Factors associated with the attraction and retention of family and community medicine and nursing residents in rural settings: a qualitative study.
Family medicine
Family nursing and community care
Primary health
Residency programmes
Retention
Rurality.
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
13 Sep 2023
13 Sep 2023
Historique:
received:
22
02
2023
accepted:
04
09
2023
medline:
15
9
2023
pubmed:
14
9
2023
entrez:
13
9
2023
Statut:
epublish
Résumé
The current shortage of primary care doctors and nurses is causing difficulties in replacement, and this shortage is expected to increase. This situation is more pronounced in rural environments than in urban ones. Family and community care specialty training is a key component of both the transition to clinical practice and the retention of new professionals. The aim of this study is to explore the attitudes and perceptions of internal medicine residents and internal nurse residents trained in a rural teaching unit on factors associated with recruitment and retention, including the role of the specialty training programme. A qualitative study was conducted. Purposive sampling was used, and thirteen residents from the central Catalonia teaching unit who were in their final year of training participated in semistructured interviews. The data were collected during 2022 and were subsequently analysed with thematic analysis. The study is reported using the COREQ checklist. Six themes emerged from data related to perceptions and attitudes about the factors associated with recruitment and retention: training programme, characteristics of the family and community specialty, concept of rural life, family and relational factors, economic and resource factors, and recruitment and job opportunities. Family and community medicine and nursing residents trained in rural settings expressed satisfaction with the specialty programme and most features of primary care, but they experienced a wide range of uncertainties in deciding on their professional future in terms of living in rural areas, family support, financial support and recruitment. This study identifies individual and structural factors that could be of great use to retain doctors and nurses in rural areas.
Sections du résumé
BACKGROUND
BACKGROUND
The current shortage of primary care doctors and nurses is causing difficulties in replacement, and this shortage is expected to increase. This situation is more pronounced in rural environments than in urban ones. Family and community care specialty training is a key component of both the transition to clinical practice and the retention of new professionals. The aim of this study is to explore the attitudes and perceptions of internal medicine residents and internal nurse residents trained in a rural teaching unit on factors associated with recruitment and retention, including the role of the specialty training programme.
METHODS
METHODS
A qualitative study was conducted. Purposive sampling was used, and thirteen residents from the central Catalonia teaching unit who were in their final year of training participated in semistructured interviews. The data were collected during 2022 and were subsequently analysed with thematic analysis. The study is reported using the COREQ checklist.
RESULTS
RESULTS
Six themes emerged from data related to perceptions and attitudes about the factors associated with recruitment and retention: training programme, characteristics of the family and community specialty, concept of rural life, family and relational factors, economic and resource factors, and recruitment and job opportunities.
CONCLUSIONS
CONCLUSIONS
Family and community medicine and nursing residents trained in rural settings expressed satisfaction with the specialty programme and most features of primary care, but they experienced a wide range of uncertainties in deciding on their professional future in terms of living in rural areas, family support, financial support and recruitment. This study identifies individual and structural factors that could be of great use to retain doctors and nurses in rural areas.
Identifiants
pubmed: 37705018
doi: 10.1186/s12909-023-04650-1
pii: 10.1186/s12909-023-04650-1
pmc: PMC10500790
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
662Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
BMC Health Serv Res. 2021 Oct 5;21(1):1052
pubmed: 34610827
J Rural Health. 2023 Jun;39(3):529-534
pubmed: 36443985
J Gen Intern Med. 2016 Dec;31(12):1452-1459
pubmed: 27488970
Aten Primaria. 2021 Dec;53(10):102153
pubmed: 34303062
Hum Resour Health. 2018 Nov 21;16(1):62
pubmed: 30463580
J Gen Intern Med. 2018 Feb;33(2):191-199
pubmed: 29181791
CMAJ Open. 2021 Jul 20;9(3):E788-E794
pubmed: 34285058
Med Teach. 2023 Jan;45(1):32-39
pubmed: 36202102
Rural Remote Health. 2022 May;22(2):7118
pubmed: 35581958
BMC Health Serv Res. 2018 Apr 10;18(1):260
pubmed: 29631589
Br J Gen Pract. 2017 Apr;67(657):e227-e237
pubmed: 28289014
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585
J Grad Med Educ. 2020 Dec;12(6):717-726
pubmed: 33391596
Acad Med. 2016 Sep;91(9):1313-21
pubmed: 27119328
Am J Pharm Educ. 2020 Jan;84(1):7120
pubmed: 32292186
PLoS One. 2022 Mar 29;17(3):e0266159
pubmed: 35349602
J Nurs Adm. 2019 Sep;49(9):430-435
pubmed: 31436741
Hum Resour Health. 2019 Dec 16;17(1):99
pubmed: 31842946
BMC Health Serv Res. 2021 Mar 12;21(1):220
pubmed: 33706769
Health Serv Res. 2023 May 9;:
pubmed: 37161614
Int J Environ Res Public Health. 2019 Jan 24;16(3):
pubmed: 30678350
J Nurs Manag. 2010 Mar;18(2):205-14
pubmed: 20465748
AORN J. 2017 Aug;106(2):128-144
pubmed: 28755665
Bull World Health Organ. 2010 May;88(5):350-6
pubmed: 20461141
HERD. 2016 Jul;9(4):16-25
pubmed: 26791375
Cad Saude Publica. 2021 Jul 07;37(7):e00310520
pubmed: 34259752
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
BMC Med Educ. 2018 Aug 14;18(1):196
pubmed: 30107795
J Nurs Manag. 2022 Jul;30(5):1337-1344
pubmed: 35419907
J Nurs Manag. 2018 May;26(4):477-484
pubmed: 29266483
BMC Health Serv Res. 2019 Jan 22;19(1):57
pubmed: 30670008
Aten Primaria. 2009 Aug;41(8):429-30
pubmed: 19539405
Nurs Outlook. 2022 May-Jun;70(3):401-416
pubmed: 35183357
Medwave. 2021 Jan 08;21(1):e8098
pubmed: 33617520