Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal
In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain...
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| Veröffentlicht in: | Health SA = SA Gesondheid 2017-12, Vol.22 (1), p.174-183 |
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| creator | Haskins, J. Lyn Phakathi, Sifiso A. Grant, Merridy Horwood, Christiane M. |
| description | In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain them in rural areas.
A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs.
417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-based HPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p |
| doi_str_mv | 10.1016/j.hsag.2016.11.002 |
| format | Article |
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A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs.
417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-based HPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p < 0.001) and children (76.7% vs 36.9%, p < 0.001), and living in hospital accommodation (50.8% vs 28.9%; p < 0.001).
Decisions made by HP about where to work are complex, multifactorial and should be tailored to each category of health professional.</description><identifier>ISSN: 1025-9848</identifier><identifier>ISSN: 2071-9736</identifier><identifier>EISSN: 2071-9736</identifier><identifier>DOI: 10.1016/j.hsag.2016.11.002</identifier><language>eng</language><publisher>Philadelphia: Elsevier B.V</publisher><subject>Allied health professionals ; Doctors ; Health Care Sciences & Services ; Health Policy & Services ; Management ; Medical personnel ; Physicians ; Professional nurses ; Recruitment ; Retention ; Rural health ; Rural health care ; Shortages ; Supply and demand</subject><ispartof>Health SA = SA Gesondheid, 2017-12, Vol.22 (1), p.174-183</ispartof><rights>2016 The Authors</rights><rights>COPYRIGHT 2017 African Online Scientific Information Systems (Pty) Ltd t/a AOSIS</rights><rights>Copyright Elsevier Limited Dec 2017</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-8f0990b3b088bb07f8c2c56c8b2894c17f226ec88b90170c576b42dca962691c3</citedby><cites>FETCH-LOGICAL-c512t-8f0990b3b088bb07f8c2c56c8b2894c17f226ec88b90170c576b42dca962691c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Haskins, J. Lyn</creatorcontrib><creatorcontrib>Phakathi, Sifiso A.</creatorcontrib><creatorcontrib>Grant, Merridy</creatorcontrib><creatorcontrib>Horwood, Christiane M.</creatorcontrib><title>Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal</title><title>Health SA = SA Gesondheid</title><addtitle>Health SA Gesondheid (Online)</addtitle><description>In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain them in rural areas.
A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs.
417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-based HPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p < 0.001) and children (76.7% vs 36.9%, p < 0.001), and living in hospital accommodation (50.8% vs 28.9%; p < 0.001).
Decisions made by HP about where to work are complex, multifactorial and should be tailored to each category of health professional.</description><subject>Allied health professionals</subject><subject>Doctors</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Management</subject><subject>Medical personnel</subject><subject>Physicians</subject><subject>Professional nurses</subject><subject>Recruitment</subject><subject>Retention</subject><subject>Rural health</subject><subject>Rural health care</subject><subject>Shortages</subject><subject>Supply and demand</subject><issn>1025-9848</issn><issn>2071-9736</issn><issn>2071-9736</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9Uk2P0zAQjRBIlIU_wMkSJyQSxk7jOBKXVbXLAis4ABculuNMWlepXWxnET-Df7y2UqnqBVmWZ8bvzcfTFMVrChUFyt_vq11Q24olu6K0AmBPihWDlpZdW_OnxYoCa8pOrMXz4kUIe4C66Sisin-3SkfnAzF2nGa02tgt8aj9bOIBbSTKDsmPyTTOEjeSo3cjhpA8NRE7-4DhHRnckiWj1TQZHMgO1RR3F_BchfjZJ-LOhaOJp9CXP-rXPM3kq0qRl8WzMcXx1em9Kn7e3vzY3JX33z5-2lzfl7qhLJZihK6Dvu5BiL6HdhSa6YZr0TPRrTVtR8Y46vTZAW1BNy3v12zQquOMd1TXV0W15A3a4OTk3s0-9yi_Z91k1o1lJgDNt0uENwshjfR7xhDPlAyknLaMnlFbNaFMqrrolT6YoOV1U7NaNA1fn4tfoNIZ8GC0sziaFL8gsIWgvQvB4yiP3hyU_yspyLwCci_zCuRWuKRUphVIpLenEVVvLEYZFB7nPuEbBvLm80bqXkDdQg0J-2HBYtL8waCXWRercTBpHaIcnPlfqUfkX8Vs</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Haskins, J. 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Lyn ; Phakathi, Sifiso A. ; Grant, Merridy ; Horwood, Christiane M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-8f0990b3b088bb07f8c2c56c8b2894c17f226ec88b90170c576b42dca962691c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Allied health professionals</topic><topic>Doctors</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Management</topic><topic>Medical personnel</topic><topic>Physicians</topic><topic>Professional nurses</topic><topic>Recruitment</topic><topic>Retention</topic><topic>Rural health</topic><topic>Rural health care</topic><topic>Shortages</topic><topic>Supply and demand</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haskins, J. Lyn</creatorcontrib><creatorcontrib>Phakathi, Sifiso A.</creatorcontrib><creatorcontrib>Grant, Merridy</creatorcontrib><creatorcontrib>Horwood, Christiane M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>SciELO</collection><jtitle>Health SA = SA Gesondheid</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haskins, J. Lyn</au><au>Phakathi, Sifiso A.</au><au>Grant, Merridy</au><au>Horwood, Christiane M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal</atitle><jtitle>Health SA = SA Gesondheid</jtitle><addtitle>Health SA Gesondheid (Online)</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>22</volume><issue>1</issue><spage>174</spage><epage>183</epage><pages>174-183</pages><issn>1025-9848</issn><issn>2071-9736</issn><eissn>2071-9736</eissn><abstract>In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain them in rural areas.
A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs.
417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-based HPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p < 0.001) and children (76.7% vs 36.9%, p < 0.001), and living in hospital accommodation (50.8% vs 28.9%; p < 0.001).
Decisions made by HP about where to work are complex, multifactorial and should be tailored to each category of health professional.</abstract><cop>Philadelphia</cop><pub>Elsevier B.V</pub><doi>10.1016/j.hsag.2016.11.002</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | African Journals Online (Open Access); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Allied health professionals Doctors Health Care Sciences & Services Health Policy & Services Management Medical personnel Physicians Professional nurses Recruitment Retention Rural health Rural health care Shortages Supply and demand |
| title | Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal |
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