Experiences of pursuing an intensivist career in regional and rural Australia: An interview study.

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI:10.1177/0310057X241242813
Benjamin K Cheung, James G Anderson, Alexander J Giles, Priya Martin
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Abstract

The regional and rural intensivist workforce is vital to delivering high standards of healthcare to all Australians. Currently, there is an impending workforce disaster, with higher senior medical officer vacancy rates among regional and rural intensive care units, with these units being staffed by junior doctors who are in earlier stages of their training, which in turn increases supervisory burden. There is a lack of comprehensive literature on the barriers and enablers of training, recruiting and retaining regional and rural intensivists. To address this gap, a qualitative study was conducted, involving 13 in-depth, structured interviews with full-time and part-time intensivists from eight Australian regional and rural hospitals. Content analysis of the interview data resulted in the identification of four major categories: unique practice context, need for a broad generalist skill set, perks and challenges of working in a regional/rural area and workforce implications. The study findings revealed that regional and rural intensive care practice offers positive aspects, including work satisfaction, supportive local teams and an appealing lifestyle. However, these benefits are counterbalanced by challenges such as a heavier burden of on-call work, a higher proportion of junior staff which increase supervisory burden and limited access to subspecialist services. The implications of these findings are noteworthy and can be utilised to inform government policies, hospitals, the College of Intensive Care Medicine and the Australian and New Zealand College of Anaesthetists in developing strategies to enhance the provision of intensive care services and improve workforce planning in regional and rural areas.

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在澳大利亚地区和农村地区从事重症监护职业的经历:访谈研究。
地区和乡村重症监护医生队伍对于为所有澳大利亚人提供高标准的医疗保健服务至关重要。目前,由于地区和农村地区重症监护病房的高级医官空缺率较高,这些病房的工作人员都是处于早期培训阶段的初级医生,这反过来又增加了监管负担,因此劳动力灾难迫在眉睫。关于地区和农村重症监护医生的培训、招聘和留任的障碍和促进因素,目前还缺乏全面的文献资料。为了填补这一空白,我们开展了一项定性研究,对来自澳大利亚八家地区和乡村医院的全职和兼职重症监护医师进行了 13 次深入的结构性访谈。通过对访谈数据进行内容分析,确定了四个主要类别:独特的实践环境、对广泛的全科技能组合的需求、在地区/农村地区工作的好处和挑战以及对劳动力的影响。研究结果表明,地区和农村地区的重症监护实践具有积极的一面,包括工作满意度、支持性的当地团队和有吸引力的生活方式。然而,与这些好处相抵消的是一些挑战,如随叫随到的工作负担较重、初级员工比例较高从而增加了监管负担以及获得亚专科服务的机会有限。这些研究结果的意义值得注意,可以为政府政策、医院、重症医学学院以及澳大利亚和新西兰麻醉师学院制定战略提供参考,以加强重症监护服务的提供并改善地区和农村地区的劳动力规划。
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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
150
审稿时长
3 months
期刊介绍: Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.
期刊最新文献
JG Farrell and The Lung: An early description of intensive care delirium in literature. Promoting behavioural change by educating anaesthetists about the environmental impact of inhalational anaesthetic agents: A systematic review. MET call prevention. A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain. Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia.
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