Affiliation:
1. Paula M. Kett and Davis G. Patterson are with the Center for Health Workforce Studies, Department of Family Medicine, and Betty Bekemeier is with the School of Nursing, University of Washington, Seattle. Kay Schaffer is with the de Beaumont Foundation, Bethesda, MD.
Abstract
Objectives. To compare rural versus urban local public health workforce competencies and training needs, COVID-19 impact, and turnover risk. Methods. Using the 2021 Public Health Workforce Interest and Needs Survey, we examined the association between local public health agency rural versus urban location in the United States (n = 29 751) and individual local public health staff reports of skill proficiencies, training needs, turnover risk, experiences of bullying due to work as a public health professional, and posttraumatic stress disorder symptoms attributable to COVID-19. Results. Rural staff had higher odds than urban staff of reporting proficiencies in community engagement, cross-sectoral partnerships, and systems and strategic thinking as well as training needs in data-based decision-making and in diversity, equity, and inclusion. Rural staff were also more likely than urban staff to report leaving because of stress, experiences of bullying, and avoiding situations that made them think about COVID-19. Conclusions. Our findings demonstrate that rural staff have unique competencies and training needs but also experience significant stress. Public Health Implications. Our findings provide the opportunity to accurately target rural workforce development trainings and illustrate the need to address reported stress and experiences of bullying. (Am J Public Health. 2023;113(6):689–699. https://doi.org/10.2105/AJPH.2023.307273 )
Publisher
American Public Health Association
Subject
Public Health, Environmental and Occupational Health
Cited by
1 articles.
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