Australian physiotherapy workforce at a glance: a narrative review
Adri Pretorius A D , Nuresha Karunaratne B and Susan Fehring CA Physiotherapy Department, Latrobe Regional Hospital, PO Box 424, Traralgon, Vic. 3844, Australia.
B Department of Education and Training, South Western Victoria Region, 900/1 McNab Avenue, PO Box 2141, Footscray, Vic. 3011, Australia.
C RCH@Home, The Royal Children’s Hospital, 50 Flemington Road, Parkville, Vic. 3052, Australia.
D Corresponding author. Email: physio.pretorius@gmail.com
Australian Health Review 40(4) 438-442 https://doi.org/10.1071/AH15114
Submitted: 16 June 2015 Accepted: 11 September 2015 Published: 5 November 2015
Abstract
Background The ability of the physiotherapy workforce to meet the growing demand in the Australian community is uncertain, despite increasing tertiary students and numbers of registered physiotherapists annually.
Objectives The present narrative literature review investigates what is known about the Australian physiotherapy workforce, what factors contribute to attrition from the profession and what strategies could be implemented to improve retention of skilled physiotherapists.
Methods A literature search of five databases identified 24 articles that informed the content of the present review. The articles were reviewed and content summarised according to focus areas and results discussed in the current Australian healthcare context.
Results Although many factors of attrition are inevitable, the present review identified some potentially modifiable factors of attrition. Strategies to improve retention of skilled physiotherapists were broadly grouped into improving professional support in the workforce and assisting the re-entry process for physiotherapists seeking to return to the workforce.
Conclusion Increasing retention of qualified and skilled physiotherapists nationally will help build workforce capacity, meeting the needs of the growing, changing and aging community.
What is known about the topic? The demand for physiotherapists is growing significantly in Australia and the ability of the workforce to meet growing demands is uncertain.
What does this paper add? Many physiotherapists in Australia leave the workforce and the profession early in their careers. Addressing modifiable factors of attrition could help improve the retention of practitioners and skills in the profession, building workforce capacity.
What are the implications for practitioners? Professional support for current physiotherapists is crucial. Re-entry physiotherapists should be supported with flexible return-to-work programs, refresher training and mentorship.
Additional keywords: attrition, retention.
References
[1] Australian Institute of Health and Welfare (AIHW). Australia’s health 2012. Australia’s health series no. 13. Catalogue no. AUS 156. Canberra: AIHW; 2012.[2] Whitford D, Smith T, Newbury J. The South Australian allied health workforce survey: helping to fill the evidence gap in primary health workforce planning. Aust J Primary Health 2012; 18 234–41.
| The South Australian allied health workforce survey: helping to fill the evidence gap in primary health workforce planning.Crossref | GoogleScholarGoogle Scholar |
[3] Mulcahy AJ, Jones S, Strauss G, Cooper I. The impact of recent physiotherapy graduates in the workforce: a study of Curtin University entry-level physiotherapists 2000–2004. Aust Health Rev 2010; 34 252–9.
| The impact of recent physiotherapy graduates in the workforce: a study of Curtin University entry-level physiotherapists 2000–2004.Crossref | GoogleScholarGoogle Scholar | 20497742PubMed |
[4] Struber JC. Recruiting and retaining allied health professionals in rural Australia: why is it so difficult? J Allied Health Sci Pract 2004; 2 1–13.
[5] Chisholm M, Russell D, Humphreys J. Measuring rural allied health workforce turnover and retention: what are the patterns, determinants and costs? Aust J Rural Health 2011; 19 81–8.
| Measuring rural allied health workforce turnover and retention: what are the patterns, determinants and costs?Crossref | GoogleScholarGoogle Scholar | 21438950PubMed |
[6] Williams E, D’Amore W, McMeeken J. Physiotherapy in rural and regional Australia. Aust J Rural Health 2007; 15 380–6.
| Physiotherapy in rural and regional Australia.Crossref | GoogleScholarGoogle Scholar | 17970901PubMed |
[7] Bennett CJ, Grant MJ. Specialisation in physiotherapy: a mark of maturity. Aust J Physiother 2004; 50 3–5.
| Specialisation in physiotherapy: a mark of maturity.Crossref | GoogleScholarGoogle Scholar | 14987186PubMed |
[8] McMeeken J, Grant R, Webb G, Krause KL, Garnett R. Australian physiotherapy student intake is increasing and attrition remains lower than the university average: a demographic study. Aust J Physiother 2008; 54 65–71.
