Retention of healthcare staff from ethnic minority groups Other
Conditions
Interventions
WP4 will adopt a qualitative research design, using interviews with staff and managers at selected NHS trusts. A multi-factorial approach will be applied to purposively sample trusts from all categori
Sponsors
University of Leicester
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: All participants in WP4 will be aged 18 years and over, willing and able to give consent. Participants will be staff working in/who have left/who are intending to leave an NHS Trust identified from our work in other work packages. Purposive sampling will recruit across locations, rurality/urbanity, retention rates and participants will come from a range of ethnic and migration backgrounds and roles (including those in allied health professional roles), and staff responsible for retention (e.g. HR and clinical managers) to capture diverse experiences and any identified gaps from previous WP findings. If necessary, to ensure diversity of experiences, we will additionally invite consenting UK-REACH questionnaire participants from diverse ethnic/migration groups with high or low attrition intentions from across job roles (including allied health professionals) and geographic locations. The WP4 research team will identify participants consenting to recontact and invite up to 14 of these HCWs from groups working within contexts identified in WP2 as putting them at particularly high risk of leaving, and up to 7 managers in organisations with low retention. If needed, the WP4 research team will invite more participants until at least 10 HCWs and 5 managers have agreed. These will take part in focus groups in addition to interviews. 10 interview participants who are identified by the research team as having compelling true-life experiences will be invited to take part in audio recording their stories. They will be reconsented for taking part in this activity. Collaborators in WP5 will come from two groups: 1. We will build on the UK-REACH infrastructure to develop an I-CARE PPEP group from an existing group which draws membership of HCWs (including allied health professionals) and patients to create an equal and diverse group. We will meet this group biannually. 2. Stakeholder Group (STAG): Through the UK-REACH programme, a national stakeholder group (STAG) was created in 2020 and meets periodically. It includes representation from the NHS (including NHS Workforce Education and Training Directorate, NHS Confederation, NHS Race and Health Observatory), major regulators, HCW unions (BMA, RCM), ethnic minority HCW organisations (BAPIO, Filipino Nurses Association). The STAG will meet quarterly during I-CARE. We will specifically reach out to organisations representing allied health professionals through the Allied Health Professions Federation so that these are included, since the current STAG does not include them.
Exclusion criteria
Exclusion criteria: Anyone not fitting the inclusion criteria or, for WP4, who has not consented
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Work Package 4: Understanding NHS staff perceptions on how, why and in which contexts staff from minoritised groups leave or stay working within the NHS, using qualitative interviews with staff who are thinking of leaving, are in the process of leaving, or have left NHS employment, and with NHS managers. (Single interview per individual). Data will be analysed using the framework approach to thematic analysis to allow for both inductive and deductive contributions. Work Package 5: Synthesis of data from the other work packages, via narrative and a map of the systems involved in the theories that underlie the study overall. Synthesis continues through the study but the final synthesis and workshops will be undertaken once the basic analyses of all other work packages are completed. The final programme/system theory will be co-designed with the Study Stakeholder Group and Patient and Professional Expert Panel in workshops and presented visually as a map to help policy-makers and practitioners understand which interventions to choose and to start to develop evaluation measures. Other resources (training resources/policy interventions) will also be designed in these workshops to support NHS leaders and managers to improve retention, the acceptability of which will be explored via focus groups with NHS staff who took part in Work Package 4. These resources will include audio narratives in the form of 'stories' of individual people from WP4 as well as other formats (e.g. toolkit, report) informed by the STAG. Workshops and focus groups are primarily to co-design resources and the discussions from these will be reported as simple narratives or summaries to aid in co-design work. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, United Kingdom
Outcome results
None listed