Factors Impacting Retention of Aged Care Workers: A Systematic Review

Retention of care support workers in residential aged care facilities and home-based, domiciliary aged care is a global challenge, with rapid turnover, low job satisfaction, and poorly defined career pathways. A mixed-methods systematic review of the workforce literature was conducted to understand...

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Main Authors: Claire Thwaites, Jonathan P. McKercher, Deirdre Fetherstonhaugh, Irene Blackberry, Julia F-M. Gilmartin-Thomas, Nicholas F. Taylor, Sharon L. Bourke, Sally Fowler-Davis, Susan Hammond, Meg E. Morris
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/23/3008
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author Claire Thwaites
Jonathan P. McKercher
Deirdre Fetherstonhaugh
Irene Blackberry
Julia F-M. Gilmartin-Thomas
Nicholas F. Taylor
Sharon L. Bourke
Sally Fowler-Davis
Susan Hammond
Meg E. Morris
author_facet Claire Thwaites
Jonathan P. McKercher
Deirdre Fetherstonhaugh
Irene Blackberry
Julia F-M. Gilmartin-Thomas
Nicholas F. Taylor
Sharon L. Bourke
Sally Fowler-Davis
Susan Hammond
Meg E. Morris
author_sort Claire Thwaites
collection DOAJ
description Retention of care support workers in residential aged care facilities and home-based, domiciliary aged care is a global challenge, with rapid turnover, low job satisfaction, and poorly defined career pathways. A mixed-methods systematic review of the workforce literature was conducted to understand the factors that attract and retain care staff across the aged care workforce. The search yielded 49 studies. Three studies tested education and training interventions with the aim of boosting workforce retention and the remaining 46 studies explored opinions and experiences of care workers in 20 quantitative, four mixed-methods and 22 qualitative studies. A range of factors impacted retention of aged care staff. Two broad themes emerged from the analysis: individual and organisational factors facilitating retention. Individual factors related to personal satisfaction with the role, positive relationships with other staff, families, and residents, and a cooperative workplace culture. Organisational factors included opportunities for on-the-job training and career development, appropriate wages, policies to prevent workplace injuries, and job stability. Understaffing was often cited as a factor associated with turnover, together with heavy workloads, stress, and low job satisfaction. With global concerns about the safety and quality of aged care services, this study presents the data associated with best practice for retaining aged care workers.
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spelling doaj.art-99bb0e195ef4442fbea9526de906e8c02023-12-08T15:15:57ZengMDPI AGHealthcare2227-90322023-11-011123300810.3390/healthcare11233008Factors Impacting Retention of Aged Care Workers: A Systematic ReviewClaire Thwaites0Jonathan P. McKercher1Deirdre Fetherstonhaugh2Irene Blackberry3Julia F-M. Gilmartin-Thomas4Nicholas F. Taylor5Sharon L. Bourke6Sally Fowler-Davis7Susan Hammond8Meg E. Morris9Academic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, AustraliaAcademic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, AustraliaAustralian Centre for Evidence Based Aged Care, La Trobe University, Melbourne, VIC 3086, AustraliaCare Economy and Research Institute and John Richards Centre for Rural Ageing Research, La Trobe University, Albury-Wodonga, VIC 3086, AustraliaSchool of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, AustraliaAcademic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, AustraliaAcademic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, AustraliaAnglia Ruskin University, Bishop Hall Lane, Chelmsford CM1 1SQ, UKVictorian Rehabilitation Centre, Healthscope, Glen Waverley, Melbourne, VIC 3150, AustraliaAcademic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, AustraliaRetention of care support workers in residential aged care facilities and home-based, domiciliary aged care is a global challenge, with rapid turnover, low job satisfaction, and poorly defined career pathways. A mixed-methods systematic review of the workforce literature was conducted to understand the factors that attract and retain care staff across the aged care workforce. The search yielded 49 studies. Three studies tested education and training interventions with the aim of boosting workforce retention and the remaining 46 studies explored opinions and experiences of care workers in 20 quantitative, four mixed-methods and 22 qualitative studies. A range of factors impacted retention of aged care staff. Two broad themes emerged from the analysis: individual and organisational factors facilitating retention. Individual factors related to personal satisfaction with the role, positive relationships with other staff, families, and residents, and a cooperative workplace culture. Organisational factors included opportunities for on-the-job training and career development, appropriate wages, policies to prevent workplace injuries, and job stability. Understaffing was often cited as a factor associated with turnover, together with heavy workloads, stress, and low job satisfaction. With global concerns about the safety and quality of aged care services, this study presents the data associated with best practice for retaining aged care workers.https://www.mdpi.com/2227-9032/11/23/3008aged careworkforceretentionageingnursingallied health
spellingShingle Claire Thwaites
Jonathan P. McKercher
Deirdre Fetherstonhaugh
Irene Blackberry
Julia F-M. Gilmartin-Thomas
Nicholas F. Taylor
Sharon L. Bourke
Sally Fowler-Davis
Susan Hammond
Meg E. Morris
Factors Impacting Retention of Aged Care Workers: A Systematic Review
Healthcare
aged care
workforce
retention
ageing
nursing
allied health
title Factors Impacting Retention of Aged Care Workers: A Systematic Review
title_full Factors Impacting Retention of Aged Care Workers: A Systematic Review
title_fullStr Factors Impacting Retention of Aged Care Workers: A Systematic Review
title_full_unstemmed Factors Impacting Retention of Aged Care Workers: A Systematic Review
title_short Factors Impacting Retention of Aged Care Workers: A Systematic Review
title_sort factors impacting retention of aged care workers a systematic review
topic aged care
workforce
retention
ageing
nursing
allied health
url https://www.mdpi.com/2227-9032/11/23/3008
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