Evidence map›Paper›PMID 40095746›Full record

SynthesisAustralasian journal on ageing2025

Understanding factors influencing personal care workers' intentions to stay: A systematic integrative review.

Britt O'Keefe, Eva Yuen, Susan Perlen, Briony Dow, Alison M Hutchinson

Abstract readSystematic Review
In one paragraph

Synthesis in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

5 authors.

Britt O'KeefeSchool of Nursing and Midwifery: Center for Quality and Patient Safety Research, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0002-2558-6453
Eva YuenSchool of Nursing and Midwifery: Center for Quality and Patient Safety Research, Deakin University, Geelong, Australia.
Susan PerlenSchool of Nursing and Midwifery: Center for Quality and Patient Safety Research, Deakin University, Geelong, Australia.
Briony DowNational Ageing Research Institute Inc, Melbourne, Victoria, Australia.
Alison M HutchinsonSchool of Nursing and Midwifery: Center for Quality and Patient Safety Research, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0001-5065-2726

Funding

Postgraduate Research Scholarship from Deakin University
6 · The paper itself

Abstract

objectiveTo systematically synthesise existing literature to identify influences on personal care workers' intentions to stay when employed in residential aged care.

methodsA systematic integrative review was conducted, searching relevant literature across multiple databases, including Business Source Complete, CINAHL Complete, Medline Complete and APA PsycInfo via the EBSCOhost platform and EMBASE (excluding Medline). Articles were eligible for inclusion if they were peer-reviewed, published in English between 1997 and 2024, and focused on factors influencing personal care workers' intentions to stay in residential aged care. The methodological quality of the selected articles was assessed using the Mixed Methods Appraisal Tool.

resultsThis review included six articles published between 2007 and 2021, reporting on quantitative (n = 4), qualitative (n = 1) and mixed methods (n = 1) research, with the final study published in 2021. Five employee-related and employer-related themes emerged as important factors that influence personal care workers' intentions to stay: (1) individual characteristics and resilience, (2) career growth and rewards, (3) employment stability and economic workforce pressures, (4) satisfaction and fulfilment in professional caregiving and (5) organisational support and collaborative work environment.

conclusionsThis review identified key factors influencing personal care workers' intentions to stay, offering actionable insights to inform the development of evidence-based strategies aimed at strengthening workforce retention. Addressing these factors is critical to meeting the needs of an ageing population and ensuring the provision of high-quality care. Furthermore, the review underscores the multifaceted determinants shaping these intentions, emphasising the importance of psychological, social and organisational factors to enhance retention efforts.

Indexed as

Attitude of Health PersonnelCaregiversHomes for the AgedIntentionPersonnel TurnoverCareer MobilityHumansJob SatisfactionResilience, PsychologicalWorkplacecaregivershomes for the agedretention

Identifiers

PMID40095746
PMCPMC11912523

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.