The Rural Nursing Workforce Hierarchy of Needs: Decision-Making concerning Future Rural Healthcare Employment
Article
Terry, Daniel, Peck, Blake, Baker, Ed and Schmitz, David. 2021. "The Rural Nursing Workforce Hierarchy of Needs: Decision-Making concerning Future Rural Healthcare Employment." Health Care: the journal of delivery science and innovation. 9 (9). https://doi.org/10.3390/healthcare9091232
| Article Title | The Rural Nursing Workforce Hierarchy of Needs: Decision-Making concerning Future Rural Healthcare Employment |
|---|---|
| ERA Journal ID | 212679 |
| Article Category | Article |
| Authors | Terry, Daniel, Peck, Blake, Baker, Ed and Schmitz, David |
| Journal Title | Health Care: the journal of delivery science and innovation |
| Journal Citation | 9 (9) |
| Article Number | 1232 |
| Number of Pages | 16 |
| Year | 2021 |
| Publisher | Elsevier BV |
| Place of Publication | Netherlands |
| ISSN | 2213-0764 |
| 2213-0772 | |
| Digital Object Identifier (DOI) | https://doi.org/10.3390/healthcare9091232 |
| Web Address (URL) | https://www.mdpi.com/2227-9032/9/9/1232 |
| Abstract | Addressing nursing shortages in rural areas remains essential, and attracting nursing graduates is one solution. However, understanding what factors are most important or prioritized among nursing students contemplating rural employment remains essential. The study sought to understand nursing student decision-making and what aspects of a rural career need to be satisfied before other factors are then considered. A cross-sectional study over three years at an Australian university was conducted. All nursing students were invited to complete a Nursing Community Apgar Questionnaire to examine their rural practice intentions. Data were analyzed using principal component analysis, and mean scores for each component were calculated and ranked. Overall, six components encompassed a total of 35 items that students felt were important to undertake rural practice after graduating. Clinical related factors were ranked the highest, followed by managerial, practical, fiscal, familial, and geographical factors. Maslow’s Hierarchy of Needs provided a lens to examine nursing student decision-making and guided the development of the Rural Nursing Workforce Hierarchy of Needs model. Each element of the model grouped key factors that students considered to be important in order to undertake rural employment. In culmination, these factors provide a conceptual model of the hierarchy of needs that must be met in order to contemplate a rural career. |
| Keywords | employment; decision-making; rural; nursing; nursing student; students; workforce; Community Apgar |
| ANZSRC Field of Research 2020 | 420505. Nursing workforce |
| Byline Affiliations | Federation University |
| Boise State University, United States | |
| University of North Dakota, United States |
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