were included with following criteria: (1) studies conducted or published until 31 December 2021; (2) observational studies; (3) Studies conducted on healthcare workers; (4) reporting turnover intention; (v) studies conducted in Ethiopia and (vi) tudies published in the English language were included.
Three independent reviewers screened all the papers for eligibility criteria. Data were extracted by two independent investigators using a standardised data extraction format. Random effects model meta-analysis using STATA V.14.0 statistical software was conducted to estimate the pooled prevalence of turnover intention with 95% CI. Funnel plot and Forest plot were used to check publication bias and heterogeneity between studies, respectively. Leave-one-out sensitivity analysis was done.
Prevalence of turnover intention.
A total of 29 cross-sectional studies with 9422 participants met the inclusion criteria. The estimated pooled prevalence of turnover intention among healthcare workers in Ethiopia was 58.09% (95% CI 54.24 to 61.93; p value <0.001, I=93.5%).
The finding of this systematic review and meta-analysis showed high prevalence of turnover intention among healthcare workers in Ethiopia. The Government and policy makers should come up with different mechanisms including a wide variety of healthcare workers retention strategies in order to reduce turnover intention of healthcare workers and retain them.
确定埃塞俄比亚医护人员离职意向的汇总患病率。
根据系统评价和荟萃分析的首选报告项目进行了系统审查和荟萃分析。
通过 Science Direct、Medline、African Journals Online、Excerpta Medica Database、Scopus 和 Google Scholar 等电子数据库搜索，以确定截至 2021 年 12 月 31 日之前以英文发表的研究。
符合以下标准的研究被纳入：（1）截至 2021 年 12 月 31 日进行或发表的研究；（2）观察性研究；（3）针对医护人员的研究；（4）报告离职意向；（v）在埃塞俄比亚进行的研究和（vi）以英文发表的研究。
三位独立评审员对所有论文进行了资格筛选。两位独立研究人员使用标准化数据提取格式提取数据。使用 STATA V.14.0 统计软件进行随机效应模型荟萃分析，以估计离职意向的汇总患病率，并使用 95%置信区间（CI）进行估计。使用漏斗图和森林图分别检查发表偏倚和研究之间的异质性。进行了逐一删除敏感性分析。
离职意向的患病率。
共有 29 项横断面研究纳入了 9422 名参与者，符合纳入标准。埃塞俄比亚医护人员离职意向的估计汇总患病率为 58.09%（95%CI 54.24 至 61.93；p 值<0.001，I=93.5%）。
本系统评价和荟萃分析的结果表明，埃塞俄比亚医护人员的离职意向率很高。政府和政策制定者应制定各种机制，包括广泛的医护人员保留策略，以降低医护人员的离职意向并留住他们。
