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RESEARCH ARTICLE
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What factors affect the recruitment and retention of allied health professionals working in hospitals? A systematic literature review

Laure Baumgartner https://orcid.org/0000-0002-0084-6263 A B * , Olivia Wright A B , Katelyn Barne A B , Karly Bartrim A B , Amy Kirkegaard A B , Victoria Sullivan https://orcid.org/0009-0009-9284-7535 A C , Emily Burch D and Lauren Ball A B C
+ Author Affiliations
- Author Affiliations

A Centre for Community Health and Wellbeing, The University of Queensland, Level 7, Springfield Tower, 145 Sinnathamby Boulevard, Springfield Central, Qld 4300, Australia.

B School of Human Movement and Nutrition Sciences, The University of Queensland, Qld, Australia.

C School of Public Health, The University of Queensland, Qld, Australia.

D Faculty of Health, Southern Cross University, Gold Coast, Qld, Australia.

* Correspondence to: l.baumgartner@uq.edu.au

Australian Health Review https://doi.org/10.1071/AH24287
Submitted: 16 October 2024  Accepted: 15 November 2024  Published: 2 December 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

Workforce shortages in hospitals have necessitated a focus on recruitment and retention of health professionals. The aim of this systematic review was to synthesise literature relating to factors that affect recruitment and retention of allied health professionals working in hospital settings.

Method

PubMed, CINAHL (via EbscoHost), Embase (via Elsevier), and Scopus Advanced Search databases were used to retrieve 1665 studies, of which 16 were included. Herzberg’s two-factor theory was used to synthesise study findings and develop key themes.

Results

Job advancement, company policies, supervision (leadership), working conditions, salary, recognition, and growth opportunities were factors identified as affecting recruitment and retention.

Conclusion

Identified factors are largely amenable to change and could contribute to a more sustainable allied health workforce in hospitals and enhance the quality of care. This research could significantly impact and enhance the evidence supporting interventions and strategies that are critical for retaining the allied health workforce in hospitals.

Keywords: allied health personnel, allied health professionals, factors, intention to leave, personnel turnover, recruitment, retention, turnover intention, workforce.

References

1  World Health Organization. Global Health and Aging. 2011. Available at https://www.nia.nih.gov/sites/default/files/2017-06/global_health_aging.pdf

2  Australian Institute of Health and Welfare. Australia’s health. 2014. Available at https://www.aihw.gov.au/getmedia/19dbc591-b1ef-4485-80ce-029ff66d6930/6_9-health-ageing.pdf.aspx

3  Segal L, Robertson I. Allied health services planning framework for chronic diseases. Monash University Centre for Health Economics; 2004.

4  World Health Organization. Global Strategy on human resources for health: Workforce 2030. 2016. Available at https://iris.who.int/bitstream/handle/10665/250368/?sequence=1

5  Australian Government Department of Health and Aged Care. Allied Health Care. 2024. Available at https://www.health.gov.au/topics/allied-health-care

6  Australian Government. Jobs and Skills Australia Skills Priority List. 2023. Available at https://www.jobsandskills.gov.au/data/skills-shortages-analysis/skills-priority-list

7  Buchan J, Charlesworth A, Gershlick B, Seccombe I. A critical moment: NHS staffing trends, retention and attrition. Health Foundation; 2019. Available at https://www.health.org.uk/sites/default/files/upload/publications/2019/A%20Critical%20Moment_1.pdf [cited 30 April 2024].

8  Health Resources & Services Administration. Health Workforce Projections. 2024. Available at https://bhw.hrsa.gov/data-research/projecting-health-workforce-supply-demand

9  Nancarrow SA, Young G, O’Callaghan K, Jenkins M, Philip K, Barlow K. Shape of allied health: an environmental scan of 27 allied health professions in Victoria. Aust Health Rev 2016; 41(3): 327-35.
| Crossref | Google Scholar | PubMed |

10  Leach MJ, Segal L, May E. Lost opportunities with Australia’s health workforce? Med J Aust 2010; 193(3): 167-72.
| Crossref | Google Scholar | PubMed |

11  Australian Government Department of Health. 2019 Physiotherapists. 2020. Available at https://hwd.health.gov.au/resources/publications/factsheet-alld-physiotherapists-2019.pdf

