Training satisfaction and future employment consideration among physician and nursing trainees at rural Veterans Affairs facilities in the United States during COVID-19: a time-series before and after study
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose The coronavirus disease 2019 (COVID-19) pandemic limited healthcare professional education and training opportunities in rural communities. Because the US Department of Veterans Affairs (VA) has robust programs to train clinicians in the United States, this study examined VA trainee perspectives regarding pandemic-related training in rural and urban areas and interest in future employment with the VA. Methods Survey responses were collected nationally from VA physicians and nursing trainees before and after COVID-19 (2018 to 2021). Logistic regression models were used to test the association between pandemic timing (pre-pandemic or pandemic), trainee program (physician or nurse), and the interaction of trainee pandemic timing and program on VA trainee satisfaction and trainee likelihood to consider future VA employment in rural and urban areas. Results While physician trainees at urban facilities reported decreases in overall training satisfaction and corresponding decreases in the likelihood of considering future VA employment from pre-pandemic to pandemic, rural physician trainees showed no changes in either outcome. In contrast, while nursing trainees at both urban and rural sites had decreases in training satisfaction associated with the pandemic, there was no corresponding effect on the likelihood of future employment by nurses at either urban or rural VA sites. Conclusion The study’s findings suggest differences in the training experiences of physicians and nurses at rural sites, as well as between physician trainees at urban and rural sites. Understanding these nuances can inform the development of targeted approaches to address the ongoing provider shortages that rural communities in the United States are facing.
Abstract
Purpose The coronavirus disease 2019 (COVID-19) pandemic limited healthcare professional education and training opportunities in rural communities. Because the US Department of Veterans Affairs (VA) has robust programs to train clinicians in the United States, this study examined VA trainee perspectives regarding pandemic-related training in rural and urban areas and interest in future employment with the VA. Methods Survey responses were collected nationally from VA physicians and nursing trainees before and after COVID-19 (2018 to 2021). Logistic regression models were used to test the association between pandemic timing (pre-pandemic or pandemic), trainee program (physician or nurse), and the interaction of trainee pandemic timing and program on VA trainee satisfaction and trainee likelihood to consider future VA employment in rural and urban areas. Results While physician trainees at urban facilities reported decreases in overall training satisfaction and corresponding decreases in the likelihood of considering future VA employment from pre-pandemic to pandemic, rural physician trainees showed no changes in either outcome. In contrast, while nursing trainees at both urban and rural sites had decreases in training satisfaction associated with the pandemic, there was no corresponding effect on the likelihood of future employment by nurses at either urban or rural VA sites. Conclusion The study’s findings suggest differences in the training experiences of physicians and nurses at rural sites, as well as between physician trainees at urban and rural sites. Understanding these nuances can inform the development of targeted approaches to address the ongoing provider shortages that rural communities in the United States are facing.
참고문헌 (15)
- Saito M, "Evaluation of postgraduate rural medical training programs and implications for rural workforce development : a systematic review", Rural Remote Health, 22, pp.7118~ (2022)[DOI]
- "Health professions education statistics. academic year 2022-2023" (2023)[URL]
- "Thrive 2017: Office of Rural Health annual report" (2017)[URL]
- "Rural Veterans" (2023)[URL]
- Myers US, "Flattening the curve by getting ahead of it : how the VA Healthcare System is leveraging telehealth to provide continued access to care for rural veterans", J Rural Health, 37, pp.194~196 (2021)[DOI]
- Malayala SV, "Healthcare access in medically underserved areas during the COVID-19 era : an international medical graduate perspective from a rural state", Cureus, 12, pp.e12254~ (2020)[DOI]
- Itani KM, "Presidential address: International medical graduates in the surgical workforce and the Veterans Affairs hospitals: where are we coming from?: where are we going?", Am J Surg, 196, pp.315~322 (2008)[DOI]
- Hinkle H, "Beyond the disease symptoms: additional impacts of COVID-19 on rural health and health professions education: a reflection of where we have been and opportunities for the future", Educ Health(Abingdon), 34, pp.34~36 (2021)[DOI]
- Martin P, "A rapid review of the impact of COVID-19 on clinical supervision practices of healthcare workers and students in healthcare settings", J Adv Nurs, 78, pp.3531~3539 (2022)[DOI]
- O’Keefe R, "Exploring the effect of COVID-19 on graduate nursing education", Acad Med, 97(3S), pp.S61~S65 (2022)[DOI]
- Kelly D, "Anxiety, depression, stress, burnout, and professional quality of life among the hospital workforce during a global health pandemic", J Rural Health, 38, pp.795~804 (2022)[DOI]
- Kett PM, "Competencies, training needs, and turnover among rural compared with urban local public health practitioners : 2021 Public Health Workforce Interests and Needs Survey", Am J Public Health, 113, pp.689~699 (2023)[DOI]
- Kaplan L, "Is being there enough? : postgraduate nurse practitioner residencies in rural primary care", J Rural Health, 39, pp.529~534 (2023)[DOI]
- Fauteux N, "Finding clinical placements for NP students", Am J Nurs, 122, pp.19~21 (2022)[DOI]
- Doherty CL, "Nurse practitioner student clinical placement processes : a national survey of nurse practitioner programs", Nurs Outlook, 68, pp.55~61 (2020)[DOI]