| Australian physiotherapy student intake is increasing and attrition remains lower than the university average: a demographic study.Crossref | GoogleScholarGoogle Scholar | 18298361PubMed |
[9] Anderson G, Ellis E, Williams V, Gates C. Profile of the physiotherapy profession in New South Wales (1975–2002). Aust J Physiother 2005; 51 109–16.
| Profile of the physiotherapy profession in New South Wales (1975–2002).Crossref | GoogleScholarGoogle Scholar | 15924513PubMed |
[10] Bernhardt J, Tang LS. More options and better job security required in career paths of physiotherapist researchers: an observational study. Aust J Physiother 2008; 54 135–40.
| More options and better job security required in career paths of physiotherapist researchers: an observational study.Crossref | GoogleScholarGoogle Scholar | 18492005PubMed |
[11] Gillham S, Ristevski E. Where do I go from here: we’ve got enough seniors? Aust J Rural Health 2007; 15 313–20.
| Where do I go from here: we’ve got enough seniors?Crossref | GoogleScholarGoogle Scholar | 17760915PubMed |
[12] Harris LM, Cumming SR, Campbell AJ. Stress and psychological well-being among allied health professionals. J Allied Health 2006; 35 198–207.
| 17243434PubMed |
[13] Health Workforce Australia. Australia’s health workforce series: physiotherapists in focus. Adelaide: HWA; 2014.
[14] Jepsen D, O’Neill M, Craig J. Tackling the allied health worker crisis: a multiple stakeholder perspective on career attitudes and longevity: preliminary results. North Ryde, NSW: Macquarie University, 2011.
[15] Leach MJ, Segal L, May E. Lost opportunities with Australia’s health workforce? Med J Aust 2010; 193 167–72.
| 20678046PubMed |
[16] Mason J. Review of Australian government health workforce programs. Canberra: Department of Health and Ageing; 2013.
[17] McMahon M, Stiller K, Trott P. The prevalence of thumb problems in Australian physiotherapists is high: an observational study. Aust J Physiother 2006; 52 287–92.
| The prevalence of thumb problems in Australian physiotherapists is high: an observational study.Crossref | GoogleScholarGoogle Scholar | 17132124PubMed |
[18] Morris JH, Grimmer K. Non-medical prescribing by physiotherapists: issues reported in the current evidence. Man Ther 2014; 19 82–6.
| Non-medical prescribing by physiotherapists: issues reported in the current evidence.Crossref | GoogleScholarGoogle Scholar | 23669436PubMed |
[19] Nall C. Looking back, looking forward: achievements and future directions of physiotherapy in Australia. Aust J Physiother 2006; 52 235–6.
| Looking back, looking forward: achievements and future directions of physiotherapy in Australia.Crossref | GoogleScholarGoogle Scholar | 17132116PubMed |
[20] Nowak M, Naude M, Thomas G. Sustaining career through maternity leave. Aust J Labour Econ 2012; 15 201–16.
[21] O’Toole K, Schoo AM. Retention policies for allied health professionals in rural areas: a survey of private practitioners. Rural Remote Health 2010; 10 1331
| 20443649PubMed |
[22] Physiotherapy Board of Australia. Registration data table – December 2014. 2014. Available at: http://www.physiotherapyboard.gov.au/About/Statistics.aspx [verified 29 March 2015]
[23] Schmidt D, Dmytryk N. Exploring a public–private partnership new-graduate physiotherapy recruitment program: a qualitative study. Aust J Rural Health 2014; 22 334–9.
| Exploring a public–private partnership new-graduate physiotherapy recruitment program: a qualitative study.Crossref | GoogleScholarGoogle Scholar | 25495629PubMed |
[24] Sheppard L, Crowe M, Jones A, Adams R. Requirements for re-registration and re-entry of physiotherapists into the workforce in Australia and overseas. Phys Ther Rev 2009; 14 26–35.
| Requirements for re-registration and re-entry of physiotherapists into the workforce in Australia and overseas.Crossref | GoogleScholarGoogle Scholar |
[25] Sheppard L, Crowe M, Jones A, Adams R. Returning to physiotherapy practice: the perspective of returners, potential returners and clinical supervisors. Aust Health Rev 2010; 34 304–11.
| Returning to physiotherapy practice: the perspective of returners, potential returners and clinical supervisors.Crossref | GoogleScholarGoogle Scholar | 20797362PubMed |
[26] Sheppard L, Crowe M, Jones A, Adams R. A model for re-education of physiotherapy practitioners to enable return to the workforce. NZ J Physiother 2010; 38 23–31.