12  Australian Government Department of Health. 2019 Pharmacists. 2020. Available at https://hwd.health.gov.au/resources/publications/factsheet-alld-pharmacists-2019.pdf

13  Australian Government Department of Health. 2019 Occupational Therapists. 2020. Available at https://hwd.health.gov.au/resources/publications/factsheet-alld-occupational-therapists-2019.pdf

14  Philip K. Allied health: untapped potential in the Australian health system. Aust Health Rev 2015; 39(3): 244-7.
| Crossref | Google Scholar | PubMed |

15  Stone RJ, Cox A, Gavin M, Carpini J. Human Resource Management, 11th edn. Milton, Australia: John Wiley & Sons, Incorporated; 2023.

16  Woltmann EM, Whitley R, McHugo GJ, Brunette M, Torrey WC, Coots L, et al. The role of staff turnover in the implementation of evidence-based practices in mental health care. Psychiatr Serv 2008; 59(7): 732-7.
| Crossref | Google Scholar | PubMed |

17  Van Walraven C, Oake N, Jennings A, Forster AJ. The association between continuity of care and outcomes: a systematic and critical review. J Eval Clin Pract 2010; 16(5): 947-56.
| Crossref | Google Scholar | PubMed |

18  Halter M, Boiko O, Pelone F, Beighton C, Harris R, Gale J, et al. The determinants and consequences of adult nursing staff turnover: a systematic review of systematic reviews. BMC Health Serv Res 2017; 17: 824.
| Crossref | Google Scholar | PubMed |

19  Roth L, Le Saux C, Gilles I, Peytremann-Bridevaux I. Factors associated with intent to leave the profession for the allied health workforce: a rapid review. Med Care Res Rev 2024; 81(1): 3-18.
| Crossref | Google Scholar | PubMed |

20  Australian Government Department of Health. 2019 Medical Radiation Practitioners. 2020. Available at https://hwd.health.gov.au/resources/publications/factsheet-alld-medical-radiation-2019.pdf

21  Hewko S, Oyesegun A, Clow S, VanLeeuwen C. High turnover in clinical dietetics: a qualitative analysis. BMC Health Serv Res 2021; 21(1): 25.
| Crossref | Google Scholar | PubMed |

22  Dawson C, Capewell R, Ellis S, Matthews S, Adamson S, Wood M, et al. Dysphagia presentation and management following coronavirus disease 2019: an acute care tertiary centre experience. J Laryngol Otol 2020; 134(11): 981-6.
| Crossref | Google Scholar | PubMed |

23  Cook F, Rodriguez JM, McCaul LK. Malnutrition, nutrition support and dietary intervention: the role of the dietitian supporting patients with head and neck cancer. Br Dent J 2022; 233(9): 757-64.
| Crossref | Google Scholar | PubMed |

24  Peiris CL, Taylor NF, Shields N. Extra physical therapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions: a systematic review. Arch Phys Med Rehabil 2011; 92(9): 1490-500.
| Crossref | Google Scholar | PubMed |

25  Anderson R, Baumgartner L, Cronin K, Boyd P, Meloncelli N. Extending the scope of dietetic practice in a regional setting: Dietitians credentialed to insert and manage nasogastric tubes. Clin Nutr ESPEN 2023; 55: 308-13.
| Crossref | Google Scholar | PubMed |

26  Thompson J, Yoward S, Dawson P. The role of physiotherapy extended scope practitioners in musculoskeletal care with focus on decision making and clinical outcomes: a systematic review of quantitative and qualitative research. Musculoskeletal Care 2017; 15(2): 91-103.
| Crossref | Google Scholar | PubMed |

27  Mutsekwa R, Ostrowski S, Canavan R, Ball L, Angus R. Health service usage and re-referral rates: comparison of a dietitian-first clinic with a medical specialist-first model of care in a cohort of gastroenterology patients. Frontline Gastroenterol 2021; 12(3): 175-81.
| Crossref | Google Scholar | PubMed |

28  Simmance N, Cortinovis T, Green C, Lunardi K, McPhee M, Steer B, et al. Introducing novel advanced practice roles into the health workforce: dietitians leading in gastrostomy management. Nutr Diet 2019; 76(1): 14-20.
| Crossref | Google Scholar | PubMed |

29  Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group.. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151(4): 264-9.
| Crossref | Google Scholar | PubMed |

30  Eden R, Burton-Jones A, Ballantine C, Staib A, Sullivan C, editors. The transformation of Australia’s first large digital hospital: a teaching case. Proceedings of the 41st International Conference on Information Systems (ICIS 2020). Association for Information Systems; 2020.

