Information détaillée du papier
| Titre de l’article | A scoping review of the factors associated with the intent to leave the profession for the health workforce |
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| Code d’article | P08 |
| Auteurs | |
| Forme de présentation | Poster |
| Domaines thématiques |
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| Résumé (Abstract) |
Background: Healthcare professionals face specific challenges in their work, which can have a negative impact on their mental and physical health, and cause job dissatisfaction as well as high turnover rates. This is especially problematic given the growing concern about the shortage of healthcare professionals. International literature has extensively studied the factors associated with the intention to leave the health workforce, yet it mostly focused on specific healthcare professions. The goal of the present scoping review was to summarise and compare findings for a large range of healthcare professions. Methods: Three literature reviews were conducted on articles published between 2010 and 2021 that considered factors associated with the intent to leave the health workforce. Two reviews – one for nurses and one for physicians – focused on Swiss primary studies as well as literature reviews without country restriction. The third one covered primary studies and reviews involving both national and international settings, and focused on other healthcare professionals: psychologists, physiotherapists, occupational therapists, emergency medical technicians, dietitians, pharmacists, etc. A total of 633 (nurses review), 265 (physicians) and 1349 (other healthcare professionals) records were identified in a comprehensive database search and, respectively, 55, 20, and 36 records were kept for analysis after full text screening. Results: While few differences exist between the factors associated with intention to leave the diverse healthcare professions, a core set of dimensions can be established from the relevant literature. The main factors identified are organizational (career opportunities, work preparedness, recognition, financial rewards and benefits, workload, schedule flexibility). Psychosocial factors, especially work-life balance and relationship with manager and peers also emerged. Finally, psychological ones such as burnout and compassional fatigue were also relevant together with factors related to the health state. Conclusion: These literature reviews represent a strong base to inform the development of a state-of-the-art questionnaire to study and evaluate the situation in the Swiss context for a broad range of healthcare professionals. A national health workforce survey is indeed vital for effective, long-term human resources planning. |