Systematic Review: Evidence of the Value of Continuing Professional Development to Enhance Recruitment and Retention of Occupational Therapists in Mental Health
Restricted accessResearch articleFirst published online May, 2002
Systematic Review: Evidence of the Value of Continuing Professional Development to Enhance Recruitment and Retention of Occupational Therapists in Mental Health
Occupational therapy in mental health is changing as a result of service developments. The College of Occupational Therapists reported these changes and their impact for occupational therapists in the Mental Health Project (Craik et al 1998b). This report suggested that there were problems in recruitment and retention in the field of mental health. Background reading for this article highlighted that a variety of factors is influential for an occupational therapist to enter, remain in or leave a post. One factor identified to assist recruitment and retention was the influence of continuing professional development.
A comprehensive literature search was carried out to identify the evidence regarding the influence of continuing professional development in enhancing recruitment and retention. A protocol was developed to search for published research and evaluations specific to state-registered occupational therapists from a range of clinical specialties.
Thirteen articles were cited and these are systematically reviewed with key findings documented. The review identified that there was little evidence for the influence of continuing professional development on staff recruitment and retention and that no study had set out to explore the relationship between the two in isolation. What evidence was available suggests that recruitment and retention are influenced by a combination of personal and professional factors. In concluding, the findings outline the implications for research and practice.
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References
1.
AtkinsonKStewardB (1997) A longitudinal study of occupational therapy new practitioners in their first years of professional practice: Preliminary findings. British Journal of Occupational Therapy, 60(8), 338–42.
2.
AkroydDWilsonSPainterJFiguersC (1994) Intrinsic and extrinsic predictors of work satisfaction in ambulatory care and hospital settings. Journal of Allied Health, 23(3), 155–64.
3.
AlsopA (2000) Continuing professional development: A guide for therapists. Oxford: Blackwell Science.
4.
BaileyDM (1990a) Reasons for attrition from occupational therapy. American Journal of Occupational Therapy, 44(1), 23–29.
5.
BaileyDM (1990b) Ways to retain or reactivate occupational therapists. American Journal of Occupational Therapy, 44(1), 31–37.
6.
BaileyDM (1997) Research for the health professional: A practical guide. Philadelphia: FA Davis.
7.
BanniganK (1997) Clinical effectiveness: Systematic reviews and evidence-based practice in occupational therapy. British Journal of Occupational Therapy, 60(1), 479–83.
8.
BentleyR (1985) How occupational therapy students choose their first post. British Journal of Occupational Therapy, 48(7), 196–98.
9.
BorikarAGodbanA (1989) Recruitment: An investigation into recruitment problems in occupational therapy. British Journal of Occupational Therapy, 52(10), 392–94.
10.
Boyt-SchellBAYarettSlater D (1998) Management competencies required of administrative and clinical practitioners in the new millennium. American Journal of Occupational Therapy, 52(9), 744–50.
11.
College of Occupational Therapists (2000a) Current Awareness Bulletin: Recruitment and retention. London: COT.
12.
College of Occupational Therapists (2000b) Code of ethics and professional conduct for occupational therapists. London: COT.
13.
CormackDSF (1996) The research process in nursing. Oxford: Blackwell Science.
14.
CracknellE (1981) Clinical placements and first appointments. British Journal of Occupational Therapy, 44(5), 148–51.
15.
CraikC (1998) Occupational therapy in mental health: A review of the literature. British Journal of Occupational Therapy, 61(5), 186–92.
16.
CraikCAustinC (2000) Educating occupational therapists for mental health practice. British Journal of Occupational Therapy, 63(7), 335–39.
17.
CraikCChacksfieldJDRichardsG (1998a) A survey of occupational therapy practitioners in mental health. British Journal of Occupational Therapy, 61(5), 227–34.
18.
CraikCAustinCChacksfieldJDRichardsGSchellD (1998b) College of Occupational Therapists: Position paper on the way ahead for research, education and practice in mental health. British Journal of Occupational Therapy, 61(9), 390–92.
19.
CraikCAustinCSchellD (1999) A national survey of occupational therapy managers in mental health. British Journal of Occupational Therapy, 62(5), 220–28.
20.
CrepeauEBThibodauxLParhamD (1999) Academic juggling act: Beginning and sustaining an academic career. American Journal of Occupational Therapy, 53(1), 25–30.
21.
Department of Health (1999) National Service Framework for Mental Health. Modern standards and service models – executive summary. Available at: http://www.doh.gov.uk/nsf/mhexecsum Accessed on 19 April 2002.
22.
FranklinJAGibsonDMerkel-StollJNeufeltMVergara-YiuHEuK (1995) Employment trends for occupational therapy: An analysis of employment advertisements in the Sydney Morning Herald 1984–90. Australian Occupational Therapy Journal, 42(2), 77–84.
23.
FredaM (1992) Retaining occupational therapists in rehabilitation settings: Influential factors. American Journal of Occupational Therapy, 46(3), 240–45.
24.
GaitskellS (1998) Professional accountability and service user empowerment: Issues in community mental health. British Journal of Occupational Therapy, 61(5), 221–22.
25.
GeddesJFreemantleNStreinerDReynoldsS (1998) Understanding and interpreting systematic reviews and meta-analysis. Part 1: Rationale, search strategy and describing the results. Evidence-Based Mental Health, 1(3), 68–69.
26.
GleensonCWinklerL (1995) Managing the three R's: Recruitment, retention and reactivation. American Occupational Therapy Assocation Annual Conference: Conference Abstracts and Resources. Bethesda, MD:AOTA.
27.
GreensmithCABlumfieldMA (1989) Beginning to look at why occupational therapists leave the profession: A survey carried out in Leicestershire. British Journal of Occupational Therapy, 52(10), 389–94.
28.
JenkinsM (1991) The problems of recruitment: A local study. British Journal of Occupational Therapy, 54(12), 449–52.
29.
KraegerMMWalkerKF (1993) Attrition, burnout, job dissatisfaction and occupational therapy managers. Occupational Therapy in Health Care, 8(4), 47–62.
30.
LynamCWalkerC (1999) Numbers and areas of practice of occupational therapists working in mental health services in Great Britain. The report of a study commissioned by the Department of Health. York: College of Ripon and York St John.
31.
LysackCLStadnykRPatersonMMcLeodKKreftingL (1995) Professional expertise of occupational therapists on community practice: Results of an Ontario survey. Canadian Journal of Occupational Therapy, 62(3), 138–47.
32.
Muir-GrayJAM (1997) Evidence-based healthcare. How to make health policy and management decisions. Edinburgh: Churchill Livingstone.
33.
OkerlundVWJacksonPBParsonsRJComsaMV (1995) Job recruitment and retention factors for occupational therapists in Utah. American Journal of Occupational Therapy, 49(3), 263–65.
34.
PainterJAkroydD (1998) Predictors of organisational commitment among occupational therapists. Occupational Therapy in Health Care, 11(2), 1–15.
35.
PainterJAkroydDWilsonSFiguersC (1995) The predictive value of selected job rewards on occupational therapist job satisfaction in ambulatory care settings. Occupational Therapy in Health Care, 9(4), 21–36.
36.
PotterR (1999) Fears rise over crisis in therapy recruitment. Therapy Weekly, 26(10).
37.
RichardsG (1998) Working knowledge. Health Service Journal, 9 April, 30–31.
38.
RozierCKGilkesonEHamiltonBL (1991) Job satisfaction of occupational therapy facility. American Journal of Occupational Therapy, 45(2), 160–65.
39.
RuggS (1996) The transition of junior occupational therapists to clinical practice: Report of a preliminary study. British Journal of Occupational Therapy, 59(4), 165–68.
40.
RuggS (1999a) Factors influencing junior occupational therapists' continuity of employment: A review of the literature. British Journal of Occupational Therapy, 62(4), 151–56.
41.
RuggS (1999b) Junior occupational therapists' continuity of employment: What influences success. Occupational Therapy International, 6(4), 277–97.
42.
Sainsbury Centre for Mental Health (2000) Finding and keeping. Review of recruitment and retention in the mental health workforce. London: Sainsbury Centre for Mental Health.
43.
SchlenzKCGuthrieMKDudgeonB (1995) Burnout in occupational therapists and physical therapists working in head injury rehabilitation. American Journal of Occupational Therapy, 49(10), 986–93.
44.
Scottish Executive (1999) Learning together. A strategy for education, training and lifelong learning for the National Health Service in Scotland. Edinburgh: Scottish Executive.
45.
Scottish Office (1996) Framework for Mental Health Services in Scotland. Edinburgh: Scottish Office.
46.
SmithPSchillerMRGrantHKSachsL (1995) Recruitment and retention strategies used by occupational therapy directors in acute care, rehabilitation and long-term care settings. American Journal of Occupational Therapy, 49(5), 412–19.
47.
StalkerKJonesCRitchieP (1996) All change? The role and task of community occupational therapists in Scotland. British Journal of Occupational Therapy, 59(3), 104–108.
48.
StoeckerJL (1990) Occupational attainment in selected allied health professions. Journal of Allied Health, 19(4), 325–38.
49.
SutcliffeP (1992a) The occupational therapy labour market, part 1: Making use of trained personnel. British Journal of Occupational Therapy, 55(1), 13–18.
50.
SutcilffeP (1992b) The occupational therapy labour market, part 2: The non-practising register as an instrument for staff retention. British Journal of Occupational Therapy, 55(2), 53–54.
51.
TaylorMC (1997) What is evidence-based practice? British Journal of Occupational Therapy, 60(11), 470–74.
52.
TaylorMC (2000) Evidence-based practice for occupational therapists. Oxford: Blackwell Science.
53.
ToulouseJWilliamsS (1984) First appointments: A survey of influencing factors. British Journal of Occupational Therapy, 47(4), 111–13.