31  Australian College of Paramedicine. Consultation paper Paramedicine: Recognition as a standalone profession. 2023. Available at https://paramedics.org/storage/news/consultation_paper_paramedicine_recognition_as_a_standalone_profession_230315.pdf

32  Queensland Health. Pathology Queensland. 2024. Available at https://www.careers.health.qld.gov.au/other-careers/pathology-queensland

33  Covidence systematic review software. Veritas Health Innovation. 2024.

34  Hong Q, Pluye P, Fabregues S, Bartlett G, Boardmann F, Cargo M, et al. Mixed Methods Appraisal Tool (MMAT), version 2018. 2018.

35  Nickerson C. Herzberg’s Two-Factor Theory of Motivation-Hygiene. 2023. Available at https://www.simplypsychology.org/herzbergs-two-factor-theory.html

36  Wilson NA. Factors that affect job satisfaction and intention to leave of allied health professionals in a metropolitan hospital. Aust Health Rev 2015; 39(3): 290-4.
| Crossref | Google Scholar | PubMed |

37  Seston E, Hassell K, Ferguson J, Hann M. Exploring the relationship between pharmacists’ job satisfaction, intention to quit the profession, and actual quitting. Res Social Adm Pharm 2009; 5(2): 121-32.
| Crossref | Google Scholar | PubMed |

38  Benslimane N, Khalifa M. Evaluating pharmacists’ motivation and job satisfaction factors in Saudi hospitals. Unifying the Applications and Foundations of Biomedical and Health Informatics. IOS Press; 2016. pp. 201–4.

39  Abdullahi AK, Mosanya AU, Bello N, Musa MK. Evaluation of job satisfaction among pharmacists working in public health facilities. Explor Res Clin Soc Pharm 2023; 12: 100338.
| Crossref | Google Scholar | PubMed |

40  Lan Y-L, Huang W-T, Kao C-L, Wang H-J. The relationship between organizational climate, job stress, workplace burnout, and retention of pharmacists. J Occup Health 2020; 62(1): e12079.
| Crossref | Google Scholar | PubMed |

41  Yeh Y, Lin B, Lin W, Wan TTH. Job stress: its relationship to hospital pharmacists’ insomnia and work outcomes. Int J Behav Med 2010; 17(2): 143-53.
| Crossref | Google Scholar | PubMed |

42  Yen-Ju Lin B, Yeh Y-C, Lin W-H. The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. J Med Syst 2007; 31: 224-9.
| Crossref | Google Scholar | PubMed |

43  Probst H, Griffiths S. Job satisfaction of therapy radiographers in the UK: Results of a phase I qualitative study. Radiography 2009; 15(2): 146-57.
| Crossref | Google Scholar |

44  Probst H, Griffiths S, Adams R, Hill C. Burnout in therapy radiographers in the UK. Br J Radiol 2012; 85(1017): e760-5.
| Crossref | Google Scholar | PubMed |

45  Nightingale J, Burton M, Appleyard R, Sevens T, Campbell S. Retention of radiographers: A qualitative exploration of factors influencing decisions to leave or remain within the NHS. Radiography 2021; 27(3): 795-802.
| Crossref | Google Scholar | PubMed |

46  Nightingale J, Sevens T, Appleyard R, Campbell S, Burton M. Retention of radiographers in the NHS: Influencing factors across the career trajectory. Radiography 2023; 29(1): 76-83.
| Crossref | Google Scholar | PubMed |

47  Khoza TE, Sibiya MN, Nkosi BP. A model to enhance job satisfaction for radiographers in the public healthcare system in Gauteng province, South Africa. Radiography 2021; 27(1): 120-6.
| Crossref | Google Scholar | PubMed |

48  Hewko SJ, Clow S, Oyesegun A, Vanleeuwen C. High turnover in clinical dietetics: A descriptive analysis. Can J Diet Pract Res 2022; 83(1): 46-8.
| Crossref | Google Scholar | PubMed |

