Recruiting undergraduates to rural practice: what the students can tell us

Orpin, P; Gabriel, Michelle

doi:10.22605/rrh412

Cited by 23 publications

(7 citation statements)

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“…Twenty-two studies 19 , 20 , 29 , 38 , 43 , 49 , 56 , 63 , 67 , 76 , 125 , 136 , 140 , 142 , 156 , 199 , 205 - 211 assessed the effect of rural clinical rotations (eg, rural internships, rural immersion programs) during undergraduate training on the intentions to work in rural settings or actual recruitment and retention rates of the rural HWF. These studies can be broken down in two subcategories:…”

Section: Resultsmentioning

confidence: 99%

Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries

Flinterman

González-González²,

Seils³

et al. 2023

Int J Health Policy Manag

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Background: Medical deserts are considered a problematic issue for many Western countries which try to employ multitude of policies and initiatives to achieve a better distribution of their health workforce (HWF). The aim of this study was to systematically map research and provide an overview of definitions, characteristics, contributing factors and approaches to mitigate medical deserts within the European Union (EU)-funded project "ROUTE-HWF" (a Roadmap OUT of mEdical deserts into supportive Health WorkForce initiatives and policies). Methods: We performed a scoping review to identify knowledge clusters/research gaps in the field of medical deserts focusing on HWF issues. Six databases were searched till June 2021. Studies reporting primary research from Western countries on definitions, characteristics, contributing factors and approaches were included. Two independent reviewers assessed studies for eligibility, extracted data and clustered studies according to the four defined outcomes. Results: Two-hundred and forty studies were included (n=116, 48% Australia/New Zealand; n=105, 44% North America; n=20, 8% Europe). All used observational designs except for five quasi-experimental studies. Studies provided definitions (n=171, 71%), characteristics (n=95, 40%), contributing factors (n=112, 47%), and approaches to mitigate medical deserts (n=87, 36%). Most medical deserts were defined by the density of the population in an area. Contributing factors to HWF issues in medical deserts consisted in work-related (n=55, 23%) and lifestyle-related factors (n=33, 14%) of the HWF as well as sociodemographic characteristics (n=79, 33%). Approaches to mitigate them focused on training adapted to the scope of rural practice (n=67, 28%), HWF distribution (n=3, 1%), support/infrastructure (n=8, 3%) and innovative models of care (n=7, 3%). Conclusion: Our study provides the first scoping review that presents and categorizes definitions, characteristics, contributing factors and approaches to mitigate HWF issues in medical deserts. We identified gaps such as the scarcity of longitudinal studies to investigate the impact of factors contributing to medical deserts, and interventional studies to evaluate the effectiveness of approaches to mitigate HWF issues.

