Retaining Healthcare Workers: A Systematic Review of Strategies for Sustaining Power in the Workplace

Healthcare, Год журнала: 2023, Номер 11(13), С. 1887 - 1887

Опубликована: Июнь 29, 2023

The shortage of healthcare workers is a growing concern. COVID-19 pandemic and retirement wave have accelerated turnover rates. This systematic review aimed to identify analyse the existing interventions for job retention workers, in terms nurses physicians, hospital setting. A comprehensive search was conducted within three electronic databases, guided by preferred reporting items meta-analyses (PRISMA) synthesis without meta-analysis (SWiM) guidelines, this resulted 55 records that met inclusion criteria. intervention outcomes are categorized into substantial themes: onboarding, transition program different unit, stress coping, social support, extra staffing, coping with demands patient care, work relationships, development opportunities department resources, environment, organization, recruitment approach, technological innovations. Considering literature, onboarding programs mentoring physicians recommended. Additionally, other described could positively affect physicians. When selecting an implementation, managers human resources should consider matches determinant intention leave their hospital’s mission, vision, values. Sharing success stories implemented may benefit organizations.

Язык: Английский

---

Drivers and barriers of international migration of doctors to and from the United Kingdom: a scoping review

Human Resources for Health, Год журнала: 2023, Номер 21(1)

Опубликована: Фев. 14, 2023

Abstract Background Many high-income countries are heavily dependent on internationally trained doctors to staff their healthcare workforce. Over one-third of practising in the UK received primary medical qualification abroad. Simultaneously, an average around 2.1% leave workforce annually go overseas. The aim this study was identify drivers and barriers international migration from UK. Methods A scoping review conducted. We searched EMBASE, MEDLINE, CINAHL, ERIC BEI January 2020 (updated October 2021). Grey literature citation searching were also carried out. Empirical studies reporting published English language 2009 present included. coded NVivo 12 building existing framework. Results 40 62% quantitative, 18% qualitative, 15% mixed-methods 5% reviews. Migration into out is determined by a variety macro- (global national factors), meso- (profession led factors) micro-level (personal factors). Interestingly, many key factors driving UK, including: poor working conditions, employment opportunities, better training development quality life, desire for life change financial reasons. included stricter immigration policies, registration process short-term job contracts. Conclusions Our research contributes providing comprehensive up-to-date decision doctor migrate multi-layered complex balance between push/pull at macro-/meso-/micro-levels. To sustain UK’s supply overseas doctors, it vital that policies take account particularly conditions active recruitment while addressing any potential barriers. Immigration address impact Brexit COVID-19 pandemic will be important immediate future. Trial PROSPERO CRD42020165748.

Язык: Английский

---

World Psychiatric Association-Asian Journal of Psychiatry Commission on the Mental Health and Wellbeing of International Medical Graduates

Asian Journal of Psychiatry, Год журнала: 2024, Номер 93, С. 103943 - 103943

Опубликована: Фев. 5, 2024

Historically, doctors have migrated for a range of personal, educational, economic, and political reasons. Likewise, medical students from many countries moved abroad to complete their training education may or not return country origin. Within this context, globalisation has had major impact on workforces, contributing recent migration trends. Globalisation is complex phenomenon with positive negative outcomes. For example, lower-income are regularly losing higher-income areas, thereby exacerbating strains existing services. Across various national healthcare settings, migrating International Medical Graduates (IMGs) can face socioenvironmental psychosocial pressures, which lead lower mental wellbeing undermine contributions clinical care. Rates stress burnout generally increasing students. IMGs, stressors related migration, acculturation, adjustment dissimilar other migrants but carry them specific nuances. Accordingly, Commission will explore the history IMG trends challenges faced by proposing recommendations solutions support health wellbeing.

Язык: Английский

---

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

European Journal of Physiotherapy, Год журнала: 2025, Номер unknown, С. 1 - 17

Опубликована: Фев. 26, 2025

Язык: Английский

---

Another gap on the rota: a scoping review of attrition from specialty training in secondary care

BMJ Open, Год журнала: 2025, Номер 15(4), С. e097190 - e097190

Опубликована: Апрель 1, 2025

Background The healthcare workforce is in crisis. Despite a competitive selection process, substantial number of doctors leave specialty training (ST) programmes prematurely. This attrition causes increased costs for the National Health Service, exacerbates shortages and threatens quality safety care. It also increases pressure on trainees who remain, further compounding risk attrition. There an urgent need to understand why ST order find ways maintain pipeline from consultant. Objectives We aimed what known about choose secondary care, map current knowledge identify avenues future research. Eligibility criteria All studies which investigated care were included. Sources evidence Ovid Medline, Web Science, SCOPUS EMBASE searched until January 2024. Descriptive codes assigned findings each study. These descriptive reviewed grouped together broader categories. Charting methods Data was extracted charted, qualitative content approach used synthesise data. Results A total 6079 potentially relevant abstracts retrieved, 23 included final analysis. experience 1896 have left 454 programme directors. Doctors chose because (1) they felt unsupported underappreciated, (2) associated with unacceptable personal (3) career prospects unattractive. Conclusion mismatch between trainees’ expectations reality being trainee ST. Understanding issues drive developing evidence-based solutions, has potential both reduce attrition, improve more widely.

