Rural and remote young people's health career decision making within a health workforce development program: a qualitative exploration

Kumar, Koshila; Jones, Debra; Naden, Kathryn; Roberts, Chris

doi:10.22605/rrh3303

Cited by 6 publications

(8 citation statements)

References 23 publications

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“…Participant feedback is drawn on to inform program improvements. A small body of research has been undertaken on the program; 20 however, challenges exist in accessing research funding and the academic staff required to undertake longitudinal evaluations of program impact and workforce outcomes. There is a need to understand which strategies are acceptable and effective if we are to address ‘gaps in the Australian rural health research evidence base [which] threaten to leave holes in Australian health policy’ 21 …”

Section: Program Enablers and Challengesmentioning

confidence: 99%

Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments

Naden

Hampton

Walke

et al. 2023

Australian J Rural Health

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Aims This paper describes the investments made, approaches taken and lessons learnt by three rural Australian academic health departments engaged in the delivery of the Health Career Academy Program (HCAP). The program seeks to address the under‐representation of rural, remote and Aboriginal populations within Australia's health workforce. Context Significant resources are directed towards rural practice exposure for metropolitan health students to address workforce shortages. Fewer resources are directed towards health career strategies that focus on the earlier engagement of rural, remote and Aboriginal secondary school students, those in Years 7–10. Best practice career development principles highlight the importance of earlier engagement in the promotion of health career aspirations and in influencing secondary school student career intentions and uptake of health professions. Approach This paper describes: delivery contexts; the theory and evidence that has informed the HCAP; program design, adaptability and scalability; program focus on priming the rural health career pipeline; program alignment to best practice career development principles; enablers and barriers confronted in program delivery, and lessons learnt to inform rural health workforce policy and resourcing. Conclusion There is a need to invest in programs that seek to attract rural, remote and Aboriginal secondary school students to health professions if Australia is to develop a sustainable rural health workforce. A failure to invest earlier undermines opportunities to engage diverse and aspiring youth in Australia's health workforce. Program contributions, approaches and lessons learnt can inform the work of other agencies seeking to include these populations in health career initiatives.

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Section: Program Enablers and Challengesmentioning

confidence: 99%

Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments

Naden

Hampton

Walke

et al. 2023

Australian J Rural Health

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“…No studies have investigated factors that influence the practice locations of MRS graduates; however, previous research has investigated factors that influence where graduates in other disciplines choose to practice and why, most studies targeting medical graduates 1,2 . Several studies have identified key influences on why health professionals might choose rural practice, including social, environmental, financial, personal and professional factors 1–4,8,9,12–14 . The two factors identified as most influential are rural background and rural placement experiences 1,3,9,15 .…”

Section: Introductionmentioning

confidence: 99%

“…The two factors identified as most influential are rural background and rural placement experiences 1,3,9,15 . Reportedly, having a rural background approximately triples the odds of allied health graduates choosing to practice in a rural location, 13 with graduates most likely to return to their hometown or one of similar size or location 8,14,16 …”

Section: Introductionmentioning

confidence: 99%

“…1,2 Several studies have identified key influences on why health professionals might choose rural practice, including social, environmental, financial, personal and professional factors. [1][2][3][4]8,9,[12][13][14] The two factors identified as most influential are rural background and rural placement experiences. 1,3,9,15 Reportedly, having a rural background approximately triples the odds of allied health graduates choosing to practice in a rural location, 13 with graduates most likely to return to their hometown or one of similar size or location.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,9,15 Reportedly, having a rural background approximately triples the odds of allied health graduates choosing to practice in a rural location, 13 with graduates most likely to return to their hometown or one of similar size or location. 8,14,16 Positive rural placement experiences have been shown to be beneficial in encouraging rural practice by introducing students to working and living in rural settings. 2,13 Previous research is contradictory regarding the optimally influential placement duration, however.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing medical radiation science graduates’ early career principal place of practice: a retrospective cohort study

Farrugia

Smith

Depczynski

2021

J of Medical Radiation Sci

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Introduction While studies have investigated influences on graduate practice locations of other health professionals, especially medicine, none have investigated practice locations of medical radiation science (MRS) graduates. This study aimed to explore factors influencing the registered principal place of practice (PPP) of diagnostic radiography, radiation therapy and nuclear medicine graduates from the University of Newcastle (UON), Australia, in their second post‐graduate year. Methods Data were extracted from the UON enrolment and clinical placement databases and linked to Australian Health Practitioners Regulation Agency (Ahpra) registration data for PPP location in 2019 for 187 graduates who completed their studies in 2017. Explanatory variables included age at enrolment, gender, MRS discipline, location of origin, socio‐economic index for location of origin, and locations and duration of undergraduate professional placements. Descriptive statistics, tests of association and logistic regression compared rural and non‐rural origin, and professional placement locations with Ahpra PPP. Results Factors related to non‐metropolitan PPP were location of origin (P = 0.002), number (P = 0.002) and duration (P = 0.007) of rural placements, and MRS discipline (P = 0.033). Controlling for other variables, location of origin and MRS discipline remained significant. Graduates of rural origin had up to 3.54 (95%CI = 1.51–8.28) times the odds of a rural PPP. Diagnostic radiography graduates had up to 5.46 (95%CI = 1.55–19.20) times the odds of nuclear medicine of a rural PPP. Conclusion To help reduce the gap between rural and metropolitan medical radiation service availability, there is a need for targeted recruitment of rural origin students. Further investigation of the effect of rural undergraduate MRS placements is justified.

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A systematic review of effective local, community or peer‐delivered interventions to improve well‐being and employment in regional, rural and remote areas of Australia

Luke,

Bartlett,

March

et al. 2024

Australian J Rural Health

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ObjectiveTo systematically review evaluated local, community or peer‐delivered well‐being and employment interventions delivered within regional, rural and remote Australia.DesignSearches within nine databases retrieved peer‐reviewed and grey literature from an initial pool of 3186 papers published between 2012 and 2022. PRISMA guidelines were adhered to, and the Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the well‐being or employment (or both) articles.FindingsA total of 19 items met the inclusion criteria, which included two quantitative, 12 qualitative and five mixed‐methods evaluations. Intervention cohorts included Indigenous Australians, youth, older people, workers and the general community. The average methodological rating was 83%. The overall level of evidence for the interventions was low due to mostly descriptive studies.DiscussionInterventions that appeared effective in improving well‐being tended to focus on addressing social connectedness and self‐determination. Unexpected employment outcomes were evident across many of the studies, which highlighted the reciprocity between well‐being and employment.ConclusionThis review highlights promising interventions for improving well‐being by focusing on social connectedness and self‐determination. Further empirical evidence is encouraged to explore the reciprocal relationship between well‐being and employment, emphasising the significance of social connectedness and self‐determination in this context.

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Rural and remote young people's health career decision making within a health workforce development program: a qualitative exploration

Abstract: Rural and remote young people's health career decision making within a health workforce development program: a qualitative exploration

Cited by 6 publications

References 23 publications

Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments

Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments

Factors influencing medical radiation science graduates’ early career principal place of practice: a retrospective cohort study

A systematic review of effective local, community or peer‐delivered interventions to improve well‐being and employment in regional, rural and remote areas of Australia

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