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Section: Resultsmentioning

confidence: 99%

Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries

Flinterman

González-González²,

Seils³

et al. 2023

Int J Health Policy Manag

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“…Overall participants generally enjoyed their rural placement experience. Key factors contributing to this were: the rural environment and all that it offered (Adams et al, 2005;Campbell et al, 2012;Gum et al, 2013;Schofield et al, 2009;Schoo et al, 2005) as well as the health setting providing broad clinical practice exposure and enhanced learning opportunities (Lea et al, 2008;Orpin & Gabriel, 2005;Paterson et al, 2004;Webster et al, 2010). Participants generally experienced rural health workplaces as friendly and supportive (Johnson & Blinkhorn, 2011;Lea et al, 2008;Schofield et al, 2009;Sutton et al, 2016) and spoke highly of their assigned clinical supervisors (Australia, 2015;Johnson & Blinkhorn, 2011;White & Humphreys, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…However, the evidence on the effect of rural placement on rural practice intention for nursing and allied health students is less clear (Playford, Larson, & Wheatland, 2006). Generally, there is a lack of literature specific to nursing and allied health student placements (Bazen, Kruger, Dyson, & Tennant, 2007;Johnson & Blinkhorn, 2011;Orpin & Gabriel, 2005;Sutton et al, 2016) and, more specifically, on the social contingencies of rural student placements (Kerr, Hemmings Brian, & Kay, 2013;Lea et al, 2008). Furthermore, there is a paucity of literature written from the perspective of the students themselves (Dalton et al, 2002;White & Humphreys, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Second, nursing and allied health students frequently describe rural health services as being positive, friendly work environments (Johnson & Blinkhorn, 2011;Lea et al, 2008;Schofield et al, 2009;Sutton et al, 2016) where they receive dedicated support from staff and clinical supervisors (Australia, 2015;Johnson & Blinkhorn, 2011;White & Humphreys, 2014). Third, students report more opportunities for hands-on learning experiences, exposure to a broader scope of practice (Lea et al, 2008;Orpin & Gabriel, 2005;Paterson, McColl, & Paterson, 2004;Webster et al, 2010) and being provided the opportunity to be more responsible and autonomous in their practice (Adams et al, 2005;Kerr et al, 2013;Killam, Carter, & Carter, 2010;Schofield et al, 2009;Sutton et al, 2016) in their rural placements. Most of these rural-specific factors are well identified in the literature, but others are less common, including: enjoying increased opportunities to work in an inter-professional health team (Adams et al, 2005;Devine, 2006), enjoyment of immersion into new settings (Bazen et al, 2007;Daly, Perkins, Kumar, Roberts, & Moore, 2013;Thackrah, Thompson, & Durey, 2014), having more time to develop satisfying patient relationships (Daly et al, 2013;Orpin & Gabriel, 2005) and increased career opportunities following rural placement (Adams et al, 2005;Paterson et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…Third, students report more opportunities for hands-on learning experiences, exposure to a broader scope of practice (Lea et al, 2008;Orpin & Gabriel, 2005;Paterson, McColl, & Paterson, 2004;Webster et al, 2010) and being provided the opportunity to be more responsible and autonomous in their practice (Adams et al, 2005;Kerr et al, 2013;Killam, Carter, & Carter, 2010;Schofield et al, 2009;Sutton et al, 2016) in their rural placements. Most of these rural-specific factors are well identified in the literature, but others are less common, including: enjoying increased opportunities to work in an inter-professional health team (Adams et al, 2005;Devine, 2006), enjoyment of immersion into new settings (Bazen et al, 2007;Daly, Perkins, Kumar, Roberts, & Moore, 2013;Thackrah, Thompson, & Durey, 2014), having more time to develop satisfying patient relationships (Daly et al, 2013;Orpin & Gabriel, 2005) and increased career opportunities following rural placement (Adams et al, 2005;Paterson et al, 2004). One study identified characteristics of nursing and allied health students which lead to a successful rural placement: preparedness for placement, opportunity for autonomous practice, an ability to use initiative, and level of personal maturity, confidence and independence (Rural Health Workforce Australia, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Experiences of Nursing and Allied Health Students Undertaking a Rural Placement: Barriers and Enablers to Satisfaction and Wellbeing

Bradley

Bourke²,

Cosgrave³

2020

AIJRE

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Australia's rural health services commonly face serious and protracted workforce shortages. To help address such shortages in rural and remote areas, a range of programs exist to support university students to undertake placements in a rural setting. In particular, University Departments of Rural Health (UDRHs) are funded to support nursing and allied health students to undertake a rural placement. As UDRHs encourage students to 'go rural' and as they coordinate and facilitate placements in rural settings, a range of enablers and barriers emerge. This study investigates the lived experiences of nursing and allied health students on placement in public health services in rural and regional Victoria. Its purpose was to identify the enablers and barriers most strongly affecting placement satisfaction and personal wellbeing. The intended outcome was to identify modifiable factors that could potentially improve the rural placement experience. Eighteen students were interviewed by a student undertaking her placement. Interviews were 45-60 minutes in length and all face-to-face. The 18 participants were from five universities and were undertaking their placement at one of seven public hospitals operating in northeast Victoria. The researcher recruited participants by attending scheduled debrief meetings at their placement organisation, briefly discussing the research and inviting students to participate. Data were analysed using a thematic analysis approach. The study found that most participants were positive and enthusiastic about their rural placement, both professionally and personally. Three key enablers were identified: 1) enjoyment of the rural environment and community; 2) working in a positive, friendly and supportive workplace; and 3) exposure to broad practice and enhanced learning opportunities. Simultaneously many had also experienced significant barriers before, during or as a consequence of undertaking their placement, and these negatively affected placement satisfaction and personal wellbeing. Identified barriers were: 1) increased financial stress; 2) travel and accommodation challenges and concerns; 3) study-work-life balance and isolation issues; 4) encountering stressful work situations and/or personal events while on placement; and 5) communication issues with universities. The findings are strongly consistent with those identified in the extant literature. The findings add to previous research by deepening understanding about the financial burden and barriers experienced by nursing and allied health students as a result of undertaking rural placements. Disruption to students' lives socially, psychologically, financially and in terms of employment were significant. The study identified some important aspects of the placement experience, suggesting that nursing and allied health students can be dissatisfied with increased financial stress, isolation and inflexibility from universities.

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The lure of the bush: Do rural placements influence student nurses to seek employment in rural settings?

Lea

Cruickshank²,

Paliadelis³

et al. 2008

Collegian

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Recruiting undergraduates to rural practice: what the students can tell us

Cited by 23 publications

References 0 publications

Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries

Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries

Experiences of Nursing and Allied Health Students Undertaking a Rural Placement: Barriers and Enablers to Satisfaction and Wellbeing

The lure of the bush: Do rural placements influence student nurses to seek employment in rural settings?

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