How to make rural jobs more attractive to health workers. Findings from a discrete choice experiment in Tanzania

The geographical imbalance of the health workforce in Tanzania represents a serious problem when it comes to delivering crucial health services to a large share of the population. This study provides new quantitative information about how to make jobs in rural areas more attractive to newly educated clinical officers. A unique data set stemming from a discrete choice experiment with clinical officer finalists in Tanzania is applied. The results show that offering continuing education after a certain period of service is one of the most powerful recruitment instruments the authorities have available. Increased salaries and hardship allowances will also substantially increase recruitment in rural areas. Offers of decent housing and good infrastructure, including the provision of equipment, will increase recruitment to rural remote areas but not as much as higher wages and offers of education. Women are less responsive to pecuniary incentives and are more concerned with factors that directly allow them to do a good job, while those with parents living in a remote rural area are generally less responsive to the proposed policies. When the willingness to help other people is a strong motivating force, policies that improve the conditions for helping people appear particularly effective.Human resources for health; Discrete choice experiments; Tanzania

Work-life balance and family friendly policies

Abstract This paper presents Australian and international research on work-life interaction. We review the work-life policies and practices that are likely to have the greatest impact on work-life outcomes, specifically reducing the negative impact of work on other life domains (work-life interference), and enhancing the positive effect (worklife facilitation). The review addresses four policy areas common in work-life studies of the general workforce: employee-centered flexible work practices; working hours (e.g. access to part-time work); paid and unpaid leave (e.g. parental leave); and access to childcare. It then considers the work-life literature related to two specific industries – the Australian public sector, and health and social services – to identify work-life issues and practices specific to each industry. We then conclude with a general discussion of challenges associated with the policy-practice gap, focusing particularly on work intensification and the role of organisational culture as the catalyst for policy uptake and effectiveness

Work stress and cancer researchers : an exploration of the challenges, experiences and training needs of UK cancer researchers.

Work stress is a significant issue for many UK healthcare professionals, in particular those working in the field of oncology. However, there have been very few attempts to explore the challenges, experiences or training needs of researchers working in cancer research. In doing so, we will be better positioned to support and develop these researchers. 18 UK oncology researchers from a variety of backgrounds took part in a semi-structured interview. Interviews were transcribed and analysed using thematic analysis. The analysis identified two overarching themes: logistical research issues (workload, accessing/ recruiting participants, finances) and sensitive research issues (emotional demands, professional boundaries, sensitivity around recruitment). One cross-cutting theme, supportive strategies (support and training, coping mechanisms), was seen to influence both logistical and sensitive research issues. While further research is needed to fully understand the causes and impact of work stress on cancer researchers, three specific issues were highlighted: emotional demands are relevant to quantitative and mixed methods researchers as well as those engaged in qualitative research; the researchers’ background (experience; clinical/non-clinical) was influential and an exploration of effective coping strategies is required; and there is a clear need for adequate support systems and training to be available, particularly for early career researchers.</p

Nurses worth listening to

[Executive Summary]: In 2001 the University of Southern Queensland (USQ) in conjunction with the Queensland Nurses’ Union (QNU) undertook a study of enrolled and registered nurse and assistant-in-nursing members. In Queensland, registered nurses (RNs) and enrolled nurses (ENs) are qualified to practice nursing and are licensed by the Queensland Nursing Council (QNC), an independent body responsible for the setting and maintaining of nursing standards in the State. Although not licensed by the QNC Assistants in Nursing (AINs) work within a nursing model of care. These workers may also have other titles such as Personal Care Assistants or Carers. Regardless of their title, they work under the direct or indirect supervision of a RN. The study was confined to nurses employed in the public sector (acute hospitals, community health), the private sector (acute hospitals and domicillary nursing) and the aged care sector (government and non-government). In 2004 a similar study was conducted. The major findings of the 2004 study were that nurses believed: • nursing is emotionally challenging and physically demanding • their workload is heavy and that their skills and experience as a professional nurse are poorly rewarded (remunerated or recognised) • work stress is high and morale is perceived to be poor and, similar to 2001, deteriorating • there are insufficient staff in their workplace and that the skill mix is inadequate • the majority of nurses are unable to complete their work to their level of professional satisfaction in the time available. While there were some changes between 2001 and 2004 (some could be seen as improvements, others deteriorations), the overwhelming impression one has, especially from the qualitative data, is of a workforce frustrated and unable to provide safe and quality care to their patients/clients within the time allocated

Health Care Workers at Risk

Health-care workers are at extreme risk not only of psychological but somatic disorders as well. Present paper - while presenting the outline of the poor situation of physicians and health-care professionals - strives to enumerate circumstantial factors that induce the probability of negative physical and biological consequences as well as occurrence and extent of burnout. It also aspires to cite all those features that can help diminish these negative outcomes.

