Evidence map›Paper›PMID 37090007›Full record

ArticleImplementation research and practice

Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review.

Kelley M Pascoe, Miruna Petrescu-Prahova, Lesley Steinman, Jennifer Bacci, Siobhan Mahorter, Basia Belza, Bryan Weiner

Abstract readScoping Review
In one paragraph

Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

7 authors.

Kelley M PascoeSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.ORCID https://orcid.org/0000-0003-0356-5464
Miruna Petrescu-PrahovaSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.
Lesley SteinmanSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.
Jennifer BacciSchool of Pharmacy, University of Washington, Seattle, USA.
Siobhan MahorterSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.
Basia BelzaSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.
Bryan WeinerSchool of Public Health, Department of Health Systems and Population Health, University of Washington, Seattle, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

Background: Evidence-based programs (EBPs) are used across disciplines to integrate research into practice and improve outcomes at the individual and/or community level. Despite widespread development and implementation of EBPs, many programs are not sustained beyond the initial implementation period due to many factors, including workforce turnover. This scoping review summarizes research on the impact of workforce turnover on the sustainability of EBPs and recommendations for mitigating these impacts. Methods: We searched 10 databases for articles that focused on an EBP and described an association between workforce turnover and the sustainment or sustainability of the program. We created a data abstraction tool to extract relevant information from each article and applied the data abstraction tool to all included articles to create the dataset. Data were mapped and analyzed using the program sustainability framework (PSF). Results and Discussion: A total of 30 articles were included in this scoping review and mapped to the PSF. Twenty-nine articles described impacts of workforce turnover and 18 articles proposed recommendations to address the impacts. The most frequent impacts of workforce turnover included increased need for training, loss of organizational knowledge, lack of EBP fidelity, and financial stress. Recommendations to address the impact of workforce turnover included affordable and alternative training modalities, the use of champions or volunteers, increasing program alignment with organizational goals, and generating diverse funding portfolios. Conclusion: The sustainment of EBPs is critical to ensure and maintain the short- and long-term benefits of the EBP for all participants and communities. Understanding the impacts of workforce turnover, a determinant of sustainability, can create awareness among EBP-implementing organizations and allow for proactive planning to increase the likelihood of program sustainability.

Indexed as

determinant of sustainabilityEvidence-based practiceevidence-based programimplementationretentionscoping reviewsustainmentworkforce turnover

Identifiers

PMID37090007
PMCPMC9981891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.