Bloxsome Dianne, Glass Courtney, Bayes Sara
School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia, 6027.
BMC Health Serv Res. 2021 Feb 27;21(1):183. doi: 10.1186/s12913-021-06169-x.
Midwifery job retention is an ongoing global issue. Prior research has recognised that considering an individual's attributes in relation to their work environment may assist in improving job satisfaction among midwives, leading to improved long-term job retention in the midwifery profession. The aim of this study was to evaluate whether, and how organisational fit is addressed in current entry level midwifery job advertisements within Australia.
Midwifery jobs were searched for within 12 search engines, using the search term 'midwife', including Seek.com , Indeed.com , government employment websites for all Australian states and territories, and private health organisation websites. Data were extracted from eligible job advertisements by three independent researchers. Extracted data encompassed elements addressing person-job fit and person-organisation fit. Content analysis involving chi-square and Fischer exact tests were completed on extracted data.
Key findings demonstrate private health care organisations (29.2%) are more likely than public health care organisations (8.8%) to ask potential candidates to have additional qualifications, however, public health care organisations (34.1% vs. 16.7%) are more likely to ask for dual registration as a midwife and nurse. This is further supported by private health care organisations being more likely to refer to the candidate as a midwife (72.9% vs. 48.4%) than as a nurse. Private health care organisations more often noted access to support for employees and were more likely to mention access to employee assistance programs (41.7% vs. 13.2%), orientations (16.7% vs. 0%) and included benefits (72.9% vs. 42.9%). Clinical skills and personality traits were more frequently addressed in public health organisation advertisements; these included a requirement of employees to be accountable (49.5% vs. 6.3%), innovative (28.6% vs. 0%), have teamwork (69.2% vs. 52.1%) and conflict resolution skills (36.3% vs. 8.3%), and have knowledge of legislation (44.0% vs. 25.0%) and contemporary midwifery issues (28.6% vs. 4.2%).
This study highlights that organisations employing midwives may be unwittingly contributing to the problem of midwife attrition through inattention to factors that endear midwives to workplaces in job advertisements. Further work developing employee selection and recruitment processes that are informed by the concept of person-job-organisation fit, is necessary.
助产士岗位留存是一个全球性的长期问题。先前的研究已经认识到,考虑个人特质与工作环境的关系可能有助于提高助产士的工作满意度,从而提高助产士职业的长期岗位留存率。本研究的目的是评估澳大利亚当前入门级助产士招聘广告中是否以及如何涉及组织匹配度。
在12个搜索引擎中搜索助产士岗位,使用搜索词“midwife”,包括Seek.com、Indeed.com、澳大利亚所有州和领地的政府就业网站以及私立卫生组织网站。由三名独立研究人员从符合条件的招聘广告中提取数据。提取的数据包括涉及人与岗位匹配度和人与组织匹配度的要素。对提取的数据进行了涉及卡方检验和费舍尔精确检验的内容分析。
主要研究结果表明,私立卫生保健组织(29.2%)比公立卫生保健组织(8.8%)更有可能要求潜在候选人具备额外资质,然而,公立卫生保健组织(34.1%对16.7%)更有可能要求具备助产士和护士双重注册资格。私立卫生保健组织比公立卫生保健组织更倾向于将候选人称为助产士(72.9%对48.4%),这进一步证明了上述情况。私立卫生保健组织更常提到为员工提供支持,并且更有可能提及提供员工援助计划(41.7%对13.2%)、入职培训(16.7%对0%)以及福利待遇(72.9%对42.9%)。公立卫生组织的招聘广告中更频繁地提及临床技能和个性特质;这些包括要求员工有责任心(49.5%对6.3%)、有创新能力(28.6%对0%)、具备团队合作精神(69.2%对52.1%)和冲突解决能力(36.3%对8.3%),以及了解法规(44.0%对25.0%)和当代助产问题(28.6%对4.2%)。
本研究强调,雇佣助产士的组织可能由于在招聘广告中忽视那些能让助产士喜爱工作场所的因素,而在不知不觉中加剧了助产士流失的问题。有必要进一步开展工作,制定基于人与岗位 - 组织匹配概念的员工选拔和招聘流程。