Promoting positive gender outcomes in higher education through active workload management

The Higher Education Funding Council funded report 'Promoting Positive Gender Outcomes in HE Through Active Workload Management' includes HEI case study interviews, surveys and workload data analysis to investigate the disparity between the genders in their careers. For example in 2010 although women made up 43% of the academic workforce when looking at the Professorial role only 18.7% were women. The report, through the field work and data analysis, uncovers a range of quite subtle factors that appear to be working together to create this imbalance and includes recommendations for better practice in workload allocation

The disappearing women: North West ICT project final report

Project Context The Disappearing Women: Northwest ICT project was embarked upon to further understand why more women leave the sector than are being recruited, 36% of new ICT recruits in the UK (in the first quarter of 2002) were women, yet in the same period, women accounted for 46% of all leavers or ‘disappearing’ women (The DTI Women in IT Champions report 2003, Grey and Healy 2004). This continuing trend shows a decline from 27% of women making up the ICT workforce in 1997 with a drop to 21% in 2004 (The DTI Women in IT Industry report 2005b). The number of women in the ICT sector remains disappointingly small considering that women make up around 50% of the total UK workforce and significantly this figure has gradually continued to fall despite numerous initiatives to attract more women into the sector (see Griffiths and Moore 2006 for a list of high profile ‘women in ICT’ initiatives). The research team’s first gender research project - Women in IT (WINIT) - ran for two years from January 2004 until March 2006 at the Information Systems Institute at The University of Salford and dealt solely with women who worked in the ICT sector in England. The WINIT Project via an online questionnaire and in-depth interviews gathered the stories and experiences of up to 500 participants and 19 interviewees respectively. The project enabled these women’s voices to be heard but the research team were constantly aware that a certain part of the female ICT workforce - the ‘disappearing’ women who had left ICT vowing never to return - had been overlooked and effectively silenced. It was these women who once found, may be able to facilitate a more in-depth understanding of why women were leaving the ICT sector. Having amassed skills and expertise, qualifications in ICT and crossed ICT recruitment barriers (DTI 2005a) the ‘disappearing’ women for whatever reasons decided to change their career trajectories and leave the sector. What ‘chilly’ (Falkner 2004) workplaces, disinterested organisational cultures and indifferent working conditions had these women encountered that became determining factors in leaving the ICT sector? There has been little (if any) research conducted involving this specific cohort of women and The Disappearing Women: North West ICT (DW: NW ICT) project seeks to make a research contribution to what is a continuing statistical and symbolic under-representation of women in the ICT labour market. The DW: NW ICT project was partly funded by the European Social Fund (ESF) from April 2006 until December 2006 under ESF Objective 3, Policy Field 5.1: Improving the Participation of Women. The DW: NW ICT project contributes research to priority 5 and its strategic objective to reduce the level of disadvantage faced by women in the labour market. The project was run in the Information Systems Group, Salford Business School of The University of Salford, Greater Manchester, UK. The report is structured as follows. The first section presents the backdrop for the research, looking in general at women in the ICT labour market in England and then women leaving the ICT sector focussing on the North West of England and more explicitly women leaving ICT employment in the North West of England. The research aims of the project form the following section; they have been loosely classified in to two groupings, the push and pull factors that are contributing to the high attrition rate of women leaving ICT. The methodology follows with the route taken in how this ‘hard to reach’ target sample were finally located, once contacted the life history interview process and procedures adopted is explained in full. The vignettes of the ‘disappearing’ women are included to allow the reader an opportunity to ‘get to know’ these women a little more closely. Key themes that have naturally emerged throughout the interview data analysis process are presented, including hostilities in the ICT workplace, significant events and the process of leaving ICT workplaces and finally stories of the ‘appearing’ women and their current situations are heard. A discussion regarding the findings of the DW: NW ICT project concludes this report

A STUDY OF GENDER IN SENIOR CIVIL SERVICE POSITIONS IN IRELAND. ESRI RESEARCH SERIES NUMBER 66 DECEMBER 2017

Women make up the majority of those employed in the civil service but are underrepresented at the most senior grades, where key policy and operational decisions are taken. Action 8 of the Civil Service Renewal Plan commits to improving gender balance at each level, including senior grades. The present study was commissioned by a high-level steering group set up to oversee implementation of this action. It draws on a combination of administrative data, reanalysis of the Civil Service Employee Engagement Survey conducted in 2015, and in-depth work history interviews with 50 senior civil servants across four departments. In addition, in-depth interviews were conducted with staff involved in recruitment and promotion within the public service. This rich combination of data yields new insights into the processes shaping gender differences in representation at the most senior grades of the civil service and thus provides a strong evidence base to inform future policy and practice