Abstract：
High staff turnover is common within the Australian public mental health workforce, contributing to workforce shortages and ultimately impacting the ability to provide stable efficient, effective, and ongoing optimal care to the community. In this study, we aimed to (a) establish the most pertinent factors associated with increased turnover intention in the public mental health workforce in Australia, and (b) establish whether such factors differ between metropolitan and rural services. We used a cross-sectional, correlational design using an online survey method. In total, 235 mental health service staff of various disciplines and levels, from four public hospitals in Victoria, Australia participated in the study. We used three feed-forward multiple regression analyses to assess the study aims. We found that job satisfaction, occupational burnout, and understaffing may be the most pertinent factors to consider regarding turnover intention. Job satisfaction and occupational burnout were factors endorsed across the entire sample, as well as specifically within both the metropolitan and rural services, while understaffing was a pertinent factor regarding turnover intention across the entire sample and for rural services, but not metropolitan services. Our findings regarding the pertinence of job satisfaction, occupational burnout, and understaffing in turnover intention provide key information that may be used to inform interventional targets aimed at reducing attrition from the public mental health workforce in Australia.
摘要：
在澳大利亚公共精神卫生劳动力中，高员工流失率很普遍，导致劳动力短缺，并最终影响提供稳定高效的能力，有效,以及对社区的持续最佳护理。在这项研究中,我们的目标是（a）建立与澳大利亚公共精神卫生劳动力流动意愿增加相关的最相关因素，(b)确定大城市和农村服务之间的这些因素是否不同。我们用了一个横截面,使用在线调查方法进行相关设计。总的来说,235名不同学科和级别的精神卫生服务人员，来自维多利亚的四家公立医院，澳大利亚参加了这项研究。我们使用了三个前馈多元回归分析来评估研究目标。我们发现工作满意度，职业倦怠,人员不足可能是考虑离职意向的最相关因素。工作满意度和职业倦怠是整个样本中认可的因素，特别是在大都市和农村服务中，虽然人员不足是整个样本和农村服务人员离职意向的一个相关因素，但不是都市服务。我们关于工作满意度相关性的发现，职业倦怠,和离职意向人员不足提供了关键信息，可用于告知旨在减少澳大利亚公共精神卫生劳动力流失的干预目标。
