Apathy Nate C, Yeager Valerie A
Health Policy & Management, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana.
J Public Health Manag Pract. 2019 Mar/Apr;25 Suppl 2, Public Health Workforce Interests and Needs Survey 2017(2 Suppl):S157-S165. doi: 10.1097/PHH.0000000000000940.
As public health needs and priorities evolve, maintaining a trained public health workforce is critical to the success of public health efforts. Researchers have examined training needs in various contexts and subpopulations, but a nationally representative study of what motivates public health workers to seek out training has yet to be conducted. By understanding these motivations, public health agencies and policy makers can appeal to worker motivations in both training programs and organizational incentives.
The purpose of this article was to describe overall training motivations and identify patterns of training motivations among public health workers. This study also explored whether or not training needs differ across prevalent motivational patterns.
Using data from the 2017 Public Health Workforce Interests and Needs Survey (PH WINS), the study used latent class analysis (LCA) to identify motivational patterns and logistic regression to analyze associations with training needs.
The most prominent motivation to seek training was personal growth (82.7% of respondents). LCA identified 4 motivational classes of public health workers: those motivated by organizational pressure and requirements (31.8%), those motivated indiscriminately by all factors (28.4%), those motivated primarily by personal growth (21.7%), and those motivated by organizational accommodations and supports (18.2%). Motivational class was not associated with indicating training needs in any of 8 training domains, nor was it associated with indicating any training need in any domain.
Public health agencies should consider the different motivational classes present in the public health workforce. In particular, motivational classes that represent organizational choices suggest that public health agencies should both motivate workers with organizational requirements and pressure from managers and offer institutional support via paid travel and covered time for training.
随着公共卫生需求和重点的不断演变,维持一支训练有素的公共卫生工作队伍对于公共卫生工作的成功至关重要。研究人员已经在各种背景和亚人群中研究了培训需求,但尚未开展一项具有全国代表性的关于促使公共卫生工作者寻求培训的动机的研究。通过了解这些动机,公共卫生机构和政策制定者可以在培训计划和组织激励措施中迎合工作者的动机。
本文旨在描述公共卫生工作者的总体培训动机,并确定培训动机模式。本研究还探讨了培训需求在不同的普遍动机模式下是否存在差异。
该研究利用2017年公共卫生劳动力兴趣与需求调查(PH WINS)的数据,采用潜在类别分析(LCA)来确定动机模式,并使用逻辑回归分析与培训需求的关联。
寻求培训的最主要动机是个人成长(82.7%的受访者)。潜在类别分析确定了公共卫生工作者的4种动机类别:受组织压力和要求驱动的人(31.8%)、受所有因素无差别驱动的人(28.4%)、主要受个人成长驱动的人(21.7%)以及受组织便利和支持驱动的人(18.2%)。动机类别与8个培训领域中任何一个领域表明有培训需求均无关联,也与表明在任何领域有任何培训需求无关联。
公共卫生机构应考虑公共卫生工作队伍中存在的不同动机类别。特别是,代表组织选择的动机类别表明,公共卫生机构既应通过组织要求和管理者的压力来激励工作者,也应通过提供带薪差旅和培训时间来提供制度支持。