Individual, organizational, and policy strategies to enhance the retention and a sense of belonging for health care professionals in rehabilitation medicine

PM&R, Journal Year: 2024, Volume and Issue: 16(7), P. 772 - 778

Published: March 17, 2024

Abstract The retention of physicians and other health care professionals in rehabilitation medicine is a critical issue that affects patients' access to the quality they receive. In United States globally, there are known shortages clinicians including, but not limited to, physicians, nurses, physical therapists, occupational speech‐language pathologists. These predicted worsen future. It attrition occurs variety ways such as clinician reducing work hours or effort, taking position at another organization, leaving field altogether, stress‐related illness, suicide. Retention efforts should focus on stay factors by creating positive culture supports sense belonging well addressing myriad push pull lead attrition. this commentary, we provide roadmap includes examples strategies for individuals organizations adopt aimed enhancing professionals.

Language: Английский

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Relational Coordination at the Primary–Secondary Care Interface: Insights from a Cross-Sectional Survey in the South Tyrolean Healthcare System

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(4), P. 425 - 425

Published: March 30, 2024

Understanding the dynamics of teamwork and communication among healthcare professionals is crucial in face evolving challenges. This study assessed relational coordination South Tyrolean system Italy, focusing on a cross-sectional survey. Using validated Relational Coordination Survey (RCS) instrument 525 completed online responses, questionnaire aimed to understand implications different levels ratings by general practitioners, hospital physicians, nurses, administrative personnel (response rate 26%). The demographics participants revealed predominance female (64%), with an average age 50 18 years service. resulting RCS scores varied significantly across professional groups, nurses reporting highest within-group scores, indicating moderate coordination, administrators lowest reflecting areas weak coordination. Between-group was generally perceived as least weakness observed between practitioners nurses. German or Italian language health district affiliation emerged significant factors influencing ratings, highlighting need for differentiated understanding strategies multilingual diverse regional settings. Assessments interdisciplinary feedback referral practices highlight variation weaknesses underscore targeted interventions improve provides insights into complexity care suggests that improving through tailored could team effectiveness, quality patient care, overall efficiency.

Language: Английский

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Psychological safety, Job satisfaction, and the Intention to Leave among German early-career physicians

International Journal for Quality in Health Care, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 17, 2025

Abstract Background Healthcare systems worldwide experience shortages of healthcare professionals. Retention physicians is becoming an increasing problem. The psychological safety among affects not only performance, but also their emotional well-being and job satisfaction. This study aims to evaluate early career physicians’ perception its influence on satisfaction intention leave. Methods In a cross-sectional study, physicians, currently in fellowship programs Germany were invited fill electronic survey. instrument consisted demographic variables sections from validated well-established questionnaires. Psychological was evaluated three levels – relation the team leader, as whole, peers. Also assessed with standardized measures, participants asked if they considering leaving current employer. Participants recruited via nationwide learning platform - online educational portal for medical students physicians. Data analyses included descriptive, correlation analysis regression determine univariate multivariate associations Results sample 432 Most fulltime employed (85.6%), female (78.2%), first years postgraduate education (77.5%). 47.2% indicated leave employment. On Likert-10 agreement scale, high scores indicating grater safety, mean leader related, related peer 6.01 (95%CI=5.81 6.21), 7.30 (7.11 7.49) 7.95 (7.78 8.12), respectively. analysis, all dimensions showed significant Job Satisfaction Intention Leave. multiple analyses, gender (B=-0.10; p=0.04) age group (B=-0.08; p<0.01) associated lower High significantly higher (B=0.18, p<0.01; B=0.10, p<0.01), negatively (OR=0.53, OR=0.77, p<0.01). Conclusion survey enhances our understanding nuances Germany, reported low medium Almost every second participant organisation. Leader had highest effect Our findings corroborate eminent role leadership, workplace culture retention what consequently quality healthcare.

Language: Английский

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Advancing Sustainable HIV Services Through Integration in Primary Healthcare in Sub-Saharan Africa: A Perspective on Practical Recommendations

Healthcare, Journal Year: 2025, Volume and Issue: 13(2), P. 192 - 192

Published: Jan. 19, 2025

Sub-Saharan Africa continues to bear a disproportionate burden of the global HIV epidemic. Integrating services into primary healthcare is crucial strategy accelerate progress towards ending However, several challenges hinder effective integration, including underfunding, human resource shortages, infrastructure limitations, weak health systems, and sociocultural factors. With this perspective, we discuss strategies address these challenges. A comprehensive, multi-faceted approach necessary overcome barriers. Investing in resources, improving infrastructure, strengthening information systems are essential for system. Implementing patient-centered care, integrated service delivery models, community engagement can optimize delivery. Utilizing digital tools, such as mobile applications electronic records, enhance data management. Mobilizing an increase domestic aligning donor funding, using cost-effective approaches financing. Finally, robust monitoring evaluation track progress, identify challenges, inform decision-making. strategies, among many others, sub-Saharan African countries significantly improve integration healthcare, leading better outcomes people living with more sustainable programs.

