Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/10684
Title: The challenges confronting clinicians in rural acute care settings: a participatory research project
Contributor(s): Paliadelis, Penelope S (author); Parmenter, Glenda (author); Parker, Vicki T (author)orcid ; Giles, Michelle (author); Higgins, Isabel (author)
Publication Date: 2012
Handle Link: https://hdl.handle.net/1959.11/10684
Abstract: Introduction: In Australia, as in many other developed countries, the current healthcare environment is characterised by increasing differentiation and patient acuity, aging of patients and workforce, staff shortages and a varied professional skills mix, and this is particularly so in rural areas. Rural healthcare clinicians are confronted with a broad range of challenges in their daily practice. Within this context, the challenges faced by rural acute care clinicians were explored and innovative strategies suggested. This article reports the findings of a study that explored these challenges across disciplines in acute healthcare facilities in rural New South Wales (NSW), Australia. Methods: A mixed method approach, involving a consultative, participatory 3 stage data collection process was employed to engage with a range of healthcare clinicians from rural acute care facilities in NSW. Participants were invited to complete a survey, followed by focus group discussions and finally facilitated workshops using nominal group technique. Results: The survey findings identified the respondents' top ranked challenges. These were organised into four categories: (1) workforce issues; (2) access, equity and opportunity; (3) resources; and (4) contextual issues. Participants in the focus groups were provided with a summary of the survey findings to prompt discussion about the challenges identified and impact of these on their professional and personal lives. The results of the final workshop stage of the study used nominal group process to focus the discussion on identifying strategies to address identified challenges. Conclusions: This study builds on research conducted in a large metropolitan tertiary referral hospital. While it was found that rural clinicians share some of the challenges identified by their metropolitan counterparts, some identified challenges and solutions were unique to the rural context and require the innovative solutions suggested by the participants. This article provides insight into the working world of rural healthcare clinicians and offers practical solutions to some of the identified issues. The findings of this study may assist rurally based healthcare services to attract and retain clinical staff.
Publication Type: Journal Article
Source of Publication: Rural and Remote Health, 12(2), p. 1-12
Publisher: Australian Rural Health Education Network
Place of Publication: Australia
ISSN: 1445-6354
Field of Research (FOR): 111099 Nursing not elsewhere classified
111799 Public Health and Health Services not elsewhere classified
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Other Links: http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=2017
Statistics to Oct 2018: Visitors: 296
Views: 374
Downloads: 1
Appears in Collections:Journal Article

Files in This Item:
2 files
File Description SizeFormat 
Show full item record

Page view(s)

92
checked on Mar 4, 2019
Google Media

Google ScholarTM

Check

SCOPUSTM   
Citations

 

WEB OF SCIENCETM
Citations

 

Items in Research UNE are protected by copyright, with all rights reserved, unless otherwise indicated.