Evidence map›Paper›PMID 29734679›Full record

SynthesisInternational journal of environmental research and public health2018

Factors Affecting the Retention of Indigenous Australians in the Health Workforce: A Systematic Review.

Genevieve C Lai, Emma V Taylor, Margaret M Haigh, Sandra C Thompson

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
–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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Trial
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  8. Non-Indigenous Public Health Educators' Readiness to Engage With Aboriginal Elders and Knowledge-Holders: A Baseline Study Informing Indigenous-Led Consultation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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  13. Truth to Action: Lived Experiences of Indigenous Healthcare Professionals Redressing Indigenous-Specific Racism.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
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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.

Genevieve C LaiSchool of Nursing & Health Studies, Georgetown University, 3700 O St. NW, Washington, DC 20057, USA. gcl29@georgetown.edu.
Emma V TaylorWestern Australian Centre for Rural Health, The University of Western Australia, 167 Fitzgerald Street, Geraldton, WA 6530, Australia. emma.taylor@uwa.edu.au.ORCID 0000-0002-8612-4738
Margaret M HaighWestern Australian Centre for Rural Health, The University of Western Australia, 167 Fitzgerald Street, Geraldton, WA 6530, Australia. haighm@tcd.ie.
Sandra C ThompsonWestern Australian Centre for Rural Health, The University of Western Australia, 167 Fitzgerald Street, Geraldton, WA 6530, Australia. sandra.thompson@uwa.edu.au.ORCID 0000-0003-0327-7155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Indigenous Australians are under-represented in the health workforce. The shortfall in the Indigenous health workforce compounds the health disparities experienced by Indigenous Australians and places pressure on Indigenous health professionals. This systematic review aims to identify enablers and barriers to the retention of Indigenous Australians within the health workforce and to describe strategies to assist with development and retention of Indigenous health professionals after qualification. Four electronic databases were systematically searched in August 2017. Supplementary searches of relevant websites were also undertaken. Articles were screened for inclusion using pre-defined criteria and assessed for quality using the Mixed Methods Assessment Tool. Fifteen articles met the criteria for inclusion. Important factors affecting the retention of Indigenous health professionals included work environment, heavy workloads, poorly documented/understood roles and responsibilities, low salary and a perception of salary disparity, and the influence of community as both a strong personal motivator and source of stress when work/life boundaries could not be maintained. Evidence suggests that retention of Indigenous health professionals will be improved through building supportive and culturally safe workplaces; clearly documenting and communicating roles, scope of practice and responsibilities; and ensuring that employees are appropriately supported and remunerated. The absence of intervention studies highlights the need for deliberative interventions that rigorously evaluate all aspects of implementation of relevant workforce, health service policy, and practice change.

Indexed as

Health WorkforceAttitude of Health PersonnelAustraliaCulturally Competent CareDelivery of Health CareHealth PersonnelHealth Services, IndigenousHumansWorkplaceAboriginal and Torres Strait Islanderattritionhealth personnelhealth workforceindigenousjob satisfactionretentionstressturnover intentionworkforce development

Identifiers

PMID29734679
PMCPMC5981953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.