Haywood Darren, Crocker Kaitlyn M, Gnatt Inge, Jenkins Zoe, Bhat Ravi, Lalitha Anoop Raveendran Nair, Butterfield Ingrid, Castle David J
School of Psychological Science, Turner Institute for Brain and Mental Health, Monash University, Victoria, Clayton, Australia.
Department of Mental Health, St. Vincent's Hospital Melbourne, Victoria, Fitzroy, Australia.
Int J Ment Health Nurs. 2024 Apr;33(2):359-368. doi: 10.1111/inm.13233. Epub 2023 Oct 5.
High staff turnover is common within the Australian public mental health workforce, contributing to workforce shortages and ultimately impacting the ability to provide stable efficient, effective, and ongoing optimal care to the community. In this study, we aimed to (a) establish the most pertinent factors associated with increased turnover intention in the public mental health workforce in Australia, and (b) establish whether such factors differ between metropolitan and rural services. We used a cross-sectional, correlational design using an online survey method. In total, 235 mental health service staff of various disciplines and levels, from four public hospitals in Victoria, Australia participated in the study. We used three feed-forward multiple regression analyses to assess the study aims. We found that job satisfaction, occupational burnout, and understaffing may be the most pertinent factors to consider regarding turnover intention. Job satisfaction and occupational burnout were factors endorsed across the entire sample, as well as specifically within both the metropolitan and rural services, while understaffing was a pertinent factor regarding turnover intention across the entire sample and for rural services, but not metropolitan services. Our findings regarding the pertinence of job satisfaction, occupational burnout, and understaffing in turnover intention provide key information that may be used to inform interventional targets aimed at reducing attrition from the public mental health workforce in Australia.
澳大利亚公共心理健康服务人员的高流动率很常见,这导致了劳动力短缺,并最终影响了向社区提供稳定、高效、有效且持续的优质护理的能力。在本研究中,我们旨在:(a)确定与澳大利亚公共心理健康服务人员离职意愿增加相关的最相关因素;(b)确定这些因素在城市和农村服务之间是否存在差异。我们采用横断面相关设计,使用在线调查方法。共有来自澳大利亚维多利亚州四家公立医院的235名不同学科和级别的心理健康服务人员参与了该研究。我们使用了三次前馈多元回归分析来评估研究目标。我们发现,工作满意度、职业倦怠和人员不足可能是与离职意愿相关的最相关因素。工作满意度和职业倦怠是整个样本以及城市和农村服务中都认可的因素,而人员不足是整个样本以及农村服务中与离职意愿相关的因素,但在城市服务中并非如此。我们关于工作满意度、职业倦怠和人员不足与离职意愿相关性的研究结果提供了关键信息,可用于为旨在减少澳大利亚公共心理健康服务人员流失的干预目标提供参考。