Language: Английский

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Examination of Occupational Stress, Personality Traits, and Demographics Among U.S. Audiologists

Perspectives of the ASHA Special Interest Groups, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 13

Published: Feb. 18, 2025

Purpose: Recent research suggests that personality traits may be associated with occupational stress for audiologists, but this relationship had not been examined prior to study. Method: The Audiologist Occupational Stress Questionnaire (AOSQ; Severn et al., 2012), informal ratings, the Core Self-Evaluations Scale (CSES; Judge 2003), and demographic questions were administered via Qualtrics 307 U.S. audiologists. Results: There was a significant inverse between AOSQ CSES scores indicating positive lower scores. related certain demographics, including years of experience, level business involvement, percent time spent in direct patient care. Informal ratings indicated participants who reported high an “average day” levels also their “worst day.” significantly correlated suggesting could provide quick indicator monitor audiologists' stress. themes emerged from qualitative analyses Workload, Lack Support, Patients, Administration, Financials, Changes Audiology. Conclusions: Personality stress, assessment traits, plus work-related early audiologists at risk current strategies used by identified study indication areas which individuals, profession, employers focus efforts toward improving well-being. Supplemental Material: https://doi.org/10.23641/asha.28318973

Language: Английский

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Strategies that impact the workforce retention of physiotherapists and other allied health professionals: a scoping review

European Journal of Physiotherapy, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 17

Published: Feb. 26, 2025

Language: Английский

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Physician Turnover Increased In Private Equity–Acquired Physician Practices

Health Affairs, Journal Year: 2025, Volume and Issue: 44(3), P. 280 - 287

Published: March 1, 2025

Consolidation of physician practices by private equity (PE) firms has accelerated, raising concerns that PE's emphasis on short-term profitability may exacerbate turnover, with implications for care continuity. Despite their significance, evidence how PE acquisitions affect turnover is limited. Using clinician-level data linked to practice acquisition from the period 2014-21, we used a difference-in-differences design examine changes employment and after 200 ophthalmology 1,980 clinicians. Relative matched controls, PE-acquired increased total number clinicians 46.8 percent through three years acquisition. This growth was driven increases in numbers both ophthalmologists optometrists (30.7 36.2 percent, respectively). also share physicians leaving one year another increasing 13 percentage points, or 265 acquisition, relative non-PE-acquired practices. Findings highlight are reshaping workforce stability. As expands its footprint, policy makers should monitor long-term ownership mitigate potential undesirable effects patient health.

Language: Английский

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Nurse retention in peri- and post-COVID-19 work environments: a scoping review of factors, strategies and interventions

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e096333 - e096333

Published: March 1, 2025

The COVID-19 pandemic highlighted the deterioration of nurses' working conditions and a growing global nursing shortage. Little is known about factors, strategies interventions that could improve nurse retention in peri- post-COVID-19 period. An improved understanding support retain nurses will provide foundation for developing informed approaches to sustaining workforce. aim this scoping review investigate describe (1) factors associated with retention, (2) (3) have been tested during after pandemic. Scoping review. This was performed according Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Reviews. MEDLINE, Embase, CINAHL Scopus databases were searched on 17 April 2024. search limited publication date '2019 present'. Qualitative, quantitative, mixed-methods grey literature studies (Registered Nurse (RN), Licenced Practical (LPN), Registered (RPN), Publlic Health (PHN), including and/or period English (or translated into English), included. reviews, reviews meta-syntheses excluded, but their reference lists hand-screened suitable studies. following data items extracted: title, journal, authors, year publication, country setting, population (n=), mitigate intent leave other measure), address tools measure retention/turnover intention, rates scores. Data evaluated quality synthesised qualitatively map current available evidence. Our identified 130 inclusion analysis. majority measured some aspect retention. A number as impacting demographics, safe staffing work environments, psychological well-being COVID-19-specific impacts. included ensuring flexible enhancing organisational mental health wellness supports, leadership communication, more professional development mentorship opportunities, better compensation incentives. Only nine identified. Given importance variety key outcomes, it imperative leadership, healthcare organisations governments develop test

Language: Английский

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Code Lavender Pilot: An Emotional Support Intervention for Intensive Care Unit Staff

Journal of Pastoral Care & Counseling Advancing theory and professional practice through scholarly and reflective publications, Journal Year: 2025, Volume and Issue: unknown

Published: March 20, 2025

On-demand support is necessary to mitigate distress and attrition in healthcare staff. Healthcare chaplains’ scope includes such support. This pilot studied the acceptability, feasibility, effectiveness of a Code Lavender protocol utilizing chaplain stress-relief items. A post-hoc analysis examined protocol's cost-effectiveness. The results indicated effectiveness, worker can be mitigated with this simple, on-demand specialized skills training chaplains.

Language: Английский

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Turnover and Intention to Leave Among Belgian Healthcare Workers After COVID‐19: A Two‐Year Longitudinal Cohort Study

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: March 26, 2025

To investigate the association between healthcare workers' demographic and work-environment variables during COVID-19 pandemic their turnover intentions or actual after two years. Two-step longitudinal cohort study. A nationwide study was conducted using a convenience sample of Belgian HCWs who participated in online surveys at time points: November 24th, 2021, to March 15th, 2022 (Period 1), 16th, 2023, December 12th, 2023 2). Out 2149 participants first survey, 700 responded second. During pandemic, 31.3% intended leave profession. In Period 2, 52.3% those reaffirmed intention had left (6.5%). Work autonomy, resilience, perceived patient harm predicted intention. Pandemic-related work pressure primary reason for leaving. Promoting autonomy resilience is crucial mitigating turnover. experience will have higher risk Knowing this, managers policymakers should develop strategies prepare future health crises. Enhancing among workers can improve retention job satisfaction, ultimately leading better care more stable workforce. Problem Addressed: The addresses high pandemic. due workload are significant predictors intentions. research impacts by providing insights into factors that satisfaction. This adhered STROBE guidelines reporting observational studies. No public contribution.

Language: Английский

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