Home > Review Articles > Primary care > Factors supporting retention of Aboriginal Health and Wellbeing staff in Aboriginal health services: a comprehensive review of the literature

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

Making Education Easy

Authors:
Summary:

This Australian research identified 26 English-language papers published between 2002 and 2017 that focused on retention of Aboriginal Health and Wellbeing staff, or health staff in comparable roles working in Aboriginal health services. The work of Aboriginal Health and Wellbeing staff is essential for successful primary healthcare for Aboriginal communities, but is often compromised by high rates of stress, burnout, and staff turnover, impacting on primary healthcare delivery to Aboriginal peoples. This investigation explored organisational factors that help support the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health services. Five key themes were found to contribute to the retention of Aboriginal Health and Wellbeing staff in Aboriginal Health Services: (1) feeling culturally safe and secure within the workplace; (2) teamwork and collaboration; (3) supervision (internal or external supervision with a counsellor outside the organisation), with strong managerial leadership and support from peers (to debrief, reflect, receive emotional support and strengthen coping mechanisms); (4) professional development (the opportunity for skill development and role progression), and; (5) recognition (of work load, quality of work performed, being trusted to work autonomously, with financial remuneration reflecting the high pressure of the role).

Comment:
Being well aware of the issues recruiting and retaining Māori and Pacific staff at clinics serving Māori and Pacific communities, I thought this paper provided an excellent review of the potential solutions. I was particularly interested in two points made by the authors to reduce turnover – formal peer support (as staff/management may think that informal is enough) and recognition (both fiscal and other forms of ‘sponsorship’).
Reference: Int J Equity Health 2019;18:70
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

A qualitative study of 11 Māori and Pacific allied health professionals in their first two

A pilot randomised controlled trial of a Diabetes Remission Clinical Trial (DiRECT)-type intervention within a

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.