scholarly journals Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework

Author(s):  
Beatriz Cuesta-Briand ◽  
Mathew Coleman ◽  
Rebekah Ledingham ◽  
Sarah Moore ◽  
Helen Wright ◽  
...  

Medical graduates’ early career is known to be disorienting, and career decision-making is influenced by a complex set of factors. There is a strong association between rural background and rural undergraduate training and rural practice, and personal and family factors have been shown to influence workplace location, but the interaction between interest, training availability, and other work-relevant factors has not yet been fully explored. A qualitative study conducted by the Rural Clinical School of Western Australia (RCSWA) and WA Country Health Service (WACHS) explored factors influencing the decision to pursue rural work among junior doctors. Data collection and analysis was iterative. In total, 21 junior doctors were recruited to participate in semi-structured telephone interviews. Two main themes relating to the systems of influence on career decision-making emerged: (1) The importance of place and people, and (2) the broader context. We found that career decision-making among junior doctors is influenced by a complex web of factors operating at different levels. As Australia faces the challenge of developing a sustainable rural health workforce, developing innovative, flexible strategies that are responsive to the individual aspirations of its workforce whilst still meeting its healthcare service delivery needs will provide a way forward.

Author(s):  
Beatriz Cuesta-Briand ◽  
Mathew Coleman ◽  
Rebekah Ledingham ◽  
Sarah Moore ◽  
Helen Wright ◽  
...  

This study uses data from a Rural Clinical School of Western Australia (RCSWA) and WA Country Health (WACHS) study on rural work intentions among junior doctors to explore their internal decision-making processes and gain a better understanding of how junior doctors make decisions along their career pathway. This was a qualitative study involving junior doctor participants in postgraduate years (PGY) 1 to 5 undergoing training in Western Australia (WA). Data was collected through semi-structured telephone interviews. Two main themes were identified: career decision-making as an on-going process; and early career doctors’ internal decision-making process, which fell broadly into two groups (‘explorers’ and ‘planners’). Both groups of junior doctors require ongoing personalised career advice, training pathways, and career development opportunities that best “fit” their internal decision-making processes for the purposes of enhancing rural workforce outcomes.


2020 ◽  
pp. 106907272094097
Author(s):  
Hui Xu

Although research has examined and supported the role of environmental adversity in career decision-making, little is known about the prediction power of childhood environmental adversity for career decision-making. To provide guidance for early career interventions, particularly in disadvantaged populations, the current study drew on life history theory and used a sample of U.S. college students ( n = 310) and a sample of U.S. noncollege individuals during emerging adulthood ( n = 308) to examine a mediation model involving childhood unpredictability, childhood poverty, career decision ambiguity aversion, and career decision-making difficulty. The results support the mediation of ambiguity aversion in the positive predictions of childhood unpredictability for all four factors of career decision-making difficulty. However, the results do not support the indirect predictions of childhood poverty for all four factors of career decision-making difficulty through ambiguity aversion but support the direct prediction of childhood poverty for lack of readiness. Therefore, the current study illuminates the importance of a predictable family environment during childhood for career decision-making during emerging adulthood and provides implications for the validity of life history theory in career decision-making, the development of ambiguity aversion, and early career interventions. Implications and future directions of research regarding childhood poverty are also discussed.


2000 ◽  
Vol 26 (2) ◽  
Author(s):  
J. A. Ellison ◽  
A. M. G. Schreuder

The objective of this research was to determine the value of the career anchor model in career decision-making. Career models that can provide the individual with greater self-insight can serve as an important guide when making career choices in todays turbulent working environment. Two hundred and ninety-five midcareer employees (managerial and non-managerial) completed questionnaires to determine their career anchor, occupation type and levels of general, intrinsic and extrinsic job satisfaction. The differences in job satisfaction between employees with a fit between career anchor and occupational type and those with no such fit were compared. It was found that respondents with a fit had a significantly higher level of general and intrinsic job satisfaction than those with no such fit. It is therefore suggested that the career anchor construct could probably serve as a useful tool for midcareer employees to make career choices. Opsomming Die doel van hierdie ondersoek was om die waarde van die loopbaanankermodel in loopbaanbesluitneming te bepaal. Loopbaanmodelle wat individue van groter insig kan voorsien kan as n belangrike riglyn in vandag se turbulente werksomgewing dien. Tweehonderd vyf-en-negentig middelloopbaan-werknemers (bestuur en nie-bestuur) het vraelyste voltooi om hulle loopbaanankers, beroepstipe en vlakke van algemene, intrinsieke en ekstrinsieke werkstevredenheid te bepaal. Die verskille in werkstevredenheid tussen werknemers met n passing tussen loopbaananker en beroepstipe en die sender n sodanige passing, is vergelyk. Daar is bevind dat respondente met n passing 'n beduidende hoer vlak van algemene en intrinsieke werkstevredenheid het as die sender so 'n passing. Daar word derhalwe voorgestel dat die loopbaanankermodel waarskynlik as n nuttige instrument by middelloopbaan-werknemers gebruik kan word om loopbaanbesluite te neem.


2015 ◽  
Vol 6 (2) ◽  
pp. 15
Author(s):  
Mohammed Nasser Al-Saqri ◽  
Hafida Suliman Al Brashdiah

The purpose of the present study was to investigate factors that influence the career decision-making of tenth graders in the South-Batina governorate and the extent of influence of each, in addition to the effect of gender, level of achievement, field of specialty, and parents educational level variables on those factors. A quantitative method approach was used for data collection. A questionnaire of career decision-making factors was applied to a random cluster sample of (350) tenth grade students (52.3% male, and 47.7% female). Factor analysis yielded three subscales for self-efficacy, family and social factors, and school factors. The results of the study indicate that first school factors, then self-efficacy, and finally family and social factors reported high levels of influence on the career decisions made by tenth graders. The independent samples t-Test revealed that the self-efficacy and school factors influence female students. Moreover, the results show that the self-efficacy and school factors are mainly influencing the science students. The One-Way ANOVA Test revealed significant differences in self-efficacy related to the achievement level, favouring students with high achievement. The results also show significant differences in both school factors influencing low achievement students and the self-efficacy factor favouring parents with higher education. 


BMJ Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. e013756 ◽  
Author(s):  
S Spooner ◽  
Jon Gibson ◽  
Dan Rigby ◽  
Matt Sutton ◽  
Emma Pearson ◽  
...  

2021 ◽  
Vol 49 (10) ◽  
pp. 1-13
Author(s):  
Shuyi Zhou ◽  
Shiyong Wu ◽  
Xiaoyan Yu ◽  
Wei Chen ◽  
Wen Zheng

We investigated the moderating role of employment stress in the relationship between proactive personality and career decision-making self-efficacy among recent Chinese graduates during the COVID-19 pandemic. The main results are as follows: (a) proactive personality positively predicted career decision-making self-efficacy, (b) employment stress was negatively related to proactive personality and career decision-making self-efficacy, and (c) employment stress significantly and negatively moderated the effect of proactive personality on career decision-making self-efficacy, meaning that the moderating effect was stronger at a lower level of employment stress. The results indicate that students graduating during the COVID-19 pandemic are more prone to suffering from complex career decisionmaking processes exacerbated by a challenging and changing labor market. Our findings suggest that graduates should secure flexible employment options and that officials, staff, and managers in governments, universities, and industries should work together to enhance graduates' career decision-making self-efficacy and assist them in achieving their early career aspirations by alleviating internal and external employment pressure.


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