Evidence map›Paper›PMID 40437489›Full record

ArticleBMC health services research2025

Why they come, why they stay and why they leave: a survey to understand the drivers of recruitment, retention, and attrition of allied health clinicians in an Australian metropolitan health network.

Abby M Foster, Simone Munro, Janet Golder, Debra Mitchell

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Abby M FosterMonash Health, Allied Health Workforce, Innovation, Strategy, Education & Research (WISER) Unit, Kingston Centre, 400 Warrigal Road, Melbourne, VIC, 3192, Australia. Abby.Foster@monashhealth.org.ORCID http://orcid.org/0000-0002-7787-8765
Simone MunroMonash Health, Allied Health Workforce, Innovation, Strategy, Education & Research (WISER) Unit, Kingston Centre, 400 Warrigal Road, Melbourne, VIC, 3192, Australia.
Janet GolderMonash Health, Allied Health Workforce, Innovation, Strategy, Education & Research (WISER) Unit, Kingston Centre, 400 Warrigal Road, Melbourne, VIC, 3192, Australia.ORCID http://orcid.org/0009-0003-3697-8182
Debra MitchellMonash Health, Allied Health Workforce, Innovation, Strategy, Education & Research (WISER) Unit, Kingston Centre, 400 Warrigal Road, Melbourne, VIC, 3192, Australia.ORCID http://orcid.org/0000-0002-9343-075X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile allied health plays a central role in healthcare, workforce challenges are straining the sector. Challenges are shaped by population changes, emerging models of care, and educational limitations, and were exacerbated by COVID-19. This study aimed to identify drivers of recruitment and retention for allied health clinicians in an Australian metropolitan setting. Identifying and addressing these factors is essential to the design and implementation of tailored, evidence-informed workforce strategy and policy.

methodsThis cross-sectional, online survey explored workplace attraction, job seeking behaviours, and workplace perceptions. 29 Likert-scale statements informed by the existing literature examined factors influencing allied health retention. Allied health employees from a single Australian metropolitan health network were invited to participate. Descriptive statistics, logistic regression, and deductive content analysis were undertaken.

results42.6% (n = 593) of those invited participated in the survey, with 45.7% (n = 271) of participants having been with the organisation for six or more years. 35% (n = 197) of respondents to a question about intention to leave agreed that they aimed to leave their current role within six months. Variables associated with intention to leave were not feeling a sense of satisfaction with their role (odds ratio [OR] 1.51, 95% CI 1.22-1.85), not being recognised and rewarded by the team manager (OR 1.37, 95% CI 1.12-1.67), not working in the preferred clinical area (OR 1.56; 95% CI 1.25-1.95), and feeling burned out by the job (OR 1.44; 95% CI 1.16-1.78). Qualitative findings support the centrality of aspects of the job (job characteristics), the organisational context (rewards offered; climate; organisational support) and person-context interface (peer/group relations; work-life conflict) to attraction, retention, and attrition in roles.

conclusionThis study identifies factors affecting recruitment, retention, and attrition of allied health professionals in a metropolitan setting. Findings are impacted by the personal and professional effects of the COVID-19 pandemic response. Results provide a baseline upon which the impact of interventions can be measured, while informing the prioritisation and design of tailored workforce strategies. Further, findings may inform local policy responses to improve the allied health workforce and ensure excellent care for the community.

Indexed as

Allied Health PersonnelPersonnel SelectionPersonnel TurnoverAdultAustraliaCOVID-19Cross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairesAllied healthAttractionAttritionAustraliaRecruitmentRetentionWorkforce

Identifiers

PMID40437489
PMCPMC12121124

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.