An Australian National Survey of First Nations Careers in Health Services

Publisher:
Hindawi
Publication Type:
Journal Article
Citation:
Health and Social Care in the Community, 2023, 2023, pp. 1-14
Issue Date:
2023-08-02
Full metadata record
A strong First Nations health workforce is necessary to meet community needs health rights and health equity This paper reports the findings from a national survey of Australia s First Nations people employed in health services to identify enablers and barriers to career development including variations by geographic location and organisation type A cross sectional online survey was undertaken across professions roles and jurisdictions The survey was developed collaboratively by Aboriginal and non Aboriginal academics and Aboriginal leaders To recruit participants the survey was promoted by key professional organisations First Nations peak bodies and affiliates and national forums In addition to descriptive statistics logistic regression was used to identify predictors of satisfaction with career development and whether this varied by geographic location or organisation type Of the 332 participants currently employed in health services 50 worked in regional and remote areas and 15 in Aboriginal Community Controlled Health Organisations ACCHOs with the remainder in government and private health services All enablers identified were associated with satisfaction with career development and did not vary by location or organisation type Racism from colleagues and lack of cultural awareness not feeling supported by their manager not having role models or mentors and inflexible human resource policies predicted lower satisfaction with career development only for those employed in government other services First Nations people leading career development were strongly supported The implications for all workplaces are that offering even a few career development opportunities together with supporting leadership by Aboriginal and Torres Strait Islander staff can make a major difference to satisfaction and retention Concurrently attention should be given to building managerial cultural capabilities and skills in supporting First Nations staff career development building cultural
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