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Updated: Oct 17, 2025

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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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Explaining Job Satisfaction Among Residents in Standardized Residency Training Programs: A Serial Multiple Mediation
Hui Zhang1, Dandan Chen2, Nianqi Cui3
1Department of Cardiology, Guizhou Provincial People's Hospital, Guiyang, People's Republic of China.
Risk Management and Healthcare Policy
|October 7, 2021
Summary
Social support indirectly improves physician job satisfaction by reducing emotional exhaustion and anxiety. A supportive work environment is crucial for residents
Area of Science:
- Medical Education
- Occupational Health
- Psychology
Background:
- Limited research explores the mechanisms linking social support to job satisfaction.
- This study investigates the indirect pathways through which social support affects job satisfaction.
- Focuses on residents in China's standardized physician residency training program.
Purpose of the Study:
- To examine the indirect effect of social support on job satisfaction.
- To assess the mediating roles of emotional exhaustion and anxiety symptoms.
- To understand the influence of social support on physician residents' well-being and job satisfaction.
Main Methods:
- Cross-sectional study utilizing questionnaires for data collection.
- Employed PROCESS macro for SPSS and bootstrapping to analyze indirect effects.
- Examined a serial multiple mediation model: social support → emotional exhaustion/anxiety symptoms → job satisfaction.
Main Results:
- A total of 269 residents completed the survey.
- Social support significantly and indirectly influenced job satisfaction (ab=0.21).
- Specific indirect effects were found through emotional exhaustion (a1b1=0.12) and anxiety symptoms (a2b2=0.07), and a serial effect through both (a1a3b2=0.03).
Conclusions:
- Developing a supportive work environment is critical for hospital management.
- Interventions should aim to mitigate emotional exhaustion and anxiety symptoms.
- Sufficient social support is key to enhancing job satisfaction among resident physicians.
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