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Poor sleep quality is associated with increased resignation intention among Chinese anesthesiologists

A nationwide cross-sectional survey of 30,255 Chinese anesthesiologists found that sleep quality was significantly associated with resignation intention. The study identified sleep quality as one of several factors linked to intention to leave the profession, alongside service years, weekly work hours, daily anesthesia caseload, annual income, smoking, alcohol, and exercise frequency.

Last updated: Jul 27, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score34/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Anesthesiologists in China: a nationwide cross-sectional survey of working conditions, clinical practice, and career challenges.

observational

Lu Y, Zhang C, Wang W, Lv X, Yang H, Ma Y, Cao J, Huang Y, Mi W · Frontiers in public health (2026)

Participants: 30255
Duration: June 2022 to February 2023 (9 months)
Intervention: Observational assessment of sleep quality and other work-related factors
Outcome: Resignation intention (self-reported), sleep quality (self-reported)
Effect Size: N/A (odds ratios not reported in abstract)
Population: 30,255 anesthesiologists from 5,808 medical institutions across mainland China, 47.28% female

Result: A nationwide cross-sectional survey of 30,255 Chinese anesthesiologists found that sleep quality was significantly associated with resignation intention. The study identified sleep quality as one of several factors linked to intention to leave the profession, alongside service years, weekly work hours, daily anesthesia caseload, annual income, smoking, alcohol, and exercise frequency.

PubMed: 42490964DOI: 10.3389/fpubh.2026.1846157

Mechanism Graph

Heavy workloads and long hours lead to poor sleep quality
↓
Poor sleep quality contributes to occupational burnout
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Burnout increases job dissatisfaction
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Result: Higher resignation intention

Limitations

  • ⚠Non-probability sampling via WeChat may introduce selection bias
  • ⚠Cross-sectional design prevents causal inference between sleep quality and resignation intention
  • ⚠Self-reported measures of sleep quality and resignation intention may be subject to recall or social desirability bias

Frequently Asked Questions

What percentage of Chinese anesthesiologists reported resignation intention?▼

16.29% of participants reported resignation intention.

How many anesthesiologists participated in this study?▼

A total of 30,255 participants from 5,808 medical institutions were included.

What other factors were associated with resignation intention besides sleep quality?▼

Service years, weekly work hours, daily anesthesia caseload, annual income, smoking, alcohol, and exercise frequency were also significantly associated.

What was the rate of adverse events reported by anesthesiologists?▼

The rate of adverse events was low at 2.99%.

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References

  1. 1.Lu Y, Zhang C, Wang W, Lv X, Yang H, Ma Y, Cao J, Huang Y, Mi W. "Anesthesiologists in China: a nationwide cross-sectional survey of working conditions, clinical practice, and career challenges.." Frontiers in public health, 2026. PMID: 42490964 DOI: 10.3389/fpubh.2026.1846157
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.