‘It’s mostly about the job’ – putting the lens on specialist rural retention

Allen, Penny; May, Jenny; Pegram, Robert W; Shires, Lizzie

doi:10.22605/rrh5299

Cited by 14 publications

(39 citation statements)

References 1 publication

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“…Multiple quantitative studies reported associations between rural upbringing and the desire to enter or remain in work in rural areas 15‐21 . In addition, several qualitative studies reported links between health professionals with rural upbringings and the intention to enter or remain in practice in rural areas 22‐25 . One study, supporting this association, reported that rural background had a limited influence on turnover intention compared to other factors such as previous professional experiences 23 .…”

Section: Resultsmentioning

confidence: 98%

“…The concept of being a ‘good fit’ extends intrinsically to career goals and aspirations. Several studies have indicated the need for congruence between one's own goals and choices and perceptions of whether working in the rural or remote location will help meet these career goals 22,23 . In the study by Conomos, 15 the choice to practice in a rural or urban work environment was influenced by perceived lack of prestige working in a rural area.…”

Section: Resultsmentioning

confidence: 99%

“…[15][16][17][18][19][20][21] In addition, several qualitative studies reported links between health professionals with rural upbringings and the intention to enter or remain in practice in rural areas. [22][23][24][25] One study, supporting this association, reported that rural background had a limited influence on turnover intention compared to other factors such as previous professional experiences. 23 However, given the multiple methods used across separate studies and the convergence of results indicating rural upbringing is associated with the intent to enter or remain in practice in a rural area, this association is an important, consistent finding and worthy of further investigation.…”

Section: Person Inputs (Place Identity)mentioning

confidence: 99%

“…37,[45][46][47] Perceiving the community as welcoming was also noted in several studies, indicating that initial positive interactions with community members that were inclusive and made the health professional feel valued and welcomed were important attractions to the community. 30,45,48 Several studies mentioned that the presence of policyrelated variables that enable work-life balance, such as flexible work arrangements, 22,39 were an important factor in the retention of rural health professionals. This finding is consistent with broader findings that work-life balance is an enabling condition for overall well-being.…”

Section: Learning Experiences (Place Dependence and Social Bonding)mentioning

confidence: 99%

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Importance of attachment to place in growing a sustainable Australian Rural Health Workforce: A rapid review

Beccaria

McIlveen

Fein

et al. 2021

Australian J Rural Health

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Introduction: Personal, community, and environmental factors can influence the attraction and retention of regional, rural, and remote health workers.However, the concept of place attachment needs further attention as a factor affecting the sustainability of the rural health workforce. Objective:The purpose of this rapid review was to explore the influence of a sense of place in attracting and retaining health professionals in rural and remote areas.Design: A systematic rapid review was conducted based on an empirical model using four dimensions: place dependence, place identity, social bonding and nature bonding. English-language publications between 2011 and 2021 were sought from academic databases, including studies relevant to Australian health professionals. Findings: A total of 348 articles were screened and 52 included in the review. Place attachment factors varied across disciplines and included (a) intrinsic place-based personal factors; (b) learning experiences enhancing self-efficacy and rural health work interest; (c) relational, social and community integration; and (d) connection to place with lifestyle aspirations.Discussion: This rapid review provides insight into the role of relational connections in building a health workforce and suggests that community factors are important in building attachment through social bonding and place identity.Results indicate that future health workforce research should focus on career decision-making and psychological appraisals including place attachment. Conclusion:An attachment to place might develop through placement experiences or from a strong rural upbringing. The importance of the relational interactions within a work community and the broader community is seen as an important factor in attracting, recruiting, and sustaining a rural health workforce.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Person Inputs (Place Identity)mentioning

confidence: 99%

Section: Learning Experiences (Place Dependence and Social Bonding)mentioning

confidence: 99%

See 2 more Smart Citations

Importance of attachment to place in growing a sustainable Australian Rural Health Workforce: A rapid review