49  Hughes R, Odgers-Jewell K, Vivanti A, Ferguson M, Leveritt M. A study of clinical dietetic workforce recruitment and retention in Queensland. Nutr Diet 2011; 68(1): 70-6.
| Crossref | Google Scholar |

50  Phoenix N, Taylor J. Experimental Staffing Models in Inpatient Acute Mental Health Services. A Longitudinal Comparative Study of Occupational Therapy Services. Eur J Mental Health 2023; 18: 1-13.
| Crossref | Google Scholar |

51  Stefoska-Needham A, Weber CM, Beck EJ, Craddock JC, Houston LA. Recruitment, retention, and experiences of Australian male dietitians: a cross‐sectional online survey. Nutr Diet 2024; 81(2): 160-9.
| Crossref | Google Scholar | PubMed |

52  De Vries N, Boone A, Godderis L, Bouman J, Szemik S, Matranga D, et al. The race to retain healthcare workers: a systematic review on factors that impact retention of nurses and physicians in hospitals. Inquiry 2023; 60: 00469580231159318.
| Crossref | Google Scholar | PubMed |

53  Cody S, Ferguson M, Desbrow B. Exploratory investigation of factors affecting dietetic workforce satisfaction. Nutr Diet 2011; 68(3): 195-200.
| Crossref | Google Scholar |

54  Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review. Rural Remote Health 2012; 12(2): 1900.
| Google Scholar | PubMed |

55  Queensland Health. Allied Health Expanded Scope Strategy 2016-2021. 2016. Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0024/449520/expanded-strategy.pdf

56  Loan‐Clarke J, Arnold J, Coombs C, Hartley R, Bosley S. Retention, turnover and return–a longitudinal study of allied health professionals in Britain. Hum Resour Manag J 2010; 20(4): 391-406.
| Crossref | Google Scholar |

57  Cowden T, Cummings G, Profetto‐Mcgrath J. Leadership practices and staff nurses’ intent to stay: a systematic review. J Nurs Manag 2011; 19(4): 461-77.
| Crossref | Google Scholar | PubMed |

58  Fukui S, Wu W, Salyers MP. Mediational paths from supervisor support to turnover intention and actual turnover among community mental health providers. Psychiatr Rehabil J 2019; 42(4): 350-7.
| Crossref | Google Scholar | PubMed |

59  McLaughlin E, Lincoln M, Adamson B. Speech-language pathologists’ views on attrition from the profession. Int J Speech Lang Pathol 2008; 10(3): 156-68.
| Crossref | Google Scholar | PubMed |

60  O’Donoghue K, Tsui M-s. Social work supervision research (1970–2010): The way we were and the way ahead. Br J Soc Work 2015; 45(2): 616-33.
| Crossref | Google Scholar |

61  May K, McAlinde F, Splawa-Neyman M, O’Rourke M, Sturgess T. Flexible, capable, adaptable: A dynamic allied health workforce. Asia Pac J Health Manag 2017; 12(1): 25-35.
| Google Scholar |

62  Dodd J, Saggers S, Wildy H. Retention in the allied health workforce: boomers, generation X, and generation Y. J Allied Health 2009; 38(4): 215-9.
| Google Scholar | PubMed |

63  Hulcombe J, Capra S, Whitehouse G. How well has part-time work on return from maternity leave been accepted in the workplace? Learnings from allied health professional managers in Queensland Health. Aust Health Rev 2021; 45(5): 627-32.
| Crossref | Google Scholar | PubMed |

64  Cohen J, Stuenkel D, Nguyen Q. Providing a healthy work environment for nurses: the influence on retention. J Nurs Care Qual 2009; 24(4): 308-15.
| Crossref | Google Scholar | PubMed |

65  Cohen G, Blake RS, Goodman D. Does turnover intention matter? Evaluating the usefulness of turnover intention rate as a predictor of actual turnover rate. Rev Public Personnel Adm 2016; 36(3): 240-63.
| Crossref | Google Scholar |

66  Hom PW, Lee TW, Shaw JD, Hausknecht JP. One hundred years of employee turnover theory and research. J Appl Psychol 2017; 102(3): 530-45.
| Crossref | Google Scholar | PubMed |