Understanding factors influencing personal care workers' intentions to stay: A systematic integrative review

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2025-03-17 DOI:10.1111/ajag.70017

Britt O'Keefe, Eva Yuen, Susan Perlen, Briony Dow, Alison M. Hutchinson

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引用次数: 0

Abstract

Objective

To systematically synthesise existing literature to identify influences on personal care workers' intentions to stay when employed in residential aged care.

Methods

A systematic integrative review was conducted, searching relevant literature across multiple databases, including Business Source Complete, CINAHL Complete, Medline Complete and APA PsycInfo via the EBSCOhost platform and EMBASE (excluding Medline). Articles were eligible for inclusion if they were peer-reviewed, published in English between 1997 and 2024, and focused on factors influencing personal care workers' intentions to stay in residential aged care. The methodological quality of the selected articles was assessed using the Mixed Methods Appraisal Tool.

Results

This review included six articles published between 2007 and 2021, reporting on quantitative (n = 4), qualitative (n = 1) and mixed methods (n = 1) research, with the final study published in 2021. Five employee-related and employer-related themes emerged as important factors that influence personal care workers' intentions to stay: (1) individual characteristics and resilience, (2) career growth and rewards, (3) employment stability and economic workforce pressures, (4) satisfaction and fulfilment in professional caregiving and (5) organisational support and collaborative work environment.

Conclusions

This review identified key factors influencing personal care workers' intentions to stay, offering actionable insights to inform the development of evidence-based strategies aimed at strengthening workforce retention. Addressing these factors is critical to meeting the needs of an ageing population and ensuring the provision of high-quality care. Furthermore, the review underscores the multifaceted determinants shaping these intentions, emphasising the importance of psychological, social and organisational factors to enhance retention efforts.

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了解影响个人护理工作者留职意愿的因素：系统性综合审查

目的系统综合现有文献，探讨个人护理员受雇从事居家养老服务对其留任意愿的影响。方法通过EBSCOhost平台和EMBASE（不含Medline）检索Business Source Complete、CINAHL Complete、Medline Complete和APA PsycInfo等数据库的相关文献，进行系统的综合评价。符合入选条件的文章必须经过同行评议，在1997年至2024年间以英文发表，并且关注影响个人护理工作者留在养老院意愿的因素。所选文章的方法学质量使用混合方法评估工具进行评估。结果本综述纳入2007 - 2021年间发表的6篇文章，分别报道了定量（n = 4）、定性（n = 1）和混合方法（n = 1）研究，最终研究发表于2021年。五个与员工和雇主相关的主题被认为是影响个人护理工作者留下来意愿的重要因素：(1)个人特征和弹性，(2)职业发展和奖励，(3)就业稳定性和经济劳动力压力，(4)专业护理的满意度和成就感，(5)组织支持和协作工作环境。本综述确定了影响个人护理人员留任意愿的关键因素，提供了可操作的见解，为旨在加强员工留任的循证策略的制定提供了信息。解决这些因素对于满足人口老龄化的需要和确保提供高质量的护理至关重要。此外，审查强调了形成这些意向的多方面决定因素，强调了心理、社会和组织因素对加强挽留工作的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.