Beccaria

McIlveen

Fein

et al. 2021

Australian J Rural Health

View full text Add to dashboard Cite

show abstract

“…Support networks and family were considered especially important, plus organisations such as Rural Health West in Western Australia. However, OTDs can be expected to work to fill employment gaps, 31 working longer hours, contributing to burnout and retention issues in rural and remote areas 36 . Further challenges with retention include the lack of educational opportunities for children, family support networks and professional development and training courses that are accessible to rural and remote OTDs 2 in the context of interstate courses.…”

Section: Discussionmentioning

confidence: 99%

Towards more effective health workforce governance: The case of overseas‐trained doctors

Marcus

Purwaningrum

Short

2021

Australian J Rural Health

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ObjectiveThe over‐reliance on overseas‐trained doctors remains a pressing problem in a handful of countries. This study aimed to explore the experience of rural and remote overseas‐trained doctors as regards to their migration, recruitment and ongoing support in Australia as the basis for more effective health workforce governance.DesignQualitative interviews were undertaken with overseas‐trained doctors in rural and remote Australia. Interview questions focused on the experiences of overseas‐trained doctors.SettingMigrant doctors working in general practice in rural and remote Australia.ParticipantsOverseas‐trained doctors who met inclusion criteria participated in interviews (n=14), which were digitally recorded and transcribed. Thematic coding and analysis were conducted with input from the study's Expert Policy Stakeholder Group.ResultsOverseas‐trained doctors enjoyed the relative autonomy of working in rural or remote general practice and were grateful to be in Australia. Specialised rural and remote skills such as cultural competence in matters of Indigenous health and specialised emergency rural skills was a key finding as was the deskilling or lack of career development opportunities. Our analysis pointed to the mismatch in expectations and experiences between overseas‐trained doctors, policy‐makers and employers, as some doctors experienced obstacles with registration, or the location was not ideal, or there was a lack of awareness of Indigenous‐related health and cultural challenges.ConclusionsIn the context of Australia's continuing reliance on overseas‐trained doctors, this study revealed the need for improved communication and coordination between overseas‐trained doctors, policy‐makers (education, health, employment and immigration) and employers, as a basis for more effective health workforce governance.

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The role of digital technology in providing education, training, continuing professional development and support to the rural health workforce

Ramsden

Colbran²,

Christopher

et al. 2021

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PurposeEducation, training and continuing professional development are amongst the evidence-based initiatives for attracting and retaining rural and remote health professionals. With rapidly increasing access to and use of digital technology worldwide, there are new opportunities to leverage training and support for those who are working in rural and remote areas. In this paper we determine the key elements associated with the utility of digital technologies to provide education, training, professional learning and support for rural health workforce outside the University and tertiary sector.Design/methodology/approachA scoping review of peer-reviewed literature from Australia, Canada, US and New Zealand was conducted in four bibliographic databases – Medline complete, CINAHL, Academic Search complete and Education Complete. Relevant studies published between January 2010 and September 2020 were identified. The Levac et al. (2010) enhanced methodology of the Arksey and O'Malley (2005) framework was used to analyse the literature.FindingsThe literature suggests there is mounting evidence demonstrating the potential for online platforms to address the challenges of rural health professional practice and the tyranny of distance. After analysing 22 publications, seven main themes were found – Knowledge and skills (n = 13), access (n = 10), information technology (n = 7), translation of knowledge into practice (n = 6), empowerment and confidence (n = 5), engagement (n = 5) and the need for support (n = 5). Ongoing evaluation will be critical to explore new opportunities for digital technology to demonstrate enhanced capability and retention of rural health professionals.Originality/valueTo date there has been limited examination of research that addresses the value of digital platforms on continuing professional development, education and support for rural health professionals outside the university and tertiary training sectors.

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‘It’s mostly about the job’ – putting the lens on specialist rural retention

Cited by 14 publications

References 1 publication

Importance of attachment to place in growing a sustainable Australian Rural Health Workforce: A rapid review

Importance of attachment to place in growing a sustainable Australian Rural Health Workforce: A rapid review

Towards more effective health workforce governance: The case of overseas‐trained doctors

The role of digital technology in providing education, training, continuing professional development and support to the rural health workforce

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