Язык: Английский

---

Welcome to the NHS—Evaluating an International Medical Graduate Induction Programme

British Journal of Hospital Medicine, Год журнала: 2025, Номер unknown, С. 1 - 14

Опубликована: Апрель 9, 2025

Aims/Background International Medical Graduates (IMGs) form a vital part of the United Kingdom (UK) medical workforce. Despite increasing reliance on IMGs, their experiences working in National Health Service (NHS) are poorer than those UK graduates. We explore whether an induction programme can improve early IMGs NHS. Methods At our London NHS Trust, we have established IMG office to bring together other acute Trusts sector co-ordinate support for IMGs. conduct centralized, monthly, weeklong programme, based national guidance, help orientate Results From first 8 months, workforce reported feeling welcomed, valued, more confident and, understanding better. Conclusion The initial be improved through tailored programmes. longer-term impacts such interventions require further investigation.

Язык: Английский

---

Should i stay or should i go? Perceptions of Serbian emigrant medical workers in Germany

Srpski medicinski casopis Lekarske komore, Год журнала: 2025, Номер 6(1), С. 64 - 78

Опубликована: Янв. 1, 2025

Background: Throughout history, various driving forces have influenced both forced and voluntary migrations of healthcare workers. Objective: This study aims to obtain new insights into the work activities foreign doctors from Western Balkans practicing medicine in Germany. Materials Methods: In 2023, a qualitative cross-sectional was conducted analyze physicians' motivation for emigration their home countries, professional status development Germany, German legal system, overall satisfaction physicians. Results: The main findings highlight better salaries abroad no opportunities countries as reasons emigration. Immigrant physicians were mainly satisfied with but less system. Conclusion: Employing can alleviate burden on system caused by significant shortage skilled labor force.

Язык: Английский

---

The challenges faced by early career international medical graduates in general practice and opportunities for supporting them: a rapid review

BJGP Open, Год журнала: 2023, Номер 7(3), С. BJGPO.2023.0012 - BJGPO.2023.0012

Опубликована: Июнь 14, 2023

British general practice is facing a workforce crisis against backdrop of an ageing population experiencing increasingly complex health challenges. The NHS must increase the supply GPs, including international medical graduate (IMG) by increasing recruitment and retention. IMG GPs face distinct challenges during training their early careers. Understanding these challenges, as well help support offered to career crucial building sustaining workforce.To understand they can access.Rapid review studies grey literature on UK-based GPs.Six databases were searched. Four websites searched find literature. Titles abstracts screened according inclusion exclusion criteria, followed full study where applicable. included analysed using thematic synthesis approach identify faced available.The database search yielded 234 studies, with 38 additional identified via other methods. Twenty-one in synthesis. Seven identified, range available. Early psychological, social, practical which may not be adequately addressed currently NHS.Further research required extent access offered, if it addresses unique face.

Язык: Английский

---

What can we learn from general practitioners who left Spain? A mixed methods international study

Human Resources for Health, Год журнала: 2024, Номер 22(1)

Опубликована: Янв. 23, 2024

Abstract Background International mobility of health workforce affects the performance systems and has major relevance in human resources for policy planning. To date, there been little research exploring reasons why general practitioners (GPs) migrate. This mixed methods study aimed to investigate Spain-trained GPs migrate develop GP retention recruitment recommendations relevant Spanish primary care. Methods The followed an explanatory sequential design combining surveys with semi-structured interviews focus groups who qualified Spain were living overseas at time study. survey data examined left their intention return analysed using quantitative methods. transcripts from centred on GPs’ insights enhance thematically. Results had 158 respondents estimated 25.4% response rate. Insufficient salary (75.3%), job insecurity temporality (67.7%), excessive workload poor care governance (55.7%), lack flexibility workplace (43.7%) personal circumstances main leaving Spain. Almost half (48.7%) would consider returning practice if working conditions improved. Interviews ( n = 24) pointed towards need improve quality employment contracts, conditions, opportunities professional development, effective recruitment. Conclusion Efforts should salary, security, flexibility, protected workload, governance. We draw ten expected inform urgent action tackle existing predicted shortages

Язык: Английский

---

Why Do Hungarian Health Workers Migrate? A Micro-Level Analysis

Sustainability, Год журнала: 2024, Номер 16(4), С. 1386 - 1386

Опубликована: Фев. 6, 2024

The sustainability of healthcare systems is challenged by the international migration health workers in many countries. Like other Central and Eastern European (CEE) countries, a great number professionals from Hungary have emigrated recently, increasing shortage country. aim this study to explore attitudes Hungarian workers, applying micro-level approach push–pull factors. For purpose, semi-structured interviews been conducted with practicing inactive living abroad. were subjected thematic analysis, following groups factors revealed discussed: wealth income, workplace, human capital, quality life, family, personal network, personality. In addition, geography life stage (life course) as two overarching, integrative categories are also discussed. results point role work environment, family decisions. As new factor, importance geographical characteristics (local context, distance) explored, which has received less attention previous studies. A novelty our CEE post-socialist view, mirrored life-path elements interviews. Another qualitative approach, forming basis policy recommendations presented at end study.

Язык: Английский

---