Personal resilience and rural doctors retention: a study in Indonesia
Introduction: Retaining the health workforce in rural areas is a global problem. Job dissatisfaction or work-related distress are among the factors that drive doctors to leave rural places. Resilience has been recognised as a key component of wellbeing and is associated with better satisfaction wit...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
James Cook University
2020-10-01
|
Series: | Rural and Remote Health |
Subjects: | |
Online Access: | https://www.rrh.org.au/journal/article/6097/ |
_version_ | 1811280231940489216 |
---|---|
author | Nicholas Handoyo Gandes Rahayu Mora Claramita Julie Ash Lambert Schuwirth |
author_facet | Nicholas Handoyo Gandes Rahayu Mora Claramita Julie Ash Lambert Schuwirth |
author_sort | Nicholas Handoyo |
collection | DOAJ |
description | Introduction: Retaining the health workforce in rural areas is a global problem. Job dissatisfaction or work-related distress are among the factors that drive doctors to leave rural places. Resilience has been recognised as a key component of wellbeing and is associated with better satisfaction with life. Building personal resilience has the benefits of lowering vulnerability to work-related adversity. This study examined the association between rural doctors' personal resilience and the duration of rural practice.
Methods: This cross-sectional study was set in a rural province in Indonesia. A total sampling procedure was implemented. A total of 528 participants responded to an online survey. The survey tool measured six dimensions of a resilience profile (determination, endurance, adaptability, recuperability, comfort zone and life calling) and collected personal data such as date of birth, practice location and duration of rural practice experience. These participants were classified into four groups: intern, general (GP) with 10 years experience. The data were analysed quantitatively using Oneway analysis of variance (ANOVA).
Results: Doctors with longer durations of rural experience showed higher resilience levels in four of the dimensions of personal resilience: endurance, adaptability, recuperabilit&shy;y and comfort zone. Among those four dimensions, endurance and comfort zone showed significant differences between groups with >10 years of difference in rural experience (p<0.05). The other two dimensions, determination and life calling, showed fluctuations across groups with different rural durations.
Conclusion: This study provides a preliminary result for understanding the relationship between personal resilience and rural doctor retention. It suggests that resilience is partly associated with rural doctor retention. Further studies are needed to examine the causal relationship between resilience and retention. |
first_indexed | 2024-04-13T01:10:51Z |
format | Article |
id | doaj.art-48e3a63568134a36b93f5bb254aa3240 |
institution | Directory Open Access Journal |
issn | 1445-6354 |
language | English |
last_indexed | 2024-04-13T01:10:51Z |
publishDate | 2020-10-01 |
publisher | James Cook University |
record_format | Article |
series | Rural and Remote Health |
spelling | doaj.art-48e3a63568134a36b93f5bb254aa32402022-12-22T03:09:10ZengJames Cook UniversityRural and Remote Health1445-63542020-10-012010.22605/RRH6097Personal resilience and rural doctors retention: a study in IndonesiaNicholas Handoyo0Gandes Rahayu1Mora Claramita2Julie Ash3Lambert Schuwirth4Faculty of Medicine, University of Nusa Cendana, Kupang, Nusa Tenggara Timur, IndonesiaDepartment of Medical, Health Professions Education, and Bioethics, Faculty of Medicine Nursing and Public Health, University of Gadjah Mada, Yogyakarta, IndonesiaDepartment of Medical, Health Professions Education, and Bioethics, Faculty of Medicine Nursing and Public Health, University of Gadjah Mada, Yogyakarta, IndonesiaPrideaux Center for Research in Health Professions Education, Flinders University, Adelaide, South AustraliaPrideaux Center for Research in Health Professions Education, Flinders University, Adelaide, South AustraliaIntroduction: Retaining the health workforce in rural areas is a global problem. Job dissatisfaction or work-related distress are among the factors that drive doctors to leave rural places. Resilience has been recognised as a key component of wellbeing and is associated with better satisfaction with life. Building personal resilience has the benefits of lowering vulnerability to work-related adversity. This study examined the association between rural doctors' personal resilience and the duration of rural practice. Methods: This cross-sectional study was set in a rural province in Indonesia. A total sampling procedure was implemented. A total of 528 participants responded to an online survey. The survey tool measured six dimensions of a resilience profile &#40;determination, endurance, adaptability, recuperability, comfort zone and life calling&#41; and collected personal data such as date of birth, practice location and duration of rural practice experience. These participants were classified into four groups: intern, general (GP) with 10 years experience. The data were analysed quantitatively using Oneway analysis of variance (ANOVA). Results: Doctors with longer durations of rural experience showed higher resilience levels in four of the dimensions of personal resilience: endurance, adaptability, recuperabilit&shy;y and comfort zone. Among those four dimensions, endurance and comfort zone showed significant differences between groups with >10 years of difference in rural experience (p<0.05). The other two dimensions, determination and life calling, showed fluctuations across groups with different rural durations. Conclusion: This study provides a preliminary result for understanding the relationship between personal resilience and rural doctor retention. It suggests that resilience is partly associated with rural doctor retention. Further studies are needed to examine the causal relationship between resilience and retention.https://www.rrh.org.au/journal/article/6097/general practitionerIndonesiapersonal resiliencerural retention. |
spellingShingle | Nicholas Handoyo Gandes Rahayu Mora Claramita Julie Ash Lambert Schuwirth Personal resilience and rural doctors retention: a study in Indonesia Rural and Remote Health general practitioner Indonesia personal resilience rural retention. |
title | Personal resilience and rural doctors retention: a study in Indonesia |
title_full | Personal resilience and rural doctors retention: a study in Indonesia |
title_fullStr | Personal resilience and rural doctors retention: a study in Indonesia |
title_full_unstemmed | Personal resilience and rural doctors retention: a study in Indonesia |
title_short | Personal resilience and rural doctors retention: a study in Indonesia |
title_sort | personal resilience and rural doctors retention a study in indonesia |
topic | general practitioner Indonesia personal resilience rural retention. |
url | https://www.rrh.org.au/journal/article/6097/ |
work_keys_str_mv | AT nicholashandoyo personalresilienceandruraldoctorsretentionastudyinindonesia AT gandesrahayu personalresilienceandruraldoctorsretentionastudyinindonesia AT moraclaramita personalresilienceandruraldoctorsretentionastudyinindonesia AT julieash personalresilienceandruraldoctorsretentionastudyinindonesia AT lambertschuwirth personalresilienceandruraldoctorsretentionastudyinindonesia |