Affiliation:
1. School of Nursing University of Wollongong Wollongong New South Wales Australia
2. Australian Centre for Integration of Oral Health Ingham Institute for Applied Medical Research Liverpool New South Wales Australia
3. School of Nursing and Midwifery Western Sydney University Liverpool New South Wales Australia
4. School of Dentistry The University of Sydney Penrith New South Wales Australia
Abstract
AbstractAimTo identify key factors that influence personal care workers' (PCW) intention to stay in residential aged care (RAC).BackgroundPCWs are the ‘backbone’ of providing direct care in RAC settings. The well‐being of older people hinges upon their dedication and commitment; thus, enhancing their intention to stay is a priority to reduce turnover and ensure continuity of care.MethodsSix databases were searched for articles focusing on factors influencing PCWs' intention to stay in RAC. Studies were independently assessed for quality using the Joanna Briggs Institute Methodology for systematic review tools. Reporting of the results followed the PRISMA guidelines.FindingsEight articles published between 2010 and 2022 were included. The key issues were categorized as: (a) sociodemographic characteristics; (b) psychological factors; (c) workplace factors and (d) job satisfaction. Older age, being married and immigration status were positively associated with intention to stay. Work stress and burnout contributed towards demotivation, while a supportive and engaging organizational culture that recognized workers' contributions and provided appropriate remuneration and benefits, enhanced job satisfaction and retention.ConclusionThis review affirms the complexity of the decision‐making process influencing workers' intention to stay. A comprehensive understanding of the interplay of these factors and the personal and sociocultural challenges faced by PCWs is essential to design strategies to provide support and enhance job satisfaction and retention.Implications for Aged CareThis review showed that support from the organization is critical in improving PCWs' intention to stay in aged care. Given the interconnectedness of a range of key factors, decision‐makers need to address modifiable factors holistically. Including PCWs in planning retention strategies could be the missing link in tailoring interventions towards workforce retention.Impact
Personal, psychological and workplace factors alone and in combination influence personal care workers' intention to stay in residential aged care (RAC).
The interrelationships among the factors impacting PCWs' intention to stay are complex, wherein a change in one often influences other factors.
Addressing the causes of psychological stress, improving workplace culture and understanding their interrelationships provide a foundation for co‐designing strategies to promote intention to stay among PCWs in RAC.
Reporting MethodThe authors have adhered to relevant EQUATOR guidelines PRISMA.No Patient or Public ContributionThis integrative review is conducted with no involvement or contribution from patients or the public.