About the Recommender
The Recommender is a web-based catalogue of activities connected to the nine elements in the Making it Work framework that can be used to improve recruitment and retention of professional workers in rural areas. The foundations of Ronnie are in the “Solutions” booklet created in the first Recruit and Retain-project, initiatives being implemented by partners in the Making it Work-project, and a review of academic literature particularly about the recruitment and retention of health professionals.
About the Making it Work project
Contact information
Do you have questions about the Recommender or the Making it Work project? Contact details to all the partners part of the project can be found at the Making it Work project website.
Framework for Remote Rural Workforce Stability
The Making it Work: Framework for Rural Remote Workforce Stabilitydescribes the necessary elements of a strategy to ensure the recruitment and retention of the right professionals to provide needed services in rural and remote locations. The framework consists of nine elements. You can learn more about the elements below.
A socially accountable organization designs its services to meet the needs of the population it serves. This implies having systems in place to regularly assess the population needs or monitor changes on an on-going basis.
How can we be sure that our service model best meets the needs of our population, provides the most cost-effective solutions, and leverages advances in technology? The service model must best meet the needs of the population, and metrics are required to monitor the effectiveness of the service model. In addition to understanding the population’s
service needs, a strong body of evidence suggests that, especially in rural and remote environments, the most successful health-service models are explicitly tailored to the local environment.
Delivery of safe and effective healthcare in remote and rural areas requires a specific additional skill set including ongoing skills maintenance and continuing education. In addition to ensuring there are appropriately tailored education and training opportunities that are accessible to remote and rural practitioners, there is a need to ensure recruits are learning-focused and have the ability to develop the remote and rural skill set that is required. This Framework challenges this perception and encourages organizations to seriously consider the characteristics of the person you would like to hire. Management may find that the promotion and advertising materials used may be targeting the wrong person.
Making a move to a rural or remote community, relocating and building a life there is a major consideration. Prospective employers want to reach recruits with more than just a job advertisement; it must be easy for target recruits to access any information that would influence them in making this major life decision. Professionals may have families including a spouse who needs to find work, and children requiring education and activities.
Engagement of communities in defining their recruitment and retention strategy is essential to the development of partnerships that will make the entire suite of interventions work. Having communities involved in defining the approach that will be used in their community ensures that solutions are feasible in their specific environment, and that community members are more likely to sustain them.
Ensuring that the new employee and their family is made to feel welcome in the community, and supported to become integrated in community recreation and other activities, is a key factor in ensuring a positive start and long stay in the community. This can mean involving community partners in meeting with the new recruits and their families, giving tours of the town, health services, and schools to ensure they are able to register in recreational and other programs.
Another important support that is often thought to be too complex to address is spousal employment. Lack of work opportunities for spouses is known to be a key barrier in the recruitment of professionals to rural locations. Dedicating resources to assisting spouses to learn about work opportunities is a good start to addressing this barrier.
In rural remote communities, professionals often work in isolation, without access to specialist support that they may have enjoyed in previous urban roles or in their training. Rural and remote health leaders who report that they have overcome challenges in recruitment and retention of professionals typically report that they consider supporting team cohesion to be a major part of their role. They involve their team of professionals in decisions on who to recruit to the team, they create opportunities for their team to socialize and learn together, and offer them some control over their work environments (shift scheduling, strategic planning, creation of leadership roles among professionals, such as regional professional development lead).
Supporting your professional teams to access professional development that is relevant to their rural and remote work environment can be a significant factor in enhancing the quality of services in your community and in retention of employees. A mixture of well designed “at distance or “technology enhanced” education programmes together with some “face-to-face” education and training should be offered.
Developing an academic/training mandate for an organization, and potentially seeking funds to allow professional teams to dedicate time to training the professionals of the future will lead to a strong return on investment. There is a clear and substantial body of evidence which confirms that offering health professional training in rural and remote environments leads to increased retention of those professionals. Furthermore, training and rural and remote environments ensures that professionals have the unique skills that are needed for rural practice.