What accounts for turnover intention in the Australian public mental health workforce?

Author:

Haywood Darren1234ORCID,Crocker Kaitlyn M.25ORCID,Gnatt Inge26,Jenkins Zoe2,Bhat Ravi78,Lalitha Anoop Raveendran Nair9,Butterfield Ingrid1011,Castle David J.12

Affiliation:

1. School of Psychological Science, Turner Institute for Brain and Mental Health Monash University Victoria Clayton Australia

2. Department of Mental Health St. Vincent's Hospital Melbourne Victoria Fitzroy Australia

3. Human Performance Research Centre, INSIGHT Research Institute, Faculty of Health University of Technology Sydney Sydney New South Wales Australia

4. Department of Psychiatry University of Melbourne Parkville Victoria Australia

5. Melbourne Neuropsychiatry Centre The University of Melbourne Victoria Carlton Australia

6. Centre for Mental Health and Brain Sciences Swinburne University of Technology Victoria Hawthorn Australia

7. Department of Rural Health University of Melbourne Victoria Shepparton Australia

8. Mental Health Services Goulburn Valley Health Shepparton Victoria Australia

9. Department of Mental Health Grampians Area Mental Health & Well‐Being Services Victoria Ballarat Australia

10. HER Centre Australia Monash University Victoria Clayton Australia

11. Department of Psychiatry Cabrini Health Victoria Malvern Australia

12. University of Tasmania and Tasmanian Centre for Mental Health Service Innovation Tasmania Hobart Australia

Abstract

AbstractHigh staff turnover is common within the Australian public mental health workforce, contributing to workforce shortages and ultimately impacting the ability to provide stable efficient, effective, and ongoing optimal care to the community. In this study, we aimed to (a) establish the most pertinent factors associated with increased turnover intention in the public mental health workforce in Australia, and (b) establish whether such factors differ between metropolitan and rural services. We used a cross‐sectional, correlational design using an online survey method. In total, 235 mental health service staff of various disciplines and levels, from four public hospitals in Victoria, Australia participated in the study. We used three feed‐forward multiple regression analyses to assess the study aims. We found that job satisfaction, occupational burnout, and understaffing may be the most pertinent factors to consider regarding turnover intention. Job satisfaction and occupational burnout were factors endorsed across the entire sample, as well as specifically within both the metropolitan and rural services, while understaffing was a pertinent factor regarding turnover intention across the entire sample and for rural services, but not metropolitan services. Our findings regarding the pertinence of job satisfaction, occupational burnout, and understaffing in turnover intention provide key information that may be used to inform interventional targets aimed at reducing attrition from the public mental health workforce in Australia.

Funder

Department of Health, State Government of Victoria

Publisher

Wiley

Subject

Pshychiatric Mental Health

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