Predictors of workforce retention among Malawian nurse graduates of a scholarship program: a mixed-methods study

Global Health, Science and Practice
Kelly SchmiedeknechtSally Rankin

Abstract

Malawi faces critical health care worker shortages of both physicians and nurses. The Global AIDS Interfaith Alliance (GAIA) began a nursing scholarship program in Malawi that requires graduates to work in the public sector for 4-5 years following graduation. The main objective of this study was to identify job satisfaction and retention factors of scholarship recipients after graduation. We conducted a mixed-methods study consisting of 30 individual qualitative interviews and 56 quantitative surveys that evaluated job satisfaction, factors associated with retention, and impact of the GAIA Nursing Scholarship Program. Participants included GAIA scholarship recipients who had graduated. We used thematic analysis to analyze qualitative interviews. Kruskal-Wallis, Spearman correlation, and chi-squared tests were used to analyze survey data. The majority of survey and interview participants indicated it was unlikely that they would leave the public sector (70% and 90%, respectively). Most interview and survey participants cited a lack of supplies, inadequate human resources, and high workload as major challenges to their work. Poor working relationships with management or coworkers was significantly correlated with consideration of...Continue Reading

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Citations

Nov 14, 2015·Contemporary Nurse·Leanne MonterossoSinead Keeney
Mar 18, 2017·International Journal of Nursing Practice·Pyone Mjinzu LwinOrapin Laosee
Jan 9, 2019·The British Journal of Surgery·J GajewskiR Brugha
Mar 25, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Eva ChangAnupa Bir
Mar 19, 2021·British Journal of Nursing : BJN·Takawira C MarufuDalal Almghairbi
Aug 17, 2021·Journal of Research in Nursing : JRN·E Abou Hashish, H M Ashour

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Software Mentioned

GAIA
Qualtrics
CHAM
Dedoose

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