Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature

Abstract Introduction Aboriginal Health and Wellbeing staff are crucial for successful primary health care for Aboriginal communities. However, they are often affected by high rates of stress, burnout, and staff turn-over, which can impact primary health care delivery to Aboriginal peoples. The aim...

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Main Authors: Sara Deroy, Heike Schütze
Format: Article
Language:English
Published: BMC 2019-05-01
Series:International Journal for Equity in Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12939-019-0968-4
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author Sara Deroy
Heike Schütze
author_facet Sara Deroy
Heike Schütze
author_sort Sara Deroy
collection DOAJ
description Abstract Introduction Aboriginal Health and Wellbeing staff are crucial for successful primary health care for Aboriginal communities. However, they are often affected by high rates of stress, burnout, and staff turn-over, which can impact primary health care delivery to Aboriginal peoples. The aim of this review was to identify organisational factors that help support the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health services. Methods A comprehensive literature review was undertaken. Eleven electronic databases were searched for papers published between 2002 and 2017 and supplemented by hand searching. Papers were included if they were in English, full text, peer-reviewed, and had a focus on retention of Aboriginal Health and Wellbeing staff, or health staff in comparable roles working in Aboriginal health services. Twenty-six papers were included in the final review. Results Five key themes were identified as being important to the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health Services: feeling culturally safe and secure within the workplace; teamwork and collaboration; supervision and strong managerial leadership and support from peers (to debrief, reflect, receive emotional support and strengthen coping mechanisms); professional development (the opportunity for skill development and role progression); and recognition (of work load, quality of work performed, being trusted to work autonomously, and financial remuneration that reflected the high pressure of the role). Conclusion Aboriginal Health and Wellbeing staff are fundamental to successful primary health care for Aboriginal peoples. State and Federal Governments should consider formalising recognition of the significant cultural knowledge that Aboriginal Health and Wellbeing staff bring to their roles. Formal recognition could also pave the way to revise remuneration as well as ensure adequate support mechanisms are put in place to improve retention and reduce stress and burnout affecting Aboriginal Health and Wellbeing staff.
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spelling doaj.art-a228188ac83f4cad8e56caa2c8b03ea72022-12-22T02:04:51ZengBMCInternational Journal for Equity in Health1475-92762019-05-0118111110.1186/s12939-019-0968-4Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literatureSara Deroy0Heike Schütze1University of WollongongUniversity of WollongongAbstract Introduction Aboriginal Health and Wellbeing staff are crucial for successful primary health care for Aboriginal communities. However, they are often affected by high rates of stress, burnout, and staff turn-over, which can impact primary health care delivery to Aboriginal peoples. The aim of this review was to identify organisational factors that help support the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health services. Methods A comprehensive literature review was undertaken. Eleven electronic databases were searched for papers published between 2002 and 2017 and supplemented by hand searching. Papers were included if they were in English, full text, peer-reviewed, and had a focus on retention of Aboriginal Health and Wellbeing staff, or health staff in comparable roles working in Aboriginal health services. Twenty-six papers were included in the final review. Results Five key themes were identified as being important to the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health Services: feeling culturally safe and secure within the workplace; teamwork and collaboration; supervision and strong managerial leadership and support from peers (to debrief, reflect, receive emotional support and strengthen coping mechanisms); professional development (the opportunity for skill development and role progression); and recognition (of work load, quality of work performed, being trusted to work autonomously, and financial remuneration that reflected the high pressure of the role). Conclusion Aboriginal Health and Wellbeing staff are fundamental to successful primary health care for Aboriginal peoples. State and Federal Governments should consider formalising recognition of the significant cultural knowledge that Aboriginal Health and Wellbeing staff bring to their roles. Formal recognition could also pave the way to revise remuneration as well as ensure adequate support mechanisms are put in place to improve retention and reduce stress and burnout affecting Aboriginal Health and Wellbeing staff.http://link.springer.com/article/10.1186/s12939-019-0968-4RetentionAboriginalAboriginal health workerAboriginal health and wellbeing staffAboriginal health serviceHealth service evaluation
spellingShingle Sara Deroy
Heike Schütze
Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
International Journal for Equity in Health
Retention
Aboriginal
Aboriginal health worker
Aboriginal health and wellbeing staff
Aboriginal health service
Health service evaluation
title Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
title_full Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
title_fullStr Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
title_full_unstemmed Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
title_short Factors supporting retention of aboriginal health and wellbeing staff in Aboriginal health services: a comprehensive review of the literature
title_sort factors supporting retention of aboriginal health and wellbeing staff in aboriginal health services a comprehensive review of the literature
topic Retention
Aboriginal
Aboriginal health worker
Aboriginal health and wellbeing staff
Aboriginal health service
Health service evaluation
url http://link.springer.com/article/10.1186/s12939-019-0968-4
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