The Retention Factors among Nurses in Rural and Remote Areas: Lessons from the Community Health Practitioners in South Korea

H. Park, K. June
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Abstract

Purpose: This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants ' social status and welfare. Conclusion: Considering multi-dimen-sional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.
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农村和偏远地区护士的保留因素:来自韩国社区卫生从业人员的经验教训
目的:本研究基于多维度框架分析韩国社区卫生从业人员持续20年以上的留任因素。这项研究为在农村或偏远地区工作的护士提供了全球影响,即使在全球大流行期间也是如此。方法:研究对象为16名在农村或偏远地区工作超过20年的韩国社区卫生从业人员。本研究确定了农村和偏远地区护士长期服务的关键保留因素。这是一项基于叙事方法的定性研究,运用扎根理论进行分析。根据参与者第一次经历的生活流程,工作经历中的情节,以及对过去20年的反思,进行了半结构化问卷调查。结果:第一,个人“财务需求”和“职业召唤”是动机相关的因果条件。环境-工作-社区的适应是导致干预条件的情境条件,通过遇到终身危机来构建应对策略。“过渡”和“成熟”的结果随着时间的变化而自然发生。这些独特的因素与韩国初级卫生系统的“外部变化”有关,这些变化提高了参与者的社会地位和福利。结论:多维度考虑挽留因素是关键,包括时间(如历史变化)和外部因素(如医疗体制),以同步支持农村护士。如果没有这一点,在农村地区工作的个人可能会受到不安全和自我承诺的伤害。此外,考虑到全球大流行,留住护士对于防止农村和偏远地区的严重隔离至关重要。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
12
期刊介绍: The Journal of Korean Academy of Community Health Nursing is the official journal of the Korean Academy of Community Health Nursing. This journal aims to provide worldwide access to tilmely research and practice feature of use to community health nurses, educators, school health teachers, occupational nurses, and administrators in the field of community health nursing. JKACHN coverage includes theoretical, practical, and educational issues related to community health nursing. Articles include original research articles, reviews